NURS 6501 While planning care for a patient with hypothyroidism

12 Jun NURS 6501 While planning care for a patient with hypothyroidism

Question
Question 1

While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.

a. High

b. Low

c. Steady

d. Variable

1 points

Question 2

When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include:

a. Weight loss and muscle wasting

b. Truncal obesity and moon face

c. Pallor and swollen tongue

d. Depigmented skin and eyelid lag

1 points

Question 3

If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?

a. PRF

b. ADH

c. ACTH

d. GH

1 points

Question 4

A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient?

a. Amylin

b. Glucagon

c. Insulin

d. Somatostatin

1 points

Question 5

When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.

a. Pharmacologic

b. Permissive

c. Biphasic

d. Direct

1 points

Question 6

A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?

a. Neurogenic diabetes insipidus

b. Psychogenic diabetes insipidus

c. Nephrogenic diabetes insipidus

d. SIADH

1 points

Question 7

Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:

a. Decreased blood flow to the eye

b. Orbital edema and protrusion of the eyeball

c. TSH neurotoxicity to retinal cells

d. Local lactic acidosis

1 points

Question 8

A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:

a. Diffusion

b. Osmosis

c. Active transport

d. Endocytosis

1 points

Question 9

A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by:

a. Metabolic rate

b. Serum glucose levels

c. Prostaglandins

d. Enzyme activation

1 points

Question 10

A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings?

a. A pituitary adenoma

b. Hypothalamic hyposecretion

c. Hypothalamic inflammation

d. Pheochromocytoma

1 points

Question 11

When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by:

a. Pituitary hyposecretion

b. Parathyroid adenoma

c. Parathyroid gland injury

d. Hypothalamic inactivity

1 points

Question 12

A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement?

a. Dopaminergic agonists

b. Calcium

c. Insulin

d. Radiation

1 points

Question 13

A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery?

a. Increased serum calcium

b. Decreased bone formation

c. Decreased calcium reabsorption in the kidney

d. Increased calcitonin

1 points

Question 14

While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus.

a. Neurogenic

b. Nephrogenic

c. Psychogenic

d. Allogenic

1 points

Question 15

An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?

a. Growth hormone (GH)

b. Luteinizing hormone (LH)

c. Antidiuretic hormone (ADH)

d. Epinephrine

1 points

Question 16

A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?

a. Increased insulin levels promote protein breakdown and ketone formation.

b. Her uncontrolled diabetes has led to renal failure.

c. Low serum insulin promotes lipid storage and a corresponding release of ketones.

d. Insulin deficiency promotes lipid metabolism and ketone formation.

1 points

Question 17

A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?

a. High levels of circulating thyroid-stimulating antibodies

b. Ectopic secretion of thyroid-stimulating hormone (TSH)

c. Low circulating levels of thyroid hormones

d. Increased circulation of iodine

1 points

Question 18

A patient wants to know what can cause ACTH to be released. How should the nurse respond?

a. Low levels of cortisol

b. Hypotension

c. Hypoglycemia

d. Acute stressors

1 points

Question 19

A patient wants to know why ADH is important in the body. What is the nurse’s best response? ADH is important in:

a. The body’s water balance and urine concentration

b. Maintaining electrolyte levels and concentrations

c. Follicular maturation

d. Regulation of metabolic processes

1 points

Question 20

When catecholamines are released in a patient, what should the nurse assess for?

a. Nutrient absorption

b. Fluid retention

c. Hypotension

d. Hyperglycemia

1 points

Question 21

Which principle should the nurse include while planning care for a patient with an ADH problem? ADH release from the posterior pituitary is stimulated by:

a. Low blood pressure sensed by baroreceptors in the kidneys

b. High serum osmolarity sensed by osmoreceptors in the hypothalamus

c. Low osmolality sensed by osmoreceptors in the kidneys

d. High concentration of potassium sensed by chemoreceptors in the carotid body

1 points

Question 22

A 39-year-old female just had a baby. Which hormone will prevent excessive uterine bleeding?

a. Aldosterone

b. Cortisol

c. Lipotropin

d. Oxytocin

1 points

Question 23

A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?

a. Fasting plasma glucose levels

b. Random serum glucose levels

c. Genetic testing

d. Glycosylated hemoglobin measurements

1 points

Question 24

A 44-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient?

a. Peripheral edema

b. Tachycardia

c. Low blood pressure

d. Concentrated urine

1 points

Question 25

A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:

a. Negative feedback

b. Positive feedback

c. Down-regulation

d. Up-regulation

1 points

Question 26

A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?

a. Renal toxicity

b. Episodes of hypoglycemia

c. Hypotension

d. Type 2 DM

1 points

Question 27

A nurse is caring for a patient with SIADH. What severe complication should the nurse assess for?

a. Stroke

b. Diabetes insipidus

c. Neurologic damage

d. Renal failure

1 points

Question 28

What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?

a. Coma

b. Visual disturbances

c. Confused states

d. Breathing abnormalities

1 points

Question 29

A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the:

a. Anterior pituitary

b. Posterior pituitary

c. Pars intermedia

d. Pituitary stalk

1 points

Question 30

A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find?

a. Increased blood volume

b. Increased urine osmolality

c. ADH is decreased by changes in intravascular volume

d. Increased arterial vasoconstriction

1 points

Question 31

A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:

a. A normal-sized thyroid

b. A small discrete thyroid nodule

c. Multiple discrete thyroid nodules

d. Diffuse thyroid enlargement

1 points

Question 32

A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate?

a. Dilutional hyponatremia

b. Dehydration from polyuria

c. Cardiac arrest from hyperkalemia

d. Metabolic acidosis

1 points

Question 33

A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?

a. Hypovolemia

b. Hypotension

c. Hypokalemia

d. Hyponatremia

1 points

Question 34

A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition?

a. Increased thyroid-releasing hormone (TRH)

b. Increased anterior pituitary stimulation

c. Decreased T4

d. Decreased thyroid-stimulating hormone (TSH)

1 points

Question 35

A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?

a. Aldosterone

b. Testosterone

c. Cortisol

d. Prolactin