Deck 33: Drugs for Endocrine Disorders

Question 1

Hydrocortisone (Cortef)has been prescribed for a client.Which diagnosis does the nurse anticipate could be made based on this prescribed medication? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Adrenocortical insufficiency
2)Intra-articular injections
3)Inflammation
4)Allergic disorders
5)Hyperthyroidism

Answer 1

1,2,3,4

Question 2

A client complains of hypoglycemia,fatigue,hypotension,and GI disturbances such as anorexia,vomiting,and diarrhea.Which diagnosis does the nurse suspect based on these assessment findings?
1)Hypoglycemic reaction
2)Hypothyroidism
3)Addison disease
4)Cushing syndrome

Answer 2

3

Question 3

The nurse educator is instructing a group of students about the endocrine system.Which topics should the educator include in the teaching session? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Thyroid glands
2)Parathyroid glands
3)Pancreas
4)Heart
5)Liver

Answer 3

1,2,3

Question 4

What is the primary function of the endocrine system?
1)Homeostasis
2)Temperature regulation
3)Blood pressure regulation
4)Secretion

Question 5

Which adverse effects does the nurse anticipate for a client who is receiving long-term therapy with corticosteroids? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Delayed wound healing
2)Diarrhea
3)Increased risk for infections
4)Sodium retention
5)Hyperglycemia

Question 6

Which medications would be used for a client with hyperthyroidism?
1)Thyroid agents
2)Antithyroid agents
3)Corticosteroids
4)Hormone replacement

Question 7

A client is being educated on monitoring the effects of thyroid medication.Which measurement will the client monitor to determine the effectiveness of the medication?
1)Blood pressure
2)Temperature
3)Respiratory rate
4)Pulse rate

Question 8

A client complains of increased body metabolism,tachycardia,weight loss,high body temperature,and anxiety.Based on the assessment findings,what diagnosis does the nurse anticipate for this client?
1)Hypothyroidism
2)Type II diabetes
3)Type I diabetes
4)Hyperthyroidism

Question 9

Aside from having potent anti-inflammatory effects,glucocorticoids also promote homeostasis of which system?
1)Reproductive
2)Gastric
3)Hematopoietic
4)Cardiovascular

Question 10

A client complains of slowed body metabolism,slurred speech,bradycardia,weight gain,low body temperature,and intolerance to cold environments.What diagnosis does the nurse expect based on these assessment findings?
1)Type II diabetes
2)Type I diabetes
3)Hypothyroidism
4)Hyperthyroidism

Question 11

Which preparation of antidiuretic hormone (ADH)is occasionally used to treat enuresis?
1)Bromocriptine (Cycloset)
2)Vasopressin (Pitressin)
3)Betamethasone (Celestone)
4)Desmopressin (Stimate)

Question 12

The physician has ordered medication to treat hyperthyroidism.Which medication does the nurse anticipate for this client?
1)Liotrix (Euthroid)
2)Levothyroxine (Levothroid)
3)Propylthiouracil (PTU)
4)Hydrocortisone (Cortef)

Question 13

The nurse is being educated on treatment of clients following a nuclear accident.Which statement by the nurse indicates that the objectives for the session have been met?
1)"Clients will be given potassium iodide tablets."
2)"Iodine-131 will protect the client's vital organs."
3)"Potassium iodide will provide protection if taken within days of a nuclear accident."
4)"Radiation exposure can be treated with medications."

Question 14

Which two endocrine structures control other endocrine glands? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Hypothalamus
2)Thyroid
3)Pancreas
4)Pituitary
5)Adrenal

Question 15

A client recently diagnosed with hypothyroidism returns to see the prescriber.The client has been taking levothyroxine (Levothroid),100 mcg per day.The client tells the nurse that they feel anxious,that they are having trouble sleeping,and that they have lost 10 pounds.Which diagnosis does the nurse anticipate the client to have?
1)Addison Disease
2)Hyperthyroidism
3)Hyperparathyroidism
4)Anxiety

Question 16

Why is hormone pharmacotherapy prescribed for clients? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)To promote anticancer metabolites
2)To produce an therapeutic advantage
3)For use as replacement therapy
4)To assist with an antineoplastic effect
5)For antihyperlipidemic effect

Question 17

The nurse is caring for a client who is taking levothyroxine (Synthroid)and cholestyramine (Questran).Which reaction should the nurse monitor this client for when administering these medications?
1)Hypolipidemia
2)Hyperthyroidism
3)Hyperlipidemia
4)Hypothyroidism

Question 18

A client using corticosteroids for over 15 years is being seen in the emergency department for weight gain,fluid retention,and moon face.Which diagnosis does the nurse anticipate the client to have?
1)Addison disease
2)Cushing disease
3)Hyperparathyroidism
4)Hypothyroidism

Question 19

A nurse is teaching a client about the relationship between calcium and PTH levels.Which best describes negative feedback in the homeostasis of the endocrine system?
1)As serum calcium levels decrease,PTH is decreased.
2)As serum calcium levels fall,PTH is released.
3)As serum calcium levels remain constant,PTH is decreased.
4)As serum calcium levels increase,PTH is increased.

Question 20

What gland is responsible for releasing mineralocorticoids,glucocorticoids,and androgens?
1)The adrenal gland
2)The thyroid gland
3)The pituitary gland
4)The pancreas