Exam 46: Pituitary, thyroid, parathyroid, and Adrenal Disorders

The nurse is caring for a patient who is being treated for hypothyroidism.The patient reports insomnia,nervousness,and flushing of the skin.Before notifying the provider,the nurse will perform which action?

The nurse administers intravenous corticotropin (Acthar)to a patient.A serum cortisol level drawn 60 min later shows no change in serum cortisol levels from prior to the dose.What is the nurse's first action?

The parents of an 11-year-old boy ask about growth hormone therapy for their child,who is shorter than his 10-year-old sister.The nurse will tell the parents that growth hormone

A patient is admitted to the hospital to treat hypothyroidism.For rapid improvement in symptoms,the nurse will expect to administer which medication?

A patient who takes the oral antidiabetic agent metformin (Glucophage)will begin taking levothyroxine (Synthroid).The nurse will teach this patient to monitor for

The nurse is preparing to administer piperacillin to a patient to treat an infection caused by pseudomonas.The nurse learns that the patient receives corticotropin to treat multiple sclerosis.The nurse will request an order for

Which would be a contraindication for hormone therapy with somatropin (Genotropin)in a school-age child?

The nurse is caring for a patient who has hypothyroidism.To assist in differentiating between primary and secondary hypothyroidism,the nurse will expect the provider to order which drug?

A patient is taking prednisolone and fludrocortisone (Florinef).When teaching this patient about dietary intake,the nurse will instruct the patient to consume a diet

A patient who has hyperthyroidism will begin treatment with an antithyroid medication.The patient asks the nurse about dietary requirements.The nurse will counsel the patient to avoid which food(s)?

A patient with Graves disease exhibits tachycardia,heat intolerance,and exophthalmos.Prior to surgery,which drug is used to alter thyroid hormone levels?

The nurse provides teaching for a patient who is receiving corticotropin.The nurse will instruct the patient to contact the provider if which condition occurs?

A patient who takes warfarin (Coumadin)and digoxin (Lanoxin)develops hypothyroidism and will begin taking levothyroxine (Synthroid).The nurse anticipates which potential adjustments in dosing for this patient?

A patient has hypocalcemia caused by parathyroid hormone deficiency.Which medication will the nurse anticipate giving to this patient?

A child exhibits acromegaly caused by a tumor that cannot be destroyed with radiation.Which medication will most likely be used to treat this child?

A patient who takes high-dose aspirin to treat arthritis will need to take prednisone to treat an acute flare of symptoms.What action will the nurse perform?

The nurse is caring for a patient who is receiving desmopressin acetate (DDAVP).Which assessments are important while caring for this patient?

The parents of a 16-year-old boy who plays football want their child to receive growth hormone to improve muscle strength.What will the nurse tell the parents?

The nurse is caring for a patient who is receiving growth hormone.Which assessment will the nurse monitor daily?

A patient is receiving a glucocorticoid medication to treat an inflammatory condition,and the provider has ordered a slow taper in order to discontinue this medication.The nurse explains to the patient that this is done to prevent which condition?