Question 1

The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statement(s)? Select all that apply. Select all that apply.

Accepted Answer

A) The hypothalamus does indeed secrete releasing hormones that regulate the secretion of hormones from the pituitary gland.C) Hormones released by the endocrine system do have a wide-reaching influence on virtually every organ and system in the body, playing crucial roles in regulating physiological functions.D) The pituitary gland secretes a variety of hormones, including Thyroid Stimulating Hormone (TSH), which stimulates the thyroid gland to produce thyroid hormones.E) The endocrine system is indeed a major controller of homeostasis, working alongside the nervous system to maintain the body's internal balance and regulate vital processes.B) is incorrect because the pituitary gland, not the hypothalamus, is often referred to as the "master gland" due to its role in controlling the functions of other endocrine glands.

Question 2

The elderly client has hypothyroidism. Which assessment finding would the nurse report to the physician immediately?

Accepted Answer

Atrial fibrillation is a potential complication of hypothyroidism and requires immediate medical attention. Tachycardia may also be present but is not as urgent as atrial fibrillation. Severe diarrhea is not directly related to hypothyroidism. Vivid visual hallucinations are not known to be associated with hypothyroidism.

Question 3

The client has been diagnosed with Cushing's syndrome. What will the best assessment by the nurse reveal?

Accepted Answer

Cushing's syndrome is characterized by upper body obesity and thinning of the arms and legs due to excess cortisol production. Low blood pressure and hypoglycemia are not typical findings, and thickened skin with bruising may be seen in other conditions such as diabetes or liver disease. General loss of hair on the body is not specific to Cushing's syndrome.

Question 4

The nurse plans to administer intranasal desmopressin (DDAVP) to the client. What will the best plan of the nurse include?

Accepted Answer

Rotation of nares must be documented to ensure even distribution and prevent irritation or damage to the nasal mucosa from repeated administration in the same nostril.

Question 5

The client has hypothyroidism and is treated with levothyroxine (Synthroid). The nurse plans to do medication education. What will the best plan of the nurse include?

Accepted Answer

Levothyroxine can cause altered sleep patterns as a side effect, so it is important for the nurse to educate the client to monitor for changes in sleep.

Question 6

The client receives glucocorticoid therapy. What will the best assessment of the nurse reveal?

Accepted Answer

Glucocorticoids can cause fluid retention and increase blood pressure, leading to hypertension. Weight gain is also a common side effect, so B is not the best choice. Hypothermia (C) and hypotension (D) are not typical side effects of glucocorticoid therapy.

Question 7

The nursing instructor teaches the student nurses about negative feedback as a feature of calcium homeostasis in the endocrine system. Identify the steps, in order, of this mechanism. Select all that apply.

Accepted Answer

Negative feedback in calcium homeostasis begins with a fall in serum calcium levels (D), prompting the parathyroid glands to release PTH (C). PTH then increases serum calcium levels (B), and once normal levels are restored, the parathyroid glands stop secreting PTH (A).

Question 8

The client receives aminogluthethimide (Cytadren) therapy. What evaluation criteria will the nurse report to the physician?

Accepted Answer

The answer of The client receives aminogluthethimide (Cytadren) therapy. What...

Question 9

The nurse teaches the client about glucocorticoid therapy. The nurse evaluates that additional teaching is required when the client makes which statement?

Accepted Answer

Glucocorticoid therapy should be taken with food to help prevent upset stomach or ulcers. Taking the medication at any time can increase the risk of these side effects. Additionally, the other statements show an understanding of the importance of monitoring blood sugar and increasing protein intake to counteract the catabolic effects of glucocorticoids.

Question 10

The client is very distraught that her son is of very short stature. What is the best plan by the nurse?

Accepted Answer

Providing the client with information about medical interventions that could potentially help her son is an appropriate action, and referring her to an endocrinologist who can further evaluate and provide treatment options is the best plan. Option B is inaccurate, as acromegaly is a rare side-effect of growth hormone treatment, and not a likely outcome. Option C is also inaccurate, as individual results from growth hormone treatment vary widely and identifying a specific height gain for her son is unlikely. Option D is inappropriate, as the cost of treatment is not a determinative factor in discussing options with the client.

Question 11

The client has been diagnosed with diabetes insipidus. What will the best plan of the nurse include?

Accepted Answer

Diabetes insipidus is characterized by increased urine production and excessive thirst. The nurse should prioritize assessment related to urinary output and hydration status. Assessing for fluid retention, hyperglycemia, and hyponatremia may be important for other conditions, but they are not directly related to diabetes insipidus.

Question 12

The client receives hydrocortisone therapy. The nurse will primarily assess for which electrolyte disturbance?

Accepted Answer

Hydrocortisone therapy can lead to hypernatremia due to its mineralocorticoid effect, which promotes sodium retention, and hyperglycemia because of its glucocorticoid effect, which increases glucose production and reduces insulin sensitivity.

Question 13

The client has diabetes insipidus and receives vasopressin (Pressyn AR). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Vasopressin (Pressyn AR) is a synthetic form of antidiuretic hormone (ADH) that works on the kidneys to increase water reabsorption and decrease urine output. It does not have any vasodilator effects and does not suppress hormone secretion from the posterior pituitary gland. Vasopressin can actually cause hypertension at higher doses. It is important for the client to understand that the medication is given to treat the symptoms of diabetes insipidus, which include excessive thirst and urination, and that it works by increasing water reabsorption in the kidneys.

Question 14

The client has hyperthyroidism. The nurse teaches the client to avoid which food selections?

Accepted Answer

Soy sauce should be avoided by clients with hyperthyroidism because it can interfere with the body's ability to use thyroid hormone.

Question 15

The client receives treatment with radioactive iodine (Iodotope) therapy. What will the best evaluation by the nurse reveal?

Accepted Answer

Radioactive iodine therapy destroys the thyroid gland and leads to hypothyroidism. Therefore, the client will need thyroid replacement therapy. Option A is incorrect as the client must be kept at a safe distance from others due to radioactive contamination. Option C is incorrect as radioactive iodine therapy causes infertility for up to a year after treatment. Option D is incorrect as the goal of the treatment is to permanently achieve a euthyroid state.

Quiz 39: Drugs for Pituitary, Thyroid, and Adrenal Disorders

The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statement(s) ? Select all that apply. Select all that apply.