Nursing Care of Patients With Endocrine Disorders
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Nursing Care of Patients With Endocrine Disorders

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@StableCreativity

Questions and Answers

A patient is scheduled for diagnostic tests for hypothyroidism. Which finding will the nurse anticipate when caring for this patient?

  • Tremor and oily skin
  • Anxiety and tachycardia
  • Shortness of breath and cold intolerance (correct)
  • Increase in appetite and diarrhea
  • The nurse is monitoring a patient admitted for testing for diabetes insipidus. What actions should the nurse take when providing care?

  • Blood glucose (BG) monitoring
  • Treatment for hypertension
  • Accurate intake and output(I&O) measurement (correct)
  • Oxygen titration
  • A patient who is 1-day postoperative thyroidectomy reports feeling numb around the mouth and is experiencing random muscle twitches. Which IV medication does the nurse anticipate being prescribed by the health-care provider(HCP)

  • Iodine
  • Calcium gluconate (correct)
  • Potassium chloride
  • Sodium bicarbonate
  • The nurse is providing care for a patient with syndrome of inappropriate antidiuretic hormone(SIADH). Which additional diagnosis does the nurse need to identify as a contributor to the patient's disorder?

    <p>Lung cancer</p> Signup and view all the answers

    The nurse is monitoring a patient 6 hours after a thyroidectomy for cancer. Vital signs are 104F(40C), pulse 144 beats/minute, respirations 24/minute, and BP 184/108 mmHg. Which prescription does the nurse anticipate from the HCP?

    <p>Beta blockers and a cooling blanket</p> Signup and view all the answers

    The nurse is gathering information from a patient in a HCP's office. The patient reports difficulty speaking and swallowing, and frequent headaches. What diagnostic test is anticipated in addition to a computed tomography(CT)scan of the head?

    <p>Serum growth hormone(GH)</p> Signup and view all the answers

    The nurse is contributing to the plan of care for an adult patient diagnosed with GH deficiency. Which nursing intervention is appropriate for this patient?

    <p>Promote a caring, supportive relationship</p> Signup and view all the answers

    The nurse determines that treatment has been effective for a patient with diabetes insipidus. Which laboratory value is consistent with this conclusion?

    <p>Urine-specific gravity normalizes</p> Signup and view all the answers

    The nurse is providing care for a patient who is postoperative for a transsphenoidal surgery for the removal of a pituitary tumor. Which nursing care is appropriate in the postsurgical period?

    <p>Take stool softeners as needed</p> Signup and view all the answers

    A patient with a history of hypothyroidism arrives a t the emergency department and states, “I was outside shoveling snow and suddenly started to feel short of breath and like I couldn't think straight.” What concern does the nurse have

    <p>Myxedema coma</p> Signup and view all the answers

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

    <p>Being laid off from a job</p> Signup and view all the answers

    The nurse is reinforcing teaching to a patient who is diagnosed with hypoparathyroidism. Which comment by the patient indicates that patient teaching is successful?

    <p>I will immediately report numbness and tingling of the fingers, tongue, and lips.</p> Signup and view all the answers

    The licensed practical nurse/licensed vocational nurse(LPN/LVN)is assisting in the care of a 51-year-old patient recovering from a hypophysectomy. Which finding should be reported to the registered nurse(RN) or HCP?

    <p>Urinary output of 800 mL in 3 hours</p> Signup and view all the answers

    The nurse is caring for a patient who's had a 10% weight loss since being diagnosed with hyperthyroidism. What action should the nurse take?

    <p>Request a dietitian consultation</p> Signup and view all the answers

    The LPN/LVN is monitoring a patient with a goiter who is scheduled for surgery. Physical inspection reveals only slight swelling in the anterior base of the neck. Which finding will prompt the LVN/LPN to notify the RN?

    <p>A whistling sound is heard with breathing</p> Signup and view all the answers

    The nurse is assigned to provide care for a patient diagnosed with diabetes insipidus. While reviewing the nursing care planned for the patient, Which intervention will the nurse recognize a s being most important?

    <p>Monitoring daily weight, I&amp;O , vital signs, and urine-specific gravity.</p> Signup and view all the answers

    The nurse is monitoring the effects of a water deprivation test on a patient suspected of diabetes insipidus related to pituitary dysfunction. Which test result supports the diagnosis

    <p>Weight loss occurs due to the large amount of urine voided</p> Signup and view all the answers

    The nurse is providing care for a patient diagnosed with Cushing syndrome. What should the nurse include in the care

    <p>Deliver insulin for high blood glucose levels.</p> Signup and view all the answers

    The nurse is gathering data from a patient who voices concerns about feeling dizzy upon standing fatigue , and recent weight loss. What additional finding supports adrenal insufficiency?

    <p>Bronzed skin coloration</p> Signup and view all the answers

    The nurse is caring for a patient who comes to the clinic with severe hypertension, tachycardia, palpitations, diaphoresis, and feelings of apprehension. What question should the nurse ask?

    <p>What is your normal blood pressure</p> Signup and view all the answers

    The nurse is attending to patients in an assisted-living facility. What symptoms should the nurse monitor for when concerned about hyperthyroidism?

    <p>Heart failure, atrial fibrillation, and depression</p> Signup and view all the answers

    The nurse is assisting with discharge of a patient with Addison disease following and adrenal crisis. Which instruction is most important for the nurse to reinforce

    <p>The importance of increasing steroid use with stress</p> Signup and view all the answers

    A patient is being discharged with prescribed treatment for long-term hypoparathyroidism. Which does the nurse include in discharge teaching(select all the apply)

    <p>Eat a diet high in calcium</p> Signup and view all the answers

    A patient with suspected hyperthyroidism is scheduled for a radioactive iodine uptake test. Which symptoms of hyperthyroidism does the nurse note on the medical record?(Select all that apply.)

    <p>Fatigue</p> Signup and view all the answers

    A patient diagnosed with SIADH is scheduled for surgery in a few days. Which does the nurse expect to be prescribed for this patient to help manage the symptoms until surgery?(Select all that apply)

    <p>Fluid restriction</p> Signup and view all the answers

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