Question 1

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 3

Accepted Answer

A)  Hypothalamus is activated.
B)  Pituitary releases thyroid-stimulating hormone (TSH) .
C)  Drop in norepinephrine level.
D)  Thyroid releases thyroid hormone.
E)  Satisfaction of norepinephrine level signals hypothalamus in negative feedback.F) Thyrotropin-releasing hormone (TRH)  is secreted. F

Question 2

Which classic signs and symptoms are manifestations of hyperthyroidism?

Accepted Answer

A)   Tremulousness
B)   Bradycardia
C)   Exertional dyspnea
D)   Scanty menstruation
E)   Increased thirst and urination A,C,D,E

Question 3

The nurse planning the postoperative instructions for the patient who will undergo a hypophysectomy.Which information is most important for the nurse to include?

Accepted Answer

A)   A drip pad will be placed under your nose.
B)   Avoid brushing your teeth.
C)   Avoid raising your arms above your head.
D)   Breathe through your mouth.
E)   Avoid blowing your nose. A,B,D,E

Question 4

The nurse is planning care for a patient with diabetes insipidus (DI).Which outcomes are important for the nurse to include?

Accepted Answer

A)   Maintain fluid therapy.
B)   Conserve energy.
C)   Supporting dietary choices to reduce diarrhea.
D)   Assess for bradycardia.
E)   Encouraging exercise to reduce weight.

Question 5

The nurse is reviewing the health history of a patient.Which behavior is linked to increased probability of developing Grave disease?

Accepted Answer

A)   Smoking
B)   Long-term use of oral contraceptives
C)   Excessive alcohol consumption
D)   Use of St. John wort

Question 6

The nurse is educating a patient who has a new prescription for methimazole (Tapazole).Which instruction is most important for the nurse to include?

Accepted Answer

A)   "Double the next medication dose if the previous dose is forgotten."
B)   "Take the medication on a strict schedule."
C)   "Ask the pharmacist for a less expensive generic substitute."
D)   "The medication is approved for use in pregnant women."

Question 7

The nurse is caring for a patient with a goiter.The nurse correctly uses which technique to administer potassium iodide solution?

Accepted Answer

A)   Pour the solution over ice to increase palatability.
B)   Dilute the solution and administer it through a straw.
C)   Administer the solution on an empty stomach.
D)   Mix the solution with an antacid to reduce gastric irritation.

Question 8

A patient who had a hypophysectomy 3 days ago begins to have 3000 mL of urine output every shift and complains of thirst and a dry mouth.Which problem does the nurse suspect?

Accepted Answer

A)   Overreaction to diuretics
B)   Diabetes insipidus (DI) 
C)   Diabetes mellitus
D)   Glucose intolerance

Question 9

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 2

Accepted Answer

A)  Hypothalamus is activated.
B)  Pituitary releases thyroid-stimulating hormone (TSH) .
C)  Drop in norepinephrine level.
D)  Thyroid releases thyroid hormone.
E)  Satisfaction of norepinephrine level signals hypothalamus in negative feedback.F) Thyrotropin-releasing hormone (TRH)  is secreted.

Question 10

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Weight gain,fatigue,and lethargy

Accepted Answer

A)  Decreased growth hormone
B)  .Increased thyroid hormone
C)  Decreased follicle-stimulating hormone
D)  Decreased thyroid hormone
E)  Increased antidiuretic hormone

Question 11

Which interventions are indicated for the immediate postoperative care of a person after a thyroidectomy?

Accepted Answer

A)   Placing the patient in semi-Fowler position.
B)   Supporting the head with sandbags.
C)   Assess vital signs hourly.
D)   Assess the patient's ability to swallow.
E)   Assess for bleeding.

Question 12

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Pathologic fractures

Accepted Answer

A)  Decreased growth hormone
B)  .Increased thyroid hormone
C)  Decreased follicle-stimulating hormone
D)  Decreased thyroid hormone
E)  Increased antidiuretic hormone

Question 13

Which manifestations occur with a benign pituitary adenoma?

Accepted Answer

A)   Gigantism in children
B)   Acromegaly in adults
C)   Muscle weakness
D)   Excessive hair growth
E)   Joint pain

Question 14

The nurse is caring for patient who is 8 hours postoperative after a total thyroidectomy.The patient complains of muscle cramps,and the nurse assesses a positive Chvostek sign.The nurse correctly interprets that these findings indicate which complication?

Accepted Answer

A)   Imminent convulsions
B)   Hypoparathyroidism
C)   Hyperkalemia
D)   Thyroid storm

Question 15

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 6

Accepted Answer

A)  Hypothalamus is activated.
B)  Pituitary releases thyroid-stimulating hormone (TSH) .
C)  Drop in norepinephrine level.
D)  Thyroid releases thyroid hormone.
E)  Satisfaction of norepinephrine level signals hypothalamus in negative feedback.F) Thyrotropin-releasing hormone (TRH)  is secreted.

Question 16

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Menstrual irregularities

Accepted Answer

A)  Decreased growth hormone
B)  .Increased thyroid hormone
C)  Decreased follicle-stimulating hormone
D)  Decreased thyroid hormone
E)  Increased antidiuretic hormone

Question 17

Pituitary adenoma antagonizes insulin.This benign tumor results in which imbalance?

Accepted Answer

A)   Hyperinsulinism
B)   Hyperglycemia
C)   Hypopituitarism
D)   Hypoglycemia

Question 18

The nurse is educating a patient with a simple goiter.Which statement indicates that the patient needs additional instruction?

Accepted Answer

A)   "The lump on my throat is my enlarged thyroid."
B)   "Treatment stops enlargement of the goiter."
C)   "I am aware this goiter could develop into cancer."
D)   "I'm glad my treatment will make this thing go away."

Question 19

Which statement accurately describes a subtotal thyroidectomy?

Accepted Answer

A)   It allows the patient to take minimum amounts of antithyroid drugs.
B)   It allows continued production and release of thyroid hormones from the remainder of the gland.
C)   It reduces exophthalmos.
D)   It poses less postoperative risk than a total thyroidectomy.

Question 20

The nurse's major contribution to the care of a patient with Cushing syndrome is that of __________ and __________.

Accepted Answer

The answer of The nurse's major contribution to the care...

Exam 36: Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 3

Which classic signs and symptoms are manifestations of hyperthyroidism?

The nurse planning the postoperative instructions for the patient who will undergo a hypophysectomy.Which information is most important for the nurse to include?

The nurse is planning care for a patient with diabetes insipidus (DI) .Which outcomes are important for the nurse to include?

The nurse is reviewing the health history of a patient.Which behavior is linked to increased probability of developing Grave disease?

The nurse is educating a patient who has a new prescription for methimazole (Tapazole) .Which instruction is most important for the nurse to include?

The nurse is caring for a patient with a goiter.The nurse correctly uses which technique to administer potassium iodide solution?

A patient who had a hypophysectomy 3 days ago begins to have 3000 mL of urine output every shift and complains of thirst and a dry mouth.Which problem does the nurse suspect?

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 2

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Weight gain,fatigue,and lethargy

Which interventions are indicated for the immediate postoperative care of a person after a thyroidectomy?

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Pathologic fractures

Which manifestations occur with a benign pituitary adenoma?

The nurse is caring for patient who is 8 hours postoperative after a total thyroidectomy.The patient complains of muscle cramps,and the nurse assesses a positive Chvostek sign.The nurse correctly interprets that these findings indicate which complication?

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 6

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Menstrual irregularities

Pituitary adenoma antagonizes insulin.This benign tumor results in which imbalance?

The nurse is educating a patient with a simple goiter.Which statement indicates that the patient needs additional instruction?

Which statement accurately describes a subtotal thyroidectomy?

The nurse's major contribution to the care of a patient with Cushing syndrome is that of and .