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Questions and Answers
Which gland is primarily responsible for the regulation of metabolism?
Which gland is primarily responsible for the regulation of metabolism?
What is a common effect of aging on the endocrine system?
What is a common effect of aging on the endocrine system?
Which symptom might indicate an endocrine disorder during a nursing assessment?
Which symptom might indicate an endocrine disorder during a nursing assessment?
Which aspect is not essential to consider when conducting a health history for a patient with a suspected endocrine disorder?
Which aspect is not essential to consider when conducting a health history for a patient with a suspected endocrine disorder?
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Which nursing assessment could help determine thyroid dysfunction?
Which nursing assessment could help determine thyroid dysfunction?
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What does the presence of exophthalmos indicate?
What does the presence of exophthalmos indicate?
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Which hormone function is typically affected by the aging process?
Which hormone function is typically affected by the aging process?
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What is the primary goal when planning nursing care for patients undergoing testing for an endocrine disorder?
What is the primary goal when planning nursing care for patients undergoing testing for an endocrine disorder?
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Which hormone is primarily responsible for increasing water retention in the kidneys?
Which hormone is primarily responsible for increasing water retention in the kidneys?
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What is the role of parathyroid hormone?
What is the role of parathyroid hormone?
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Which hormone is responsible for increasing heart rate and blood glucose levels?
Which hormone is responsible for increasing heart rate and blood glucose levels?
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Which of the following hormones is linked to weight loss when present in excess?
Which of the following hormones is linked to weight loss when present in excess?
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What hormone is tested through a 24-hour urine analysis for vanillylmandelic acid?
What hormone is tested through a 24-hour urine analysis for vanillylmandelic acid?
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The hormone responsible for regulating blood glucose levels is primarily?
The hormone responsible for regulating blood glucose levels is primarily?
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Which of the following hormones influences urine specific gravity?
Which of the following hormones influences urine specific gravity?
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Which test would you use to evaluate pancreatic function related to diabetes?
Which test would you use to evaluate pancreatic function related to diabetes?
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What is an essential component of a health history assessment for a patient with a suspected endocrine disorder?
What is an essential component of a health history assessment for a patient with a suspected endocrine disorder?
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Which of the following would likely NOT be included in a physical assessment for an endocrine disorder?
Which of the following would likely NOT be included in a physical assessment for an endocrine disorder?
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Which symptom may indicate a dysfunctional endocrine system during an assessment?
Which symptom may indicate a dysfunctional endocrine system during an assessment?
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When considering the effects of aging on the endocrine system, which change is most significant?
When considering the effects of aging on the endocrine system, which change is most significant?
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Which nursing assessment finding may suggest thyroid dysfunction?
Which nursing assessment finding may suggest thyroid dysfunction?
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Which of the following data points is NOT relevant when caring for a patient undergoing testing for an endocrine disorder?
Which of the following data points is NOT relevant when caring for a patient undergoing testing for an endocrine disorder?
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Which hormone is primarily responsible for regulating calcium levels in the blood?
Which hormone is primarily responsible for regulating calcium levels in the blood?
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What is a common outcome of performing a physical assessment on a patient with suspected endocrine issues?
What is a common outcome of performing a physical assessment on a patient with suspected endocrine issues?
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Which factor is essential when planning nursing care for endocrine disorder patients?
Which factor is essential when planning nursing care for endocrine disorder patients?
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Which lab test is used to measure the effectiveness of diabetes treatment over time?
Which lab test is used to measure the effectiveness of diabetes treatment over time?
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Which hormone plays a key role in water retention by the kidneys?
Which hormone plays a key role in water retention by the kidneys?
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Which hormone is secreted by the anterior pituitary and stimulates growth?
Which hormone is secreted by the anterior pituitary and stimulates growth?
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Which test is specifically used to assess adrenal function?
Which test is specifically used to assess adrenal function?
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Which hormone is primarily responsible for increasing heart rate and blood glucose levels during stress?
Which hormone is primarily responsible for increasing heart rate and blood glucose levels during stress?
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Which hormone is associated with the regulation of electrolytes and water balance in the body?
Which hormone is associated with the regulation of electrolytes and water balance in the body?
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Excess of which hormone can lead to symptoms such as weight loss and increased metabolism?
Excess of which hormone can lead to symptoms such as weight loss and increased metabolism?
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The nurse is reviewing information with a patient about the normal anatomy and physiology of the endocrine system. Which factor is inaccurate?
The nurse is reviewing information with a patient about the normal anatomy and physiology of the endocrine system. Which factor is inaccurate?
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The nurse is researching information for a patient newly diagnosed with diabetes mellitus. The nurse wants to present the responses by hormones other than insulin. Which information does the nurse avoid?
The nurse is researching information for a patient newly diagnosed with diabetes mellitus. The nurse wants to present the responses by hormones other than insulin. Which information does the nurse avoid?
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An older adult patient is experiencing a reduction in energy. Which comment by the nurse is most appropriate?
An older adult patient is experiencing a reduction in energy. Which comment by the nurse is most appropriate?
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After reviewing the patient's medical record, the nurse plans to perform a physical examination. Which finding will change the usual process of physical examination?
After reviewing the patient's medical record, the nurse plans to perform a physical examination. Which finding will change the usual process of physical examination?
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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?
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 for a patient diagnosed with posterior pituitary tumor resulting in oversecretion of hormones. Which manifestation of this disorder will the nurse expect?
The nurse is providing care for a patient diagnosed with posterior pituitary tumor resulting in oversecretion 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 diabetes mellitus. Which information will the nurse give the patient about the response of the pancreas to hypoglycemia?
The nurse is providing care for a patient diagnosed with type 2 diabetes mellitus. 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 to a patient who underwent surgery for removal of the thyroid gland. Which symptom contradicts a possible complication of the surgery?
The nurse is assisting with care to a patient who underwent surgery for removal of the thyroid gland. Which symptom contradicts a possible complication of the surgery?
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The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assisting with the physical examination of a patient in the HCP's office. Which physical examination does the LPN/LVN perform?
The licensed practical nurse/licensed vocational nurse (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. Which process does the nurse expect for the test?
A client is identified with a thyroid disorder resulting in hormone deficiency. The HCP prescribes a stimulation test. Which process does the nurse expect for the 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?
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?
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 prior to the testing?
The nurse is preparing a patient for a thyroid scan to rule out thyroid cancer. Which instruction does the nurse give the patient prior to the testing?
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The nurse receives information that an assigned patient is scheduled for an ultrasound of an endocrine gland. Which instruction does the nurse give the patient?
The nurse receives information that an assigned patient is scheduled for an ultrasound of an endocrine gland. Which instruction does the nurse give the patient?
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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?
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?
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?
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 an incorrect function of glucocorticoids?
The nurse is aware that the adrenal cortex secretes a variety of hormones. Which is an incorrect function of glucocorticoids?
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A patient is prescribed a dose of epinephrine. Which effects does the nurse expect the patient to exhibit after receiving this medication? (Select all that apply.)
A patient is prescribed a dose of epinephrine. 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)
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.)
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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What is the function of glucagon in the body?
What is the function of glucagon in the body?
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Which of the following hormones is secreted by the adrenal cortex?
Which of the following hormones is secreted by the adrenal cortex?
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Which factor is likely to decrease with aging in the endocrine system?
Which factor is likely to decrease with aging in the endocrine system?
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What is the consequence of palpating the thyroid gland in a patient with uncontrolled hyperthyroidism?
What is the consequence of palpating the thyroid gland in a patient with uncontrolled hyperthyroidism?
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How do sympathetic hormones like norepinephrine and epinephrine affect the body during stress?
How do sympathetic hormones like norepinephrine and epinephrine affect the body during stress?
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Which of the following hormones decreases blood glucose levels?
Which of the following hormones decreases blood glucose levels?
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What role does somatostatin play in glucose metabolism?
What role does somatostatin play in glucose metabolism?
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Which diagnostic test is NOT typically used to evaluate thyroid function?
Which diagnostic test is NOT typically used to evaluate thyroid function?
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What is the primary stimulation factor for the secretion of Adrenocorticotropic hormone (ACTH)?
What is the primary stimulation factor for the secretion of Adrenocorticotropic hormone (ACTH)?
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Which hormone increases water reabsorption in the kidneys?
Which hormone increases water reabsorption in the kidneys?
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What role does parathyroid hormone (PTH) play in the body?
What role does parathyroid hormone (PTH) play in the body?
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Which gland produces hormones that play a crucial role in metabolism and requires iodine for hormone production?
Which gland produces hormones that play a crucial role in metabolism and requires iodine for hormone production?
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Which of the following is a direct effect of Oxytocin?
Which of the following is a direct effect of Oxytocin?
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What is the main function of Calcitonin?
What is the main function of Calcitonin?
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What stimulates the release of Triiodothyronine (T3) and Thyroxine (T4) from the thyroid gland?
What stimulates the release of Triiodothyronine (T3) and Thyroxine (T4) from the thyroid gland?
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Which hormone is primarily involved in maintaining blood pressure through water retention?
Which hormone is primarily involved in maintaining blood pressure through water retention?
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Study Notes
Chapter 38: Endocrine System Function and Assessment
- This chapter focuses on endocrine system function and assessment in nursing.
Learning Outcomes
- Identify the glands of the endocrine system.
- Explain the function of each hormone in the endocrine system.
- Describe the effects of aging on endocrine system function.
- List data to collect when caring for a patient with an endocrine disorder.
- Plan nursing care for patients undergoing endocrine testing.
Review of Anatomy and Physiology
- The endocrine system includes the pineal gland, hypothalamus, pituitary gland, parathyroids, thymus, adrenals, ovaries (female), testes (male), thyroid, and pancreas.
- The pituitary gland, a small pea-sized gland, is connected to the hypothalamus through the infundibulum. It has two parts: anterior (adenohypophysis) and posterior (neurohypophysis) pituitary.
- The anterior pituitary is stimulated by releasing hormones from the hypothalamus, while inhibiting hormones suppress secretion.
- Different hormones have varied functions.
Review of Anatomy and Physiology (continued_1,2,3,4,5,6)
- Detailed descriptions of hormone functions, and effects on the body like growth, metabolism, reproduction, stress response, blood glucose levels, and more.
- Thyroid-stimulating hormone (TSH) stimulates the thyroid gland to produce thyroid hormones.
- Growth hormone (GH) promotes protein synthesis and bone/muscle growth.
- Prolactin stimulates milk production.
- ACTH stimulates adrenal cortex to produce corticosteroids.
- Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) (gonadotropins) regulate reproductive functions.
- Oxytocin influences uterine contractions and milk release.
- Antidiuretic hormone (ADH, vasopressin) regulates kidney water absorption, increasing water retention. -Detailed description of Thyroid follicles and thyroid hormones (T3, T4)
- Detailed info on parathyroid glands and parathyroid hormone (PTH) and its effect on calcium levels in the body including bone resorption and calcium reabsorption by the kidneys.
Review of Anatomy and Physiology (continued_7)
- The pancreas has both exocrine and endocrine functions.
- Digestive enzymes are secreted by exocrine cells called acini.
- Endocrine cells (islets of Langerhans) secrete hormones like insulin and glucagon.
Review of Anatomy and Physiology (continued_8)
- Blood glucose regulation is controlled by insulin and glucagon.
- Insulin lowers blood glucose after a meal by storing extra glucose as glycogen in the liver.
- Glucagon increases blood glucose when it falls, by releasing stored glucose.
Effects of Aging
- Aging impacts endocrine function with decreased hormone production, resulting in changes in metabolism, muscle mass, fat storage, glucose tolerance, energy levels, and decreased basal metabolic rate.
Nursing Assessment
- Data points for assessment include health history, neuromuscular status, weight changes, thirst/urination levels, heat/cold tolerance, mood/memory changes, and family history.
Physical Assessment
- Vital signs, weight, skin changes, tremors, eye (exophthalmos) changes, fat pads, thyroid size.
Common Laboratory Tests
- Common assessments to check for endocrine system disorders include: thyroid tests (TSH, T3, T4), parathyroid tests (PTH, Calcium, Phosphorus), pituitary tests (GH, ADH, Urine specific gravity, ACTH), adrenal tests (Cortisol, 24-hour urine for VMA), and pancreatic function tests (fasting blood glucose, oral glucose tolerance, glycosylated hemoglobin, often used in diabetes).
Review Question
- Question: Which hormone increases water retention by the kidneys? Answer: Antidiuretic hormone (ADH).
- Question: Which hormone raises serum calcium levels? Answer: Parathyroid hormone (PTH).
- Question: Which hormone increases heart rate and blood glucose? Answer: Epinephrine.
- Question: Excess of which hormone can cause weight loss? Answer: Thyroxine.
- Question: Excess of which hormone is associated with moon face and buffalo hump? Answer: Cortisol.
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Description
This quiz covers the functions and assessment of the endocrine system specifically for nursing. Participants will explore the various glands and hormones involved, understand age-related changes, and learn data collection techniques for patients with endocrine disorders. Perfect for nursing students preparing for clinical assessments.
