Deck 44: Endocrine-Related Problems

Question 1

Which of the following are risk factors associated with hypothyroidism? (Select all that apply.)

A) Tumor of the thyroid
B) Age older than 60 years
C) Male gender
D) Family history
E) Surgical removal of the thyroid

Answer 1

B, D, E

Question 2

Trina, a 62-year-old client, has been diagnosed with hypothyroidism. Which of the following treatments should the nurse recommend for Trina?

A) Thyroidectomy
B) Levothyroxine
C) Methimazole
D) Prophylthiouracil

Answer 2

B

Question 3

Pamela is a client with Graves' ophthalmopathy. Which of the following is the treatment of choice for this client?

A) Radioactive iodine
B) Chinese herbal medicine
C) Levothyroxine
D) Thyroidectomy

Answer 3

D

Question 4

Jen is a client who has just been diagnosed with hyperparathyroidism. Which of the following symptoms should the nurse expect to see in Jen? (Select all that apply.)

A) Bone fracture
B) Muscle cramps
C) Constipation
D) Cataract development
E) Depression

Question 5

Alice is a client with hypoparathyroidism. The nurse should advise Alice to take which of the following supplements? (Select all that apply.)

A) Calcium
B) Iron
C) Vitamin C
D) Vitamin D
E) Vitamin K

Question 6

A nurse is assessing a client suspected of having metabolic syndrome. Which of the following findings, taken together, are indicative of metabolic syndrome? (Select all that apply.)

A) Increased high-density lipoprotein cholesterol level
B) Body mass index (BMI) of 35
C) Blood pressure of 147/94 mm Hg
D) Fasting blood glucose level of 211 mg/dL
E) Resting heart rate of 101 bpm

Question 7

What percentage of American adults of 65 years and older have diabetes?

A) 15%
B) 20%
C) 25%
D) 30%

Question 8

Which of the following are risk factors associated with type 2 diabetes? (Select all that apply.)

A) Age older than 45 years
B) Body mass index (BMI) greater than 20
C) Blood pressure higher than 120/80 mm Hg
D) Delivering a baby with a birth weight greater than 9 lb
E) Obstructive sleep apnea

Question 9

Which of the following characteristics would be most likely in a client who has just been diagnosed with type 1 diabetes, as opposed to type 2 diabetes?

A) Age of 14 years
B) Body mass index (BMI) of 31
C) Elevated blood insulin level
D) Blood glucose level of 88 mg/dL

Question 10

A client's A₁C test result is 6.1%. The nurse should recognize that this finding is indicative of which of the following?

A) Hypoglycemia
B) Normal glycemic status
C) Prediabetes
D) Diabetes

Question 11

A nurse is educating a client about complications associated with advanced type 2 diabetes. Which of the following should the nurse mention? (Select all that apply.)

A) Spina bifida
B) Cardiovascular disease
C) Stroke
D) Blindness
E) Death

Question 12

A client tells the nurse that she is not feeling well and that she thinks she is having a "sugar low." What symptoms would tend to corroborate the client's self-diagnosis? (Select all that apply.)

A) Inability to concentrate
B) Hyperactivity
C) Slurred speech
D) Confusion
E) Fruity breath

Question 13

Ruth, a 32-year-old nulliparous client, reports secretion of milk from her breasts and having missed her last menstrual period. The nurse conducts a pregnancy test on Ruth, and the result is negative. What condition should the nurse suspect most in Ruth?

A) Hyperparathyroidism
B) Hyperthyroidism
C) Hyperglycemia
D) Hyperprolactinemia

Question 14

Eileen is a client who presents with central obesity, a moon-shaped face, and a fatty hump between the shoulders. Which condition should the nurse suspect most in Eileen?

A) Addison's disease
B) Hirsutism
C) Cushing's syndrome
D) Hyperprolactinemia

Question 15

Thelma, a 39-year-old client, reports feeling fatigued and weak recently. On examining her, the nurse finds darkening areas of skin. A serum cortisol test indicates reduced levels. Which of the following conditions should the nurse suspect most in Thelma?

A) Addison's disease
B) Hirsutism
C) Cushing's syndrome
D) Hyperprolactinemia