MedSurg II Endocrine Practice Exam

Question 1 of 6

Medal-premium 1

The client has developed iatrogenic Cushing's disease. Which statement is the scientific rationale for the development of this diagnosis?

Select one of the following:

  • The client has an autoimmune problem causing the destruction of the adrenal cortex.

  • The client has been taking steroid medications for an extended period for another disease process.

  • The client has a a pituitary gland tumor causing the adrenal glands to produce too much cortisol.

  • The client has developed an adrenal gland problem for which the HCP does not have an explanation.

Question 2 of 6

Medal-premium 1

The nurse is admitting a client diagnosed with SIADH. Which clinical manifestations should be reported to the HCP?

Select one of the following:

  • Serum sodium of 112 mEq/L and a headache

  • Serum potassium of 5.0 mEq/L and a heightened awareness

  • Serium calcium of 10 mg/dL and tented tissue turgor

  • Serum magnesium of 1.2 mg/dL and large urinary output

Question 3 of 6

Medal-premium 1

The nurse is planning the care of a client diagnosed with SIADH. Which interventions should be implemented? Select all that apply.

Select one or more of the following:

  • Restrict fluid per HCP order

  • Assess LOC Q2H

  • Provide an atmosphere of stimulation

  • Monitor urine and serum osmolality

  • Weigh the client every three days

Question 4 of 6

Medal-premium 1

The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention?

Select one of the following:

  • "I will keep a list of my medications in my wallet and wear a Medic Alert bracelet."

  • "I should take my medication in the morning and leave it refrigerated at home."

  • "I should weigh myself every morning and record any weight gain."

  • "If I develop a tightness in my chest, I will call my HCP."

Question 5 of 6

Medal-premium 1

The client diagnosed with Cushing's has undergone unilateral adrenalectomy. Which discharge instructions should the nurse discuss with the client?

Select one of the following:

  • Instruct client to take glucocorticoid and mineralocorticoid medications as prescribed

  • Teach the client regarding sexual functioning and androgen replacement therapy.

  • Explain the s/s of infection and when to call the HCP

  • Demonstrate turn, cough, and deep-breathing exercises the client should perform Q2H

Question 6 of 6

Medal-premium 1

Which client history is most significant in the development of iatrogenic Cushing's?

Select one of the following:

  • Long-term use of anabolic steroids

  • Extended use of inhaled steroids for asthma

  • History of long-term glucocorticoid use

  • Family history of increased cortisol production

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MedSurg II Endocrine Practice Exam

dinomejia
Quiz by , created over 2 years ago

Quiz on MedSurg II Endocrine Practice Exam, created by dinomejia on 04/05/2014.

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Created by dinomejia over 2 years ago
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