Deck 42: Assessment of the Endocrine and Metabolic Systems

Question 1

A client is having a physical examination and the nurse notes that the client's hands and feet are large compared to the rest of the body. The nurse should suspect

A) acromegaly.
B) congenital disorders.
C) diabetes.
D) muscle deformity.

Answer 1

acromegaly.

Question 2

The nurse preparing a client for a T? and T? radioimmunoassay would recognize that the medication with the potential to influence test results, making readings unreliable, is

A) aspirin.
B) digitalis.
C) gentamicin.
D) heparin.

Answer 2

heparin.

Question 3

A client being assessed for adrenal medulla function through the use of a urinalysis involves measuring

A) catecholamines and metabolites.
B) diurnal excretion of glucose.
C) calcitonin and parathyroid hormone.
D) growth hormone and ADH.

Answer 3

catecholamines and metabolites.

Question 4

To obtain the most helpful information from a client about risk factors related to hepatitis, the nurse would ask

A) "Do you eat foods that are high in fat?"
B) "Do you exercise regularly?"
C) "Have you ever had body piercing or a tattoo?"
D) "How many bowel movements do you have weekly?"

Question 5

In preparing a client for urine collection in the evaluation of urinary ketosteroids, the nurse would

A) place an indwelling catheter.
B) place a preservative in the collection bottle.
C) measure hourly urine outputs.
D) use a new collection bag.

Question 6

A client presents with complaints of fatigue and the nurse notes dry, brittle hair. The nurse would anticipate which of the following laboratory tests?

A) Bilirubin, AST, ALT
B) Serum cortisol and ACTH
C) Serum glucose, hemoglobin A1c
D) Tests of thyroid function

Question 7

A nurse is performing a physical examination on an elderly client. The nurse notes the abdomen is rounded and sagging. The most appropriate action by the nurse would be to

A) ask the client about exercise routines.
B) discuss the client's bowel habits.
C) inquire about any abdominal pain.
D) record this as a normal finding.

Question 8

Explaining a paracentesis to an anxious client, the nurse states that the purpose is to

A) collect fluid accumulations from the pleura.
B) evaluate secretions of the gallbladder.
C) extract fluid sequestered in the pancreas.
D) remove excess fluid from the peritoneum.

Question 9

A client is having a physical examination and tells the nurse about a painful area in the right upper quadrant of the abdomen. Based on this information, the nurse would

A) avoid any manipulation or contact with the painful area.
B) examine the painful area at the end of the assessment.
C) examine the right upper quadrant area first.
D) notify the physician to complete the examination.

Question 10

The nurse assessing a client knows that endocrine disorders can present with which of the following manifestations? (Select all that apply.)

A) Dark or tea-colored urine
B) Decreased libido
C) Impotence or infertility
D) Irregular menstrual cycle
E) Muscle wasting and atrophy

Question 11

As an indication that the safety needs of a client scheduled for an angiography are being addressed, the nurse would ask

A) "Are you allergic to any seafood?"
B) "Have you gained or lost weight in the last 2 months?"
C) "What is your age and marital status?"
D) "When was the date of your last tetanus booster?"

Question 12

A client is complaining of abdominal pain described as dull, aching, and cramping. The nurse would record this pain as

A) parietal.
B) referred.
C) spasmodic.
D) visceral.

Question 13

In obtaining a medication history from a client who reports taking all the following medications, the nurse would know that the medication considered hepatotoxic is

A) acetaminophen.
B) digoxin.
C) ferrous sulfate.
D) insulin.

Question 14

Important aspects of the social history the nurse should include when examining a client are (Select all that apply)

A) alcohol intake.
B) food preferences.
C) sexual activities.
D) use of items contaminated with body fluids.
E) use of recreational drugs.

Question 15

The nurse performing an assessment of a 69-year-old man with a long history of complex medical problems would be aware that a systemic manifestation suggestive of hepatic dysfunction is

A) gynecomastia.
B) hematuria.
C) melena.
D) oily skin.