Question 1

What are the common age-related changes in the endocrine system? (Select all that apply.)

Accepted Answer

A, B, C, E

Question 2

A patient asks about his laboratory test, which showed a high level of thyroid-stimulating hormone (TSH)and a low level of T₄.What is the most accurate explanation?

Accepted Answer

A high TSH level signals that the thyroid gland needs to produce more thyroid hormone. A low level of T4 or T₄ indicates that the thyroid gland is not producing enough hormone despite the signal from TSH. Therefore, the most accurate explanation is that the TSH is sending a message to the thyroid gland to increase production, but the thyroid gland is not producing enough hormone.

Question 3

A patient has been given an antithyroid drug called methimazole.What appropriate nursing implementations should be included?

Accepted Answer

The patient should be taught to watch for and report any signs and symptoms of hypothyroidism or infections as this medication can cause these adverse effects. Option A is not appropriate as methimazole is not a radioactive medication. Option B is not appropriate as methimazole does not affect pulse rate in the same way as other medications. Option D is not appropriate as there is no indication for a low-calorie, low-protein diet with this medication.

Question 4

A patient is receiving the medication octreotide (Sandostatin)as a treatment for acromegaly.What should the nurse explain regarding this medication?

Accepted Answer

Octreotide (Sandostatin) suppresses the growth hormone, which is elevated in acromegaly. It is typically given by injection, but the dosing frequency can vary depending on the individual's needs. Octreotide does not reverse the effects of acromegaly, but it can help manage symptoms and slow disease progression. It can also impact insulin secretion, but it typically reduces it rather than increasing it, reducing the risk of hypoglycemia.

Question 5

Which significant need should be included in instructions to a patient scheduled for a thyroid scan (¹²³I)?

Accepted Answer

The significant need that should be included in the instructions for a patient scheduled for a thyroid scan is to avoid consuming iodine for one week before the test. This is because iodine can interfere with the test results by affecting the uptake of radioactive iodine used in the scan. Therefore, option D is the correct answer. Option A is incorrect because a thyroid scan does not require the patient to collect urine. Option B is incorrect because while the patient may be given a protective thyroid shield during the scan, they do not need to wear it for the next 24 hours. Option C is also incorrect as there is no need to keep visitors away after the scan.

Question 6

A nurse makes a list of symptoms that a patient who is taking methimazole (Tapazole), a thionamide drug, should report.What should this list include? (Select all that apply.)

Accepted Answer

Methimazole (Tapazole) can cause liver problems (hence jaundice), agranulocytosis (which could lead to infections and symptoms like blood in the stool), and skin reactions (rash). It is also teratogenic, so becoming pregnant while on this medication is a concern that should be reported. Urine retention is not a commonly reported side effect of methimazole.

Question 7

An older patient with hypothyroidism asks why her daily dose of thyroid hormone, which she has taken for 15 years, has been reduced.What is nurse's best rationale when explaining what the decreased dose is related to?

Accepted Answer

As an individual ages, their metabolic rate naturally decreases, which means they may require a lower dose of thyroid hormone replacement therapy.

Question 8

Which instruction should a nurse provide when a patient starts taking a saturated solution of potassium iodide (SSKI)?

Accepted Answer

Sipping medication through a straw can help prevent tooth staining, which is a concern with potassium iodide solutions.

Quiz 47: Endocrine System Introduction

What are the common age-related changes in the endocrine system? (Select all that apply.)

A patient asks about his laboratory test, which showed a high level of thyroid-stimulating hormone (TSH) and a low level of T₄.What is the most accurate explanation?

A patient has been given an antithyroid drug called methimazole.What appropriate nursing implementations should be included?

A patient is receiving the medication octreotide (Sandostatin) as a treatment for acromegaly.What should the nurse explain regarding this medication?

Which significant need should be included in instructions to a patient scheduled for a thyroid scan (¹²³I) ?

A nurse makes a list of symptoms that a patient who is taking methimazole (Tapazole) , a thionamide drug, should report.What should this list include? (Select all that apply.)

An older patient with hypothyroidism asks why her daily dose of thyroid hormone, which she has taken for 15 years, has been reduced.What is nurse's best rationale when explaining what the decreased dose is related to?

Which instruction should a nurse provide when a patient starts taking a saturated solution of potassium iodide (SSKI) ?

Quiz 47: Endocrine System Introduction

What are the common age-related changes in the endocrine system? (Select all that apply.)

A patient asks about his laboratory test, which showed a high level of thyroid-stimulating hormone (TSH) and a low level of T4.What is the most accurate explanation?

A patient has been given an antithyroid drug called methimazole.What appropriate nursing implementations should be included?

A patient is receiving the medication octreotide (Sandostatin) as a treatment for acromegaly.What should the nurse explain regarding this medication?

Which significant need should be included in instructions to a patient scheduled for a thyroid scan (123I) ?

A nurse makes a list of symptoms that a patient who is taking methimazole (Tapazole) , a thionamide drug, should report.What should this list include? (Select all that apply.)

An older patient with hypothyroidism asks why her daily dose of thyroid hormone, which she has taken for 15 years, has been reduced.What is nurse's best rationale when explaining what the decreased dose is related to?

Which instruction should a nurse provide when a patient starts taking a saturated solution of potassium iodide (SSKI) ?

A patient asks about his laboratory test, which showed a high level of thyroid-stimulating hormone (TSH) and a low level of T₄.What is the most accurate explanation?

Which significant need should be included in instructions to a patient scheduled for a thyroid scan (¹²³I) ?