Questions and Answers
The nurse is reviewing information with a patient about the normal anatomy and physiology of the endocrine system. Which factor is accurate
The nurse is researching information for a patient newly diagnosed with diabetes mellitus(DM). Which hormone impacts glucose levels
An older adult patient is experiencing a reduction in energy. Which comment by the nurse is most appropriate?
The licensed practical nurse/licensed vocational nurse(LPN/LVN) is performing a physical exam on a patient's endocrine system. What should be included
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The HCP prescribes a 24-hour urine specimen for cortisol. The patient is incontinent. Which method will the nurse use to collect the specimen
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The nurse is providing care or a patient diagnosed with posterior pituitary tumor resulting in undersecretion of hormones. Which manifestation of this disorder will the nurse expect?
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The nurse is providing care for a patient diagnosed with type 2 DM. Which information will the nurse give the patient about the response of the pancreas to hypoglycemia
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The nurse is assisting with care for a patient who underwent surgery for removal of the thyroid gland. Which electrolyte should the nurse monitor?
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The LPN/LVN is assisting with the physical examination of a patient in the HCP's office. Which physical examination does the LPN/LVN perform?
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A client is identified with a thyroid disorder resulting in hormone deficiency. The HCP prescribes a stimulation test. What should the nurse explain to the patient abut undergoing this test?
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A patient is diagnosed with adrenal gland dysfunction and is scheduled for a 24-hour urine test. Which action by the nurse in regard to the test is incorrect
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The nurse is preparing a patient to undergo a suppression test to verify adrenal cortex dysfunction. Which reply will the nurse make when the client asks about the expected test procedure?
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The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer. Which instruction does the nurse give the patient about the testing?
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The nurse receives information that an assigned patient has suspected masses of the thyroid gland. Which test should the nurse anticipate will be ordered
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A patient has returned to the unit after a needle biopsy of the thyroid gland to rule out cancer Which observation is expected by the nurse following the procedure?
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The nurse is aware that a 12-year-old male client is at the fifth percentile on the growth chart for height. Which medical intervention does the nurse expect the HCP to prescribe?
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The nurse is aware that the pancreas is the only gland that is both endocrine and exocrine. Which secretion is related to the endocrine function of the pancreas
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The nurse is aware that the adrenal cortex secretes a variety of hormones. Which is a correct function of gonadocorticoids?
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A patient is prescribed a dose of norepinephrine. Which effects does the nurse expect the patient to exhibit after receiving this medication?(Select all that apply)
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A patient is experiencing an increased level of corticotropin-releasing hormone(CRH).What should the nurse consider is occurring with this patient?(Select all that apply)
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While collecting data, the nurse suspects that a patient is experiencing Cushing syndrome. Which findings does the nurse use to come to this conclusion?(Select all that apply)
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Study Notes
Endocrine System Overview
- The endocrine system regulates metabolism, growth, and development through hormones.
- Hormones are secreted by glands such as the pituitary, thyroid, pancreas, and adrenal glands.
Diabetes Mellitus and Hormonal Impact
- Insulin is the primary hormone influencing glucose levels in the blood.
- Glucagon increases glucose levels, counteracting insulin effects.
Aging and Energy Levels
- Reduction in energy in older adults is common and can be due to hormonal changes or decreased metabolism.
Physical Examination of Endocrine System
- Includes assessment of gland size, shape, and any abnormalities in skin, hair, or weight indicative of endocrine disorders.
Urine Specimen Collection for Cortisol
- For incontinence, use a urine collector bag to collect the 24-hour urine specimen.
Posterior Pituitary Tumor Symptoms
- Expect manifestations such as diabetes insipidus, characterized by excessive thirst and urination due to hormone undersecretion.
Type 2 Diabetes Management
- The pancreas responds to hypoglycemia by secreting glucagon to raise blood sugar levels.
Thyroidectomy Aftercare
- Monitor calcium levels closely due to the risk of hypoparathyroidism after thyroid removal.
Physical Examination Techniques
- LPN/LVN performs vital signs and observes for systemic manifestations during physical assessments.
Thyroid Stimulation Test Explanation
- Inform patients that the stimulation test assesses the gland's responsiveness to hormones.
Adrenal Gland Dysfunction Testing
- Incorrect actions may include not ensuring 24-hour urine collection integrity, such as accidental contamination.
Suppression Test Procedure
- The nurse should explain that the test measures adrenal cortisol production after administration of a suppression agent.
Thyroid Scan Instructions
- Advise patients to avoid certain medications or supplements prior to the scan to ensure accurate results.
Anticipated Tests for Thyroid Masses
- A fine needle aspiration biopsy is commonly ordered to evaluate suspected thyroid masses.
Post-Biopsy Observations
- Expected observations include mild swelling or bruising at the biopsy site, with minimal bleeding.
Pediatric Growth Concerns
- For children at the lowest percentiles on growth charts, interventions may include growth hormone therapy if indicated.
Pancreas Functions
- The pancreas secretes insulin and glucagon for endocrine functions, while digestive enzymes represent its exocrine role.
Gonadocorticoid Functions
- Gonadocorticoids (like androgens) influence secondary sexual characteristics and libido.
Norepinephrine Effects
- Expected effects include increased heart rate, blood pressure, and enhanced blood flow to muscles.
CRH Levels and Patient Considerations
- Elevated corticotropin-releasing hormone may indicate stress or Cushing's syndrome evaluation.
Cushing Syndrome Signs
- Indicators may include obesity, hypertension, hyperglycemia, and moon facies, among other signs.
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Description
This quiz reviews the normal anatomy and physiology of the endocrine system. Test your knowledge on the key components and functions of this crucial body system. Perfect for nursing students and healthcare professionals.
