Exam 31: Endocrine Clinical Assessment and Diagnostic Procedures

A patient has been admitted who is suspected of having thyrotoxicosis.Which symptom would support this diagnosis?

A nurse is teaching a patient with diabetes mellitus.The patient asks the nurse what is an acceptable HbA₁c level for him.What should the nurse tell the patient?

A patient has been admitted with uncontrolled atrial fibrillation and muscle wasting.The practitioner suspects the patient may have a thyroid disorder.The nurse anticipates the practitioner will initially order which diagnostic procedure to visualize the thyroid?

A patient has been admitted with abdominal pain.The nurse notes that the patient's fasting blood glucose is 120 mg/dL.Which statement regarding this finding is accurate?

A patient has been admitted with a brain mass.The practitioner suspects it might be a pituitary tumor and orders a computed tomography (CT)scan.What area of brain should be scanned to confirm this diagnosis?

A patient is admitted with hypernatremia secondary to diabetes insipidus (DI).Which test would help the practitioner differentiate between central and nephrogenic DI?

The nurse is managing a patient with hyperglycemia.Which findings would the nurse expect to note to support this diagnosis?

A patient is admitted with Cushing syndrome.Which findings would the nurse expect to note as confirming this diagnosis?

A patient is admitted with critical hypotension,hyperkalemia,hyponatremia,and hypoglycemia.The nurse knows that these symptoms are highly suggestive of which disorder?

A patient is being evaluated for thyroid dysfunction.The patient's medications include aspirin,digoxin,chlorothiazide,and insulin.The nurse knows that the laboratory work may be affected by which of these medications?

The nurse is caring for a patient with a traumatic brain injury.The nurse suspects the patient is developing diabetes insipidus.Which test or procedure would confirm this diagnosis?

A patient is admitted with hypernatremia secondary to neurogenic diabetes insipidus.The nurse notes that the patient's serum osmolality is 350 mOsm/kg.What does this finding indicate?

A patient is reporting a headache,fatigue,abdominal pain,and blurred vision.The nurse knows that these signs may indicate the patient has what problem?

A patient with thyrotoxicosis is admitted.Which laboratory tests would the nurse expect to be ordered for this patient?

The nurse is caring for a patient with a traumatic brain injury.Yesterday the patient weighed 62 kg and today the patient weighs 60 kg.How much fluid loss does this change in weight reflect?

A patient is admitted with diabetic ketoacidosis.The nurse requests the practitioner order a glycosylated hemoglobin (HbA₁C).What information does this test provide to the health care team?

A nurse is initiating a patient teaching plan for a patient with hypothyroidism.The patient is currently taking salicylates,lithium,and sulfonamides.It is important that the nurse tell the patient that these medications influence thyroid levels.How are thyroid levels affected by these medications?

The nurse is caring for a patient who has been newly diagnosed with type 1 diabetes.Which laboratory results would the nurse note confirming this diagnosis?

A patient reports losing weight even though she eats "everything in sight." She also reports tremors and diarrhea.The nurse suspects the patient may have what problem?

A patient is being evaluated for thyroid dysfunction.The laboratory findings include a decreased serum free thyroxine (T₄)level and an elevated thyroid-stimulating hormone (TSH)level.These findings confirm which diagnosis?