Quiz
Hormonal Regulation
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Questions in this quiz (50)
1A nurse palpates to assess a client's goiter. Which does the nurse do when performing the assessment?
- APalpate directly under the chin.
- BStand on the side of the client.
- CAsk the client to sit and raise the chin.
- DGive the client water to drink.
2The nurse teaches a client with newly diagnosed Cushing disease about dietary recommendations. Which statement indicates further education is needed?
- A"I will switch to decaffeinated coffee."
- B"I will add fatty fish to my diet."
- C"I will eat leafy, green vegetables."
- D"I will drink a glass of wine a day."
3The nurse provides discharge instructions to a client with Cushing syndrome. The nurse advises the client to follow which instruction?
- A"Add iodized salt to your meals."
- B"Monitor for dark, tarry stools."
- C"Avoid green, leafy vegetables."
- D"Monitor your weight once per week."
4The nurse cares for a client with hyperthyroidism. The nurse implements which interventions to provide comfort for the client?
- AEncourage family and friends to visit regularly.
- BRequest stool softeners from the health care provider.
- CMaintain a cool temperature in the room.
- DProvide the client warm beverages.
5The nurse provides discharge instructions to a client following a bilateral adrenalectomy. Which client statement indicates further education is needed?
- A"I will call the health care provider if I gain more than 5 pounds in a week."
- B"I may need more medication if I am experiencing stress."
- C"I will encourage my family to get influenza vaccines."
- D"I will purchase and wear a medical alert bracelet."
6The nurse assesses a client with Cushing syndrome. Which assessment finding does the nurse recognize as consistent with Cushing disease?
- AThe client's fasting serum glucose is 72 mg/dL.
- BThe client has clear, smooth, pale skin.
- CThe client's blood pressure is 82/57 mmHg.
- DThe client has excess fat deposits on the face.
7The nurse plans care for a client with Cushing disease. Which intervention does the nurse implement?
- APlace the client on contact precautions.
- BWeigh the client every other day.
- CMeasure intake and output carefully.
- DLimit bathing to three times weekly.
8The nurse provides discharge instructions to a client with Addison's disease. Which client statements indicate understand?
Select all that apply.- A"I am likely to crave salty foods."
- B"I need to change positions cautiously."
- C"I will call the HCP if I'm vomiting for 24 hours."
- D"I will wear a medical alert bracelet every day."
- E"I will weigh myself daily and log results."
9The nurse cares for a client with Addison's disease. Which assessment findings are likely to be identified with this client?
- AThe client displays truncal obesity.
- BThe client has elevated serum sodium.
- CThe client's blood pressure is 154/90.
- DThe client's fasting glucose is 60 mg/dL.
10The nurse educates a client that has been prescribed spironolactone for the treatment of Cushing's disease. Which food choice would follow the dietary restrictions for this medication?
- AA backed sweet potato.
- BA bowl of cantaloupe.
- CA bowl of cauliflower.
- DA glass of orange juice.
11A client with newly diagnosed Graves disease prepares for discharge. The nurse knows the client understood the discharge teaching by which client statements?
- A"Graves disease typically affects people who are male."
- B"Hyperthyroidism increases metabolism of all organs."
- C"I may experience mood swings after I get back home."
- D"I will avoid crowds while taking propylthiouracil (PTU)."
- E"My parathyroid hormone level is elevated with Graves disease."
12The nurse teaches a client newly diagnosed with hypothyroidism about thyroid hormone replacement medication. The nurse recognizes further education is needed based on which client statement?
- A"I will be able to count backward from 100 by 3s."
- B"I will experience regular bowel movements."
- C"I will experience daytime sleepiness."
- D"I will turn down the heat in my home."
13The nurse admits a client with myxedema coma. The family reports the client quit taking all medications recently. The nurse recognizes myxedema coma is a result of stopping medications for which disorder?
- AThe client quit taking medication for hyperparathyroidism.
- BThe client quit taking medication for hypothyroidism.
- CThe client quit taking medication for adrenal insufficiency.
- DThe client quit taking medication for hypopituitarism.
14A nurse cares for a client with newly diagnosed hypothyroidism. Which physical characteristics does the nurse assess?
Select All That Apply- AThe client has cool, dry skin.
- BThe client reports heart palpitations.
- CThe client displays exophthalmos.
- DThe client has slurred speech.
- EThe client has abdominal distension.
15The nurse reviews the lab results of a client with Addison's disease. Which laboratory finding is likely for this client?
- AThe client's serum cortisol level is increased.
- BThe client's serum potassium level is decreased.
- CThe client's serum sodium level is decreased.
- DThe client's fasting serum glucose level is increased.
16The nurse cares for a client with Addison's disease. Which signs or symptoms are likely upon assessment?
- AThe client's blood pressure is hypertensive.
- BThe client reports recent weight gain.
- CThe client reports craving salty foods.
- DThe client displays behavioral hyperactivity.
17A nurse performs an admission assessment on a client with Cushing syndrome. Which manifestation does the nurse teach the student nurse to assess for?
- AHypertension
- BHypoglycemia
- CMuscle weakness
- DInfection
- EBruising
18The nurse assesses a client with a newly diagnosed adrenal adenoma. The adenoma is causing excess hormone production. Which sign or symptom is the nurse likely to assess?
- AThe client's blood pressure is 92/67 mmHg.
- BThe client reports unexplained weight loss.
- CThe client's fasting glucose is 65 mg/dL.
- DThe client has a moon face and a buffalo hump.
19A nurse teaches an unlicensed assistive personnel (UAP) about the care of a client with Cushing disease. Which statement by the UAP indicates further education is needed?
- A"I will encourage the client to drink plenty of fluids."
- B"I will apply lotion to the client's body following a bath."
- C"I will weigh the client at the same time every day."
- D"I will use a gait belt when assisting with ambulation."
20The nurse receives medication orders for a client in an Addisonian crisis. Which order does the nurse clarify with the health care provider (HCP)?
- AAdminister intravenous glucose.
- BGive intravenous dexamethasone.
- CGive intravenous potassium chloride.
- DBegin rapid infusion of normal saline.
21The nurse teaches a client recently diagnosed with hyperthyroidism. The nurse encourages which lifestyle recommendation?
- A"Incorporate iodine-rich foods into your diet."
- B"Establish a relaxing bedtime routine."
- C"Maintain a calorie-restricted diet plan."
- D"Include vigorous exercise in your daily routine."
22The nurse cares for a client with Cushing syndrome and a fasting glucose reading of 155 mg/dl. Which statement indicates further education is needed on glucose regulation?
- A"My liver releases sugar overnight that my body can't control."
- B"The insulin receptors in my body aren't working properly."
- C"My pancreas has stopped making insulin to control my sugars."
- D"My weakened muscles are using less blood sugar."
23The nurse teaches a client with hypothyroidism about diet and nutrition. The nurse encourages the client to follow which recommendation?
- AThe client should consume 25–30 grams of fiber daily.
- BThe client should limit intake of dark, leafy green vegetables.
- CThe client should peel the skins off of fruits and vegetables.
- DThe client should keep sodium intake at 1,500 mg per day or less.
24The nurse educates a client with hyperthyroidism about drug therapy. The client will be discharged on a thioamide. Which information regarding thioamide drugs does the nurse share with the client?
Select All That Apply- AAlert the health care provider if the client is intolerant to cold and gaining weight.
- BThioamides should not be used by women of childbearing age.
- CAlert the the health care provider if the client's urine is dilute and a pale yellow color.
- DClients should avoid crowds and people who are ill.
- EThioamides prevent iodide binding in the thyroid gland.
25The nurse educates a client scheduled to begin radioactive iodine (RAI) therapy. Which client statement indicates more education is needed?
- A"I will use a cloth handkerchief to blow my nose.
- B"I will use disposable cups for one week after therapy."
- C"I will wash my clothes separately from my family's."
- D"I will flush the toilet three times after each use."
26The nurse cares for a client admitted with thyroid storm. Which signs and symptoms are likely upon assessment?
- AThe client reports frequent constipation.
- BThe client's heart rate is 108 beats/min.
- CThe client's temperature is 103 °F (39.4 °C).
- DThe client's blood pressure is 122/89 mmHg.
- EThe client displays tremors in the hands bilaterally.
27The nurse teaches a client with newly diagnosed hyperthyroidism. The nurse instructs the client to seek immediate medical care for which signs or symptoms?
- AThe client develops restlessness and insomnia.
- BThe client develops increased stools and diarrhea.
- CThe client develops fever and palpitations.
- DThe client develops eye swelling and photophobia.
28The nurse cares for a client following a thyroidectomy. The nurse keeps which item at the client's bedside in case of emergency?
- ATracheostomy equipment will be kept at the bedside.
- BSuturing equipment will be kept at the bedside.
- CHeated blankets will be kept at the client's bedside.
- DIV potassium chloride will be kept at the bedside.
29A nurse cares for a client with hypothyroidism. The nurse implements which interventions to provide comfort for the client?
- ARequest anti-diarrhea medication from the health care provider.
- BMaintain a cool temperature in the client's room.
- CEncourage the client to eat a low-residue diet.
- DEncourage the client to apply lotion after bathing.
30The nurse educates a client newly diagnosed with Cushing syndrome. Which client statement indicates understanding of the diagnosis?
- A"I can cure my symptoms by having surgery."
- B"My asthma treatment led to this diagnosis."
- C"I will stop taking my corticosteroid tonight."
- D"I should not receive a flu shot this year."
31The nurse cares for a client with myxedema coma. Which sign or symptom is the nurse likely to observe in this client?
- AThe client's blood pressure is 78/52 mmHg.
- BThe client's serum sodium is 148 mEq/L.
- CThe client's serum glucose level is 95 mL/dL.
- DThe client's body temperature is 104° F (40° C).
32A nurse assesses a client with hyperthyroidism. Which signs and symptoms of hyperthyroidism might be evident in the assessment?
- AThe client reports progressive weight gain.
- BThe client reports episodes of photophobia.
- CThe client displays edema of the feet.
- DThe client displays tremors of the hands.
- EThe client reports an increased appetite.
33A nurse educates a client recently diagnosed with hypothyroidism on how to take levothyroxine. How does the nurse teach the client to take levothyroxine?
- ABefore going to bed.
- BOn an empty stomach
- CWith an antacid
- DWith an iron supplement
34A client with hyperthyroidism starting propylthiouracil (PTU) asks the nurse when the drug will start working. The nurse tells the client that symptoms may start improving in what time frame?
- AFive days
- BTwo weeks
- COne month
- DThree months
35The health care provider (HCP) prescribes levothyroxine for the client with new-onset, severe hypothyroidism. The nurse includes which instructions in the client’s medication teaching?
- A“Report sudden unintentional weight loss.”
- B“Report any chest pain or discomfort immediately.”
- C“Sit down for a couple of minutes if short of breath.”
- D“Take a double dose if you experience bradycardia.”
- E“Take the levothyroxine at the same time daily.”
36A nurse cares for a client with hyperthyroidism on propylthiouracil (PTU) for three months. The nurse watches the client for which adverse effect associated with PTU?
- ASeizures
- BPolyuria
- CConstipation
- DAgranulocytosis
37A nurse instructs a client taking propylthiouracil (PTU) to reduce dietary sources of what?
- ACalcium
- BIodine
- CIron
- DVitamin K
38A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:
- Arelief of pain
- Bsigns of renal toxicity
- Csigns and symptoms of hyperglycemia
- Dsigns and symptoms of hypothyroidism
39A physician prescribes levothyroxine sodium 0.15 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication:
- Ain the morning to prevent insomnia
- Bonly when the client complains of fatigue and cold intolerance
- Cat various times during the day to prevent tolerance from occurring
- Dthree times daily in equal doses of 0.5 mg each to ensure consistent serum drug levels
40Myxedema, which includes fatigue, general weakness, and muscle cramps, is a symptom of which endocrine disorder treated with levothyroxine (Synthroid)?
- AHyperthyroidism
- BHypothyroidism
- CCushing's syndrome
- DAddison's disease
41The patient asks about his lab test, which showed a high level of TSH and a low level of T4. You explain:
- A"It means that you have an inconsistency in your thyroid tests, and you will need more testing."
- B"I am sorry. You will have to ask your doctor about your lab results. We are not allowed to discuss them."
- C"The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn't doing that."
- D"That means that you will have to go on hormone therapy for the rest of your life."
42The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate?
Select all that apply- Ainstill isotonic eye drops as necessary
- Bprovide several, small, well-balanced meals
- Cprovide rest periods
- Dkeep environment warm
- Eencourage frequent visitors and conversation
- Fweigh the client daily
43An incoherent female client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, nurse Libby prepares to take emergency action to prevent the potential complication of:
- AThyroid storm.
- BCretinism.
- CMyxedema coma.
- DHashimoto's thyroiditis.
44A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug:
- ADysuria
- BLeg cramps
- CTachycardia
- DBlurred vision
45In a 29-year-old female client who is being successfully treated for Cushing’s syndrome, nurse Lyzette would expect a decline in:
- ASerum glucose level.
- BHair loss.
- CBone mineralization.
- DMenstrual flow.
46Nurse Troy is aware that the most appropriate for a client with Addison’s disease?
- ARisk for infection
- BExcessive fluid volume
- CUrinary retention
- DHypothermia
47A client with Addison's disease is admitted to the medical unit. The client has fluid and electrolyte loss due to inadequate fluid intake and fluid loss secondary to inadequate adrenal hormone secretion.. As the client's oral intake increases, which of the following fluids would be MOST appropriate?
- ABouillon and juice.
- BCoffee and milkshakes
- CMilk and diet soda.
- DWater and eggnog.
48A client with Graves' disease is treated with radioactive iodine (RAI) in the form of sodium iodide I. Which of the following statements by the nurse will explain to the client how the drugs work?
- A"The RAI destroys thyroid tissue so that thyroid hormones are no longer produced."
- B"The RAI lowers the levels of thyroid hormones by slowing your body's production of them."
- C"The RAI reduces uptake of thyroxine and thereby improves your condition."
- D"The RAI stabilizes the thyroid hormone levels by a thyroidectomy."
49The client with Addison's disease should anticipate the need for increased glucocorticoid supplementation in which of the following situations?
- AGoing on vacation.
- BHaving a routine medical checkup.
- CHaving oral surgery.
- DReturning to work after a weekend.
50The nurse is evaluating a client with hyperthyroidism who is taking Propylthiouracil (PTU) 100mg/day in three divided doses for maintenance therapy. Which of the following statements from the client indicates the desired outcome of the drug?
- A"I am able to sleep and rest at night."
- B"I do perspire throughout the entire day."
- C"I have excess energy throughout the day."
- D"I have lost weight since taking this medication."
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- Quiz on Hormonal Regulation, created by Jeremy Tworoger on 11/09/2019.
- Author
- Jeremy Tworoger
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- English
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