Question 1

The nurse prepares the family for the altered appearance of the patient returning from stereotactic radiosurgery to see a _____________ ___________ in place.

Accepted Answer

Stereotactic frame
The stereot

Question 2

The care of a patient who underwent a hypophysectomy,during which the entire pituitary was removed,would include:

Accepted Answer

A)  Maintaining strict intake and output fluids. 
B)  Keeping the patient flat in bed for the first 24 hours. 
C)  Withholding analgesics to assess the level of consciousness. 
D)  Providing mouth care with thorough cleansing of the oral cavity. 
A)  Maintaining strict intake and output fluids. 
B)  Keeping the patient flat in bed for the first 24 hours. 
C)  Withholding analgesics to assess the level of consciousness. 
D)  Providing mouth care with thorough cleansing of the oral cavity.

Question 3

Discharge planning for the patient who underwent a hypophysectomy would be focused on:

Accepted Answer

A)  Finding a support group 
B)  Nutritional maintenance 
C)  Education on self-care 
D)  Self-image improvement 
A)  Finding a support group 
B)  Nutritional maintenance 
C)  Education on self-care 
D)  Self-image improvement

Question 4

The nurse assessing a patient with Simmonds cachexia anticipates that the patient will exhibit:

Accepted Answer

A)  High body temperature 
B)  Ruddy complexion 
C)  Silky body hair 
D)  Muscle wasting 
A)  High body temperature 
B)  Ruddy complexion 
C)  Silky body hair 
D)  Muscle wasting

Question 5

The preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy should include the instruction that postoperatively,the patient should:

Accepted Answer

A)  Avoid sneezing. 
B)  Drink through a straw. 
C)  Cough forcefully. 
D)  Wash mouth out with peroxide. 
A)  Avoid sneezing. 
B)  Drink through a straw. 
C)  Cough forcefully. 
D)  Wash mouth out with peroxide.

Question 6

The patient believed to have acromegaly asks the purpose of the diagnostic glucose-tolerance test (GTT).The nurse responds by saying that:

Accepted Answer

A)  "The doctor wants to know if you have either diabetes or acromegaly." 
B)  "The growth hormone will cause the glucose to be used up very quickly during the test." 
C)  "It measures the growth hormone in the presence of oral glucose levels at specified times." 
D)  "It tells whether your thyroid reacts to the high levels of sugar taken during this test." 
A)  "The doctor wants to know if you have either diabetes or acromegaly." 
B)  "The growth hormone will cause the glucose to be used up very quickly during the test." 
C)  "It measures the growth hormone in the presence of oral glucose levels at specified times." 
D)  "It tells whether your thyroid reacts to the high levels of sugar taken during this test."

Question 7

The hallmark findings expected when assessing a patient with Cushing syndrome are:

Accepted Answer

A)  Edema of the trunk, extremities, and face 
B)  Wasting of the abdomen with thick, calloused skin 
C)  Excess adipose tissue in the trunk, slender extremities, and moon face 
D)  High levels of potassium and low levels of sodium, weakness, and wasting 
A)  Edema of the trunk, extremities, and face 
B)  Wasting of the abdomen with thick, calloused skin 
C)  Excess adipose tissue in the trunk, slender extremities, and moon face 
D)  High levels of potassium and low levels of sodium, weakness, and wasting

Question 8

The nurse evaluates no need for further instruction for self-care for the patient with Cushing syndrome who states:

Accepted Answer

A)  "I know I should add salt to everything I eat." 
B)  "I make a point to avoid excessive exposure to sun." 
C)  "I avoid being exposed to anyone with an infection." 
D)  "I am careful to wear well-fitting shoes." 
A)  "I know I should add salt to everything I eat." 
B)  "I make a point to avoid excessive exposure to sun." 
C)  "I avoid being exposed to anyone with an infection." 
D)  "I am careful to wear well-fitting shoes."

Question 9

The family member of a patient who is in adrenal crisis asks why the IV cortisone is continued after the initial IV push of Solu-Cortef,which seemed to stop the symptoms.The nurse replies that:

Accepted Answer

A)  Solu-Cortef has a very brief therapeutic period and needs a maintenance IV infusion to keep up the level. 
B)  IV infusions guarantee that Solu-Cortef will be absorbed. 
C)  Long-term IV infusions maintain adequate urine output. 
D)  IV cortisone supports peripheral perfusion and elevates the blood pressure. 
A)  Solu-Cortef has a very brief therapeutic period and needs a maintenance IV infusion to keep up the level. 
B)  IV infusions guarantee that Solu-Cortef will be absorbed. 
C)  Long-term IV infusions maintain adequate urine output. 
D)  IV cortisone supports peripheral perfusion and elevates the blood pressure.

Question 10

The nurse caring for a patient with Addison disease suspects adrenal crisis when the patient exhibits:

Accepted Answer

A)  Hypertension and abdominal pain 
B)  Confusion and tachycardia 
C)  Bradycardia and nausea 
D)  Widening pulse pressure and shortness of breath 
A)  Hypertension and abdominal pain 
B)  Confusion and tachycardia 
C)  Bradycardia and nausea 
D)  Widening pulse pressure and shortness of breath

Question 11

Two days after a hypophysectomy the patient complains of a headache and nuchal rigidity.Based on these assessments the nurse should:

Accepted Answer

A)  Medicate with the prescribed analgesic. 
B)  Report suspected meningitis to the head nurse. 
C)  Closely monitor the patient's blood pressure, 
D)  Elevate the head of the bed to 45 degrees 
A)  Medicate with the prescribed analgesic. 
B)  Report suspected meningitis to the head nurse. 
C)  Closely monitor the patient's blood pressure, 
D)  Elevate the head of the bed to 45 degrees

Question 12

On an intake physical examination,the nurse questions the patient with diabetes insipidus (DI)about the classic symptoms of that disease,which are:

Accepted Answer

A)  Diuresis, tachycardia, and weakness 
B)  Dizziness, hypertension, and excitability 
C)  Stress incontinence, vomiting, and edema 
D)  Bradycardia, insomnia, and muscle cramps 
A)  Diuresis, tachycardia, and weakness 
B)  Dizziness, hypertension, and excitability 
C)  Stress incontinence, vomiting, and edema 
D)  Bradycardia, insomnia, and muscle cramps

Exam 44: Pituitary and Adrenal Disorders

The nurse prepares the family for the altered appearance of the patient returning from stereotactic radiosurgery to see a _____________ ___________ in place.

The care of a patient who underwent a hypophysectomy,during which the entire pituitary was removed,would include:

Discharge planning for the patient who underwent a hypophysectomy would be focused on:

The nurse assessing a patient with Simmonds cachexia anticipates that the patient will exhibit:

The preoperative teaching for a patient scheduled for a transsphenoidal hypophysectomy should include the instruction that postoperatively,the patient should:

The patient believed to have acromegaly asks the purpose of the diagnostic glucose-tolerance test (GTT).The nurse responds by saying that:

The hallmark findings expected when assessing a patient with Cushing syndrome are:

The nurse evaluates no need for further instruction for self-care for the patient with Cushing syndrome who states:

The family member of a patient who is in adrenal crisis asks why the IV cortisone is continued after the initial IV push of Solu-Cortef,which seemed to stop the symptoms.The nurse replies that:

The nurse caring for a patient with Addison disease suspects adrenal crisis when the patient exhibits:

Two days after a hypophysectomy the patient complains of a headache and nuchal rigidity.Based on these assessments the nurse should:

On an intake physical examination,the nurse questions the patient with diabetes insipidus (DI)about the classic symptoms of that disease,which are:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, Infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, Emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss,Death,and End-of-Life Care

The Patient with Cancer

The Patient with an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, Gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, Sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

Filters

The nurse prepares the family for the altered appearance of the patient returning from stereotactic radiosurgery to see a ___ _ in place.