Exam 39: Nursing Care of Patients With Endocrine Disorders

A nurse is approached by a neighbor who has a neck growth that appears to be a goiter.What should the nurse do?

After a thyroid scan,a patient is diagnosed with a hot nodule.What should this finding suggest to the nurse?

A patient enters the emergency department in adrenal crisis.The patient is lethargic and vital signs are blood pressure 85/52 mm Hg and pulse 88 beats/min.Which event in the patient's week most likely precipitated this crisis?

A patient is diagnosed with hyperthyroidism.What should the nurse realize as being the most common cause of this disorder?

A patient with hyperparathyroidism asks why ambulation three times per day is necessary because it is so difficult to do so.Which response by the nurse is best?

The nurse is assisting in the preparation of a patient for a hypophysectomy.What should the nurse emphasize when teaching this patient? (Select all that apply.)

A patient is newly diagnosed with diabetes insipidus.Which medications should the nurse anticipate being prescribed for long-term patient management?

The nurse is caring for a patient following a thyroidectomy.Which postoperative assessment activity is most important to detect the development of thyrotoxic crisis?

The nurse is reviewing discharge instructions with a patient recovering from a hypophysectomy.What should the nurse emphasize with this teaching?

A patient is prescribed levothyroxine (Synthroid)for hypothyroidism.Which statement should the nurse include when teaching the patient about this medication?

A patient with chronic obstructive pulmonary disease prescribed corticosteroid therapy asks what the medication does.What should the nurse respond to the patient?

A patient diagnosed with syndrome of inappropriate antidiuretic hormone is scheduled for surgery in a few days.What should the nurse expect to be prescribed for this patient to help manage the symptoms until surgery? (Select all that apply.)

The nurse is caring for patients in a primary care physician office.Which patient should the nurse recognize as being the highest risk for iodine deficiency?

The nurse develops a nursing diagnosis of "fluid volume excess related to sodium retention secondary to steroid therapy as evidenced by weight gain of 12 pounds in 2 weeks and edema of lower extremities." Which goal is most appropriate?

The nurse is caring for a patient with lung cancer who develops syndrome of inappropriate antidiuretic hormone (SIADH)secretion.Which assessment findings should the nurse expect?

The nurse is caring for a patient with a history of asthma who is newly diagnosed with hyperthyroidism.What assessment finding should the licensed practical nurse (LPN)report immediately to the registered nurse (RN)?

The LPN is caring for a patient with diabetes insipidus and obtains a urine specific gravity reading of 1.002.Which response by the LPN is most important?

A patient is prescribed to ingest a high-calcium diet.What foods should the nurse instruct the patient to ingest? (Select all that apply.)

A patient with chronic obstructive pulmonary disease develops Cushing's syndrome related to long-term steroid use.The physician writes an order to discontinue the steroids.Which action by the nurse is most appropriate?

The nurse is caring for a patient with diabetes insipidus.What type of IV fluid should the nurse expect to be ordered for fluid replacement?