Question 1

A female client with an endocrine problem has hirsutism.Which question or statement by the nurse is most appropriate?&#10;A) &#34;Do you have the money to pay for treatment?&#34;&#10;B) &#34;I'm interested in knowing how you feel about yourself.&#34;&#10;C) &#34;Many treatment options are available for this problem.&#34;&#10;D) &#34;What can you do to prevent this from happening?&#34;

Accepted Answer

Hirsutism,excessive hair growth on the face and body,can result from endocrine disorders.This may cause a disruption in body image,especially for female clients.The nurse should gently inquire into the client's body image and self-perception.Asking about the client's financial status sounds judgmental.Simply stating that treatment options are available minimizes the client's concerns.The client is not doing anything to herself to cause the problem,so the last question is inappropriate.

Question 2

A male client reports fluid secretion from his breasts.What does the nurse assess next in this client?&#10;A) Posterior pituitary hormones&#10;B) Adrenal medulla functioning&#10;C) Anterior pituitary hormones&#10;D) Parathyroid functioning

Accepted Answer

Breast fluid and milk production are induced by the presence of prolactin,secreted from the anterior pituitary gland.The other hormones do not influence this process.

Question 3

Which pulse rate finding in a client taking a drug that stimulates beta₁ receptors requires immediate action by the nurse? A) 50 beats/min B) 95 beats/min C) 85 beats/min D) 100 beats/min

Accepted Answer

Stimulation of beta₁ receptor sites in the heart has positive chronotropic and inotropic actions.The nurse expects an increase in heart rate and increased cardiac output.The client with a heart rate of 50 beats/min would be cause for concern because this would indicate that the client was not responding to the medication.The other heart rates are within normal limits but on the higher end and would be considered a therapeutic response to the medication.

Question 4

How does a tropic hormone differ from other hormones?&#10;A) Tropic hormones are given to clients who have a hormone deficiency.&#10;B) Tropic hormones are exclusively involved in the production of sex hormones.&#10;C) Tropic hormones stimulate other endocrine glands to secrete hormones.&#10;D) Tropic hormones are not under negative feedback control.

Accepted Answer

The target tissues for tropic hormones are other endocrine glands.The effect of these agents is to stimulate another endocrine gland to secrete its hormone.The other statements are inaccurate.

Question 5

A client has a condition of excessive catecholamine release.Which assessment finding does the nurse correlate with this condition?&#10;A) Decreased blood pressure&#10;B) Increased pulse&#10;C) Decreased respiratory rate&#10;D) No change in vital signs

Accepted Answer

Catecholamines are responsible for the "fight-or-flight" stress response.Activation of the sympathetic nervous system can be correlated with tachycardia.The other options are not correlated with excessive catecholamine release.

Question 6

A client asks why a 24-hour urine collection is necessary to measure excreted hormones instead of a random voided specimen.Which response by the nurse is most accurate?&#10;A) &#34;We are testing for a hormone secreted on a circadian rhythm.&#34;&#10;B) &#34;The hormone is so dilute in urine, we need a large volume.&#34;&#10;C) &#34;We want to see when the hormone is secreted in both large and small amounts.&#34;&#10;D) &#34;You'd have to be here at a specific time of the day for a random urinalysis.&#34;

Accepted Answer

Some hormones are secreted in a pulsatile,or circadian,cycle.When testing for these substances,a collection that occurs over 24 hours will most accurately reflect hormone secretion.The other responses are not accurate.

Question 7

Which are common key features of hormones?&#10;A) Hormones may travel long distances to get to their target tissues.&#10;B) Continued hormone activity requires continued production and secretion.&#10;C) Control of hormone activity is caused by negative feedback mechanisms.&#10;D) Most hormones are stored in the target tissue for use later.&#10;E) Most hormones cause target tissues to change activities by changing gene activity.

Accepted Answer

Hormones are secreted by endocrine glands and travel through the body to reach their target tissues.Hormone activity can increase or decrease according to the body's needs,and continued hormone activity requires continued production and secretion.Control is maintained via negative feedback.Hormones are not stored for later use,and they do not alter genetic activity.

Question 8

A client has abnormal calcium levels.Which hormone does the nurse anticipate testing for? A) Thyroxine (T₄) B) Triiodothyronine (T₃) C) Thyrocalcitonin (calcitonin) D) Propylthiouracil (PTU)

Accepted Answer

Parafollicular cells produce thyrocalcitonin (calcitonin [TCT]),which helps regulate serum calcium levels.The other hormones are not related directly to calcium levels.

Question 9

Which client statement indicates the need for clarification regarding the instructions for collecting a 24-hour urine specimen for assessment of endocrine function?&#10;A) &#34;I will continue to take all my prescribed medicine during the test.&#34;&#10;B) &#34;I will add the preservative to the container at the beginning of the test.&#34;&#10;C) &#34;I will start the collection by saving the first urine of the morning.&#34;&#10;D) &#34;At the end of 24 hours, I will urinate and save that last specimen.&#34;

Accepted Answer

The 24-hour urine collection specimen is started when the client first arises and urinates.The first urine specimen is discarded because there is no way to know how long it has been in the bladder,but the time is noted.The client adds all urine voided after that first discarded specimen during the next 24 hours.When the 24-hour mark is reached,the client voids one last time and adds this specimen to the collection.The preservative,if used,must be added to the container at the beginning of the collection.Clients can continue to take all their normal medications during a timed urine collection.They should,however,avoid unnecessary medications.

Question 10

An older client is being admitted to the hospital for pneumonia.The client has no other health problems.Which action by the nurse is best?&#10;A) Place the client on airborne precautions.&#10;B) Offer the client fluids every hour or two.&#10;C) Leave the bathroom light on at night.&#10;D) Palpate the client's thyroid gland on admission.

Accepted Answer

A normal age-related endocrine change is decreased antidiuretic hormone (ADH)production.This results in a more dilute urine output,which can lead to dehydration.If no contraindications are known,the nurse should offer (or delegate)the client something to drink at least every 2 hours.A client with a simple pneumonia would not need Airborne Precautions.The client may or may not need/want the bathroom light left on at night.Palpating the client's thyroid gland is a part of a comprehensive examination but is not specifically related to this client.

Question 11

A client is taking a drug that blocks a hormone's receptor site.What is the effect on the client's hormone response?&#10;A) Greater hormone metabolism&#10;B) Decreased hormone activity&#10;C) Increased hormone activity&#10;D) Unchanged hormone response

Accepted Answer

The answer of A client is taking a drug that...

Question 12

The nursing assistant reports that while pouring urine into a 24-hour urine container,some urine splashed the nursing assistant's hand.Which action by the nurse is best?&#10;A) Ask the assistant if he or she washed the hands afterward.&#10;B) Call the laboratory to see if the container has preservative in it.&#10;C) Have the assistant fill out an incident report.&#10;D) Send the assistant to Employee Health right away.

Accepted Answer

The answer of The nursing assistant reports that while pouring...

Question 13

A client has a hypofunctioning anterior pituitary gland.Which hormones does the nurse expect to be affected by this?&#10;A) Thyroid-stimulating hormone&#10;B) Vasopressin&#10;C) Follicle-stimulating hormone&#10;D) Calcitonin&#10;E) Growth hormone

Accepted Answer

The answer of A client has a hypofunctioning anterior pituitary...

Question 14

A client has bilateral patchy areas of skin depigmentation on the arms and the face.Which action by the nurse is best?&#10;A) Assess the client's mucous membranes.&#10;B) Draw a laboratory specimen for thyroid hormone levels.&#10;C) Schedule the client for fasting blood glucose.&#10;D) Question the client about sexual functioning.

Accepted Answer

The answer of A client has bilateral patchy areas of...

Question 15

A new nurse is palpating a client's thyroid gland.Which action requires intervention from the nurse's mentor?&#10;A) The nurse stands behind, instead of in front of, the client.&#10;B) The client is asked to swallow while the nurse finds the thyroid gland.&#10;C) The nurse palpates the right lobe with his or her left hand.&#10;D) The client is placed in a sitting position with the chin tucked down.

Accepted Answer

The answer of A new nurse is palpating a client's...

Question 16

Which is the expected clinical manifestation for a client who has excessive production of melanocyte-stimulating hormone?&#10;A) Hypoglycemia and hyperkalemia&#10;B) Irritability and insomnia&#10;C) Increased urine output&#10;D) Darkening of the skin

Accepted Answer

The answer of Which is the expected clinical manifestation for...

Question 17

Which situation or condition is likely to result in increased production of thyroid hormones?&#10;A) Starvation&#10;B) Dehydration&#10;C) Adequate sleep&#10;D) Cold environmental temperature

Accepted Answer

The answer of Which situation or condition is likely to...

Question 18

A client has a deficiency of aldosterone.Which assessment finding does the nurse correlate with this condition?&#10;A) Increased urine output&#10;B) Vasoconstriction&#10;C) Blood glucose, 98 mg/dL&#10;D) Serum sodium, 144 mEq/L

Accepted Answer

The answer of A client has a deficiency of aldosterone.Which...

Question 19

A client is admitted to the hospital with exacerbation of heart failure,which had been stable for several years.Which finding does the nurse associate with the client's current condition?&#10;A) Recent prescription for thyroid hormone replacement medication&#10;B) Recent onset of menopause&#10;C) Patchy areas of depigmentation on the face&#10;D) Absence of fish in the diet, but inclusion of the iodized form of table salt

Accepted Answer

The answer of A client is admitted to the hospital...

Question 20

The nurse is teaching a client about self-care after menopause.Which teaching topic is the priority?&#10;A) Weight-bearing exercise&#10;B) Skin care&#10;C) Intimacy needs&#10;D) Body image changes

Accepted Answer

The answer of The nurse is teaching a client about...

Deck 64: Assessment of the Endocrine System