Deck 79: Sensory System Disorders

Question 1

What hormone aids the transport of glucose into cells and decreases blood glucose levels?

A) Testosterone
B) Cortisol
C) Insulin
D) Thyroid hormone

Answer 1

Insulin

Question 2

A client is undergoing tests to confirm a diagnosis of hyperthyroidism. What test should be ordered for this client?

A) Thyroid scan
B) Thyroid suppression test
C) TSH stimulation test
D) TRH stimulation test

Answer 2

Thyroid scan

Question 3

What information should be provided to the client before performing a radioactive iodine uptake test?

A) Inform the client about the side effects of radiation.
B) Encourage reduction of the amount of iodized salt in food.
C) Instruct the client to take the test after a regular breakfast.
D) Ask the client to avoid eating ocean shellfish 1 week before the test.

Answer 3

Ask the client to avoid eating ocean shellfish 1 week before the test.

Question 4

Which test is the most diagnostic urine test for the assessment of adrenal medulla function?

A) Clonidine suppression test
B) Urinary metanephrine
C) 24-hour urine specimen
D) Histamine administration

Question 5

The nurse prepares a client for an adrenal angiogram to detect tumors of the adrenal glands. The nurse states that a catheter will be inserted and a contrast medium injected to initiate contrast studies. What type of test is this client undergoing?

A) Computed Tomography (CT) scan of the adrenals
B) Magnetic Resonance Image (MRI)
C) Ultrasonography
D) Adrenal angiogram

Question 6

The nurse is reading a client's fasting plasma glucose (FPG) test results. Which result indicates diabetes?

A) 75 mg/dL
B) 100 mg/dL
C) 115 mg/dL
D) 130 mg/dL

Question 7

According to the glycemic index (GI) index, which food would most likely raise the client's blood glucose levels?

A) White bread
B) Oatmeal
C) Bacon
D) Cheese

Question 8

Which client would be most susceptible to experiencing ketoacidosis?

A) A client diagnosed with type 2 diabetes
B) A client diagnosed with adrenal insufficiency
C) A client diagnosed with type 1 diabetes
D) A client diagnosed with hypothyroidism

Question 9

A 10-year-old boy is diagnosed with a disturbance of the anterior pituitary lobe causing overproduction of the growth hormone STH. Which disorder will occur with this condition?

A) Acromegaly
B) Gigantism
C) Syndrome of inappropriate antidiuretic hormone (SIADH)
D) Diabetes insipidus

Question 10

A 25-year-old client with symptoms of excessive thirst and an increase in urine is diagnosed with diabetes insipidus. Which hormone level should the nurse monitor?

A) Thyroxine
B) Vasopressin
C) Insulin
D) Glucagon

Question 11

A nurse is caring for a 50-year-old client suspected of having an exophthalmia and goiter. For which symptom should the nurse monitor this client?

A) Lethargy and inactivity
B) Slow pulse rate
C) Shrinking of the eyes
D) Weight loss

Question 12

The nurse is initiating thyroid hormone therapy for a client. What symptom related to therapy should the nurse teach the client to report immediately?

A) Nausea
B) Fever
C) Angina
D) Dizziness

Question 13

A nurse is caring for a 60-year-old client who has recently undergone a thyroidectomy. Which postoperative complication is most critical for the nurse to monitor when caring for this client?

A) Bradycardia
B) Fever
C) Difficulty in breathing
D) Peripheral edema

Question 14

A client is diagnosed with hyperparathyroidism associated with osteomalacia. When caring for this client, the nurse should monitor the level of which mineral?

A) Potassium
B) Calcium
C) Sodium
D) Magnesium

Question 15

The nurse is caring for a client diagnosed with Cushing syndrome. Which intervention is a primary nursing consideration in this situation?

A) Checking electrolyte and glucose levels for changes
B) Replacing fluids and adding sodium to the diet
C) Teaching the client to count and limit carbohydrates
D) Administering anticonvulsants to prevent seizures

Question 16

The nurse is caring for a client who is diagnosed with pheochromocytoma. Which is a side effect of this tumor?

A) Blindness
B) Seizures
C) Electrolyte imbalances
D) Extreme hypertension

Question 17

A client is diagnosed with type 1 diabetes. Which accurately describes a consideration related to the occurrence of this disorder?

A) It usually occurs in clients older than 30 years.
B) Classic symptoms are nearly always present.
C) Hereditary factors are usually present.
D) The client is usually overweight.

Question 18

The nurse is teaching the parents of a juvenile diagnosed with type 1 diabetes the three "polys" of diabetes symptoms. Which describes excessive hunger?

A) Polyuria
B) Polydipsia
C) Polyphagia
D) Polycythemia

Question 19

A nurse is educating a diabetic client about the steps for self-administration of insulin. In which type of diabetes should the nurse inform the client that lifelong insulin administration is essential?

A) Type 1 diabetes mellitus
B) Type 2 diabetes mellitus
C) Gestational diabetes mellitus
D) Impaired glucose homeostasis

Question 20

The nurse administers an intermediate-acting insulin for a client with juvenile diabetes. Which might be ordered?

A) Humulin N
B) Humulin R
C) Ultralente
D) Glargine

Question 21

The nurse administering insulin to clients in a nursing home recognizes the signs of an insulin that is unusable. Which insulin is safe to be administered?

A) Insulin from a bottle that is frosted over
B) A prefilled syringe that is milky white
C) A vial of insulin that has been shaken
D) A vial with insulin that has settled

Question 22

The nurse is administering acarbose, an oral antidiabetic agent to a client. What category of drug is this medication?

A) Sulfonylureas
B) Biguanides
C) Alpha-glucosidase Inhibitors
D) Thiazolidinediones

Question 23

A nurse is instructing the parents of a 5-year-old diabetic client on how to manage recurring hypoglycemia. Which instruction, as indicated by the physician, should be included in parent teaching?

A) Using chocolate bars to relieve the hypoglycemic condition.
B) Placing glucose between the upper lip and teeth if the child is unconscious.
C) Avoiding giving peanut butter crackers or pieces of hard candy.
D) Learning to use a glucagon emergency kit.

Question 24

A 30-year-old diabetic client comes to the healthcare facility with vomiting, fever, and high blood glucose concentration. After further evaluation and blood tests, the client's
Condition is diagnosed as ketoacidosis. Which symptom should the nurse monitor when caring for the client?

A) Respiratory depression
B) Decrease in pulse rate
C) Dehydration
D) Hypertension

Question 25

Which organ would the nurse monitor for damage in a client diagnosed with diabetes?

A) Heart
B) Liver
C) Brain
D) Kidneys

Question 26

The nurse is administering amitriptyline to a client diagnosed with diabetes. Which side effect of this disease is this medication used to treat?

A) Peripheral neuropathy
B) Autonomic neuropathy
C) Retinopathy
D) Kidney disease

Question 27

When caring for a client diagnosed with diabetic neuropathy, for which sign should the nurse monitor the client?

A) Lack of sensation
B) Weight gain
C) Temperature elevation
D) Somnolence

Question 28

The nurse is explaining to a client diagnosed with diabetes how to know when diabetes is controlled. Which is an accurate statement to use as a teaching point?

A) "You will feel well when your diabetes is controlled."
B) "You will maintain a weight that is heavier than that before diagnosis."
C) "Your blood glucose level will stay within 50 to 100 mg/dL."
D) "Your blood tests will reveal that the diabetes is cured."

Question 29

Which is a symptom of hypoglycemic reaction?

A) Dry skin
B) Sweating
C) Flushed
D) Hot skin

Question 30

A nurse is instructing a 25-year-old diabetic client regarding preventive foot care measures. Which information should be included in client teaching?

A) Massage between the toes with a good quality lotion.
B) Avoid any kind of physical exercise to prevent injury.
C) Use heating pads and hot water bags to increase the circulation.
D) Place lamb's wool between overlapping toes to prevent irritation.