N4 test Chapter 48:Endocrine Problems

Med Surg book

1.Following a hypophysectomy for treatment of acromegaly, a patient develops hypopituitarism. The nurse teaches the patient that
A. hormone replacement with ACTH, TSH, FSH, and LH will be necessary.
B. permanent ADH replacement will be needed if the postoperative diabetes insipidus does not reverse.
C. frequent monitoring of blood and urine glucose is needed to identify the development of diabetes mellitus.
D. the elimination of the source of excess growth hormone will reverse the physiologic effects of acromegaly.

2. A patient with a head injury develops SIADH. Symptoms the nurse would expect to find include
A. edema.
B. weight gain.
C. urine specific gravity of 1.004.
D. serum sodium of 140 mEq/L(140 mmol/L).

3. The health care provider prescribes levothyroxine for a patient with myxedema. Following teaching regarding this therapy, the nurse determines that further instruction is needed when the patient says,
A. “I can expect to return to normal function with the use of this drug.”
B. “I can expect the medication dose to be increased every several weeks.”
C. “I will only need to take this medication until my symptoms are improved.”
D. “I will report any chest pain or difficulty breathing to the doctor right away.”

4. Following thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops
A. laryngeal stridor.
B. muscle weakness.
C. hoarseness and difficulty swallowing.
D. hyperthermia and severe tachycardia.

5. An important nursing intervention when caring for a patient with Cushing syndrome is to
A. restrict protein intake.
B. observe for signs of hypotension.
C. administer medication in equal doses.
D. protect the patient from exposure to infection.

6. After an adrenalectomy for pheochromocytoma, the patient is most likely to experience
A. hypokalemia.
B. hyperglycemia.
C. marked sodium and water retention.
D. marked fluctuations in blood pressure.

7.To control the side effects of pharmacologic corticosteroid therapy, the nurse teaches the patient to
A. increase calcium intake to 1500 mg per day.
B. perform glucose monitoring for hypoglycemia.
C. carry an emergency kit of hydrocortisone in case of severe stress.
D. avoid abrupt position changes because of orthostatic hypotension.

8. The nurse teaches the patient that the best time to take corticosteroids for replacement purposes is
A. once a day at bedtime.
B. every other day on awakening.
C. on arising and in the late afternoon.
D. at consistent intervals every 6 to 8 hours.