Question 1

A client with hyperaldosteronism is being treated with spironolactone (Aldactone)before surgery.Which precautions does the nurse teach this client?&#10;A) &#34;Read the label before using salt substitutes.&#34;&#10;B) &#34;Do not add salt to your food when you eat.&#34;&#10;C) &#34;Avoid exposure to sunlight.&#34;&#10;D) &#34;Take Tylenol instead of aspirin for pain.&#34;

Accepted Answer

Spironolactone is a potassium-sparing diuretic used to control potassium levels.Its use can lead to hyperkalemia.Although the goal is to increase the client's potassium,unknowingly adding potassium can cause complications.Some salt substitutes are composed of potassium chloride and should be avoided by clients on spironolactone therapy.Depending on the client,he or she may benefit from a low-sodium diet before surgery,but this may not be necessary.Avoiding sunlight and Tylenol is not necessary.

Question 2

When performing personal care on a middle-aged woman,the nurse observes that the client has very little pubic and axillary hair.Which is the nurse's best action?&#10;A) Ask the client if she has less pubic hair now than 5 years ago.&#10;B) Ask the client the date of her last menstrual period.&#10;C)Examine the client's scalp hair for texture and thickness.&#10;D) Draw blood for hormonal immune assays.

Accepted Answer

Although pubic hair thickness varies from person to person,loss of pubic hair is associated with gonadotropin deficiency.The nurse needs to determine whether this manifestation is normal for this client.A middle-aged woman may be postmenopausal,which would not give the nurse helpful information.Examining the client's scalp also would not yield helpful information.Diagnostic studies should not be undertaken without further assessment.

Question 3

The client with adrenal hyperfunction screams at her husband,bursts into tears,and throws her water pitcher against the wall.She then tells the nurse,"I feel like I am going crazy." Which is the nurse's best response?

A) "I will ask your doctor to order a psychiatric consult for you."
B) "You feel this way because of your hormone levels."
C) "Can I bring you information about support groups?"
D) "I will close the door to your room and restrict visitors."

"You feel this way because of your hormone levels."

Accepted Answer

Hypercortisolism can cause the client to show neurotic or psychotic behavior.The client needs to know that these behavior changes do not reflect a true psychiatric disorder and will resolve when therapy results in lower and steadier blood cortisol levels.The client needs to understand this effect and does not need a psychiatrist,support groups,or restricted visitors at this time.

Question 4

The male client with hypopituitarism asks the nurse how long he will have to take testosterone hormone replacement therapy.Which is the nurse's best answer?&#10;A) &#34;When your blood levels of testosterone are normal, the therapy is no longer needed.&#34;&#10;B) &#34;When your beard thickens and your voice deepens, the dose is decreased, but treatment will continue forever.&#34;&#10;C) &#34;When your sperm count is high enough to demonstrate fertility, you will no longer need this therapy.&#34;&#10;D) &#34;When you start to have undesirable side effects, the dose is decreased to the lowest possible level, and treatment is continued until you are 50 years old.&#34;

Accepted Answer

Testosterone therapy is initiated with high-dose testosterone derivatives and is continued until virilization is achieved.The dose is then decreased,but therapy continues throughout life.

Question 5

A client just diagnosed with acromegaly is scheduled for a hypophysectomy.Which statement made by the client indicates a need for clarification regarding this treatment?&#10;A) &#34;I will drink whenever I feel thirsty after surgery.&#34;&#10;B) &#34;I'm glad no visible incision will result from this surgery.&#34;&#10;C) &#34;I hope I can go back to wearing size 8 shoes instead of size 12.&#34;&#10;D) &#34;I will wear slip-on shoes after surgery so I don't have to bend over.&#34;

Accepted Answer

Although removal of the tissue that is oversecreting hormones can relieve many symptoms of hyperpituitarism,skeletal changes and organ enlargement are not reversible.It will be appropriate for the client to drink as needed postoperatively and avoid bending over,reassured that the incision will not be visible.

Question 6

A client thought to have a problem with the pituitary gland is given a stimulation test using insulin.A short time later,blood analysis reveals elevated levels of growth hormone (GH)and adrenocorticotropic hormone (ACTH).Which is the nurse's interpretation of this finding?

A) Pituitary hypofunction
B) Pituitary hyperfunction
C) Pituitary-induced diabetes mellitus
D) A normal pituitary response to insulin

Accepted Answer

Some tests for pituitary function involve administering agents that are known to stimulate the secretion of specific pituitary hormones and then measuring the response.Such tests are termed stimulation tests.For example,the presence of insulin in those with normal pituitary function causes increased release of GH and ACTH.The stimulation test for GH or ACTH assessment involves injecting the client with regular insulin (0.05 to 1 U/kg of body weight)and checking circulating levels of GH and ACTH.

Question 7

A client with hypercortisolism has an irregular pulse.Which is the nurse's priority intervention?&#10;A) Documenting the finding and reassessing in 1 hour&#10;B) Assessing blood pressure in both arms&#10;C) Administering atropine sulfate&#10;D) Assessing the telemetry reading

Accepted Answer

Hypercortisolism causes potassium imbalances,which can lead to fatal dysrhythmias.With an irregular pulse,the nurse should assess the client's cardiac rhythm.The finding should be documented,but the nurse cannot wait an hour to take further action.Assessing bilateral blood pressures will not provide useful information.No indications for atropine are known.

Question 8

A client has received vasopressin (DDAVP)for diabetes insipidus.Which assessment finding indicates a therapeutic response to this therapy?&#10;A) Urine output is increased; specific gravity is increased.&#10;B) Urine output is increased; specific gravity is decreased.&#10;C) Urine output is decreased; specific gravity is increased.&#10;D) Urine output is decreased; specific gravity is decreased.

Accepted Answer

Diabetes insipidus causes urine output to be greatly increased,with a low urine osmolarity,as evidenced by a low specific gravity.Effective treatment results in decreased urine output that is more concentrated,as evidenced by an increased specific gravity.

Question 9

Which safety measure is most important for the nurse to institute for a client who has Cushing's disease?&#10;A) Pad the siderails of the client's bed.&#10;B) Assist the client to change positions slowly.&#10;C) Use a lift sheet to change the client's position.&#10;D) Keep suctioning equipment at the client's bedside.

Accepted Answer

Cushing's syndrome or disease greatly increases the serum levels of cortisol,which contributes to excessive bone demineralization and increases the risk for pathologic bone fracture.The client should not require suctioning.Padding the siderails and assisting the client to change position may be effective,but these measures will not protect him or her as much as using a lift sheet.

Question 10

A client has a hormone deficiency.Which deficiency is the highest priority?&#10;A) Growth hormone&#10;B) Luteinizing hormone&#10;C) Thyroid-stimulating hormone&#10;D) Follicle-stimulating hormone

Accepted Answer

A deficiency of thyroid-stimulating hormone (TSH)is the most life-threatening deficiency of the hormones listed in this question.TSH is needed to ensure proper synthesis and secretion of the thyroid hormones,whose functions are essential for life.

Question 11

A client has documented acromegaly.During a physical assessment before surgery for a knee replacement,the nurse discovers that she has a moderately enlarged liver.Which is the nurse's best action?&#10;A) Counsel the client on the health risks of alcoholism.&#10;B) Assess for jaundice of the skin and eyes.&#10;C) Document the finding and monitor the client.&#10;D) Draw blood for liver function studies.

Accepted Answer

The answer of A client has documented acromegaly.During a physical...

Question 12

A client on medication after a bilateral adrenalectomy calls the clinic asking to be seen for &#34;stomach flu&#34; with nausea and vomiting.Which response by the nurse is best?&#10;A) &#34;I will call in a prescription for an antiemetic medication for you.&#34;&#10;B) &#34;Try to drink extra fluids until you can come in for an appointment.&#34;&#10;C) &#34;You need to go to the nearest emergency department today.&#34;&#10;D) &#34;Double the dose of your medication today and tomorrow.&#34;

Accepted Answer

The answer of A client on medication after a bilateral...

Question 13

A client is going home after an endoscopic transnasal hypophysectomy.Which statement by the client indicates an adequate understanding of discharge instructions?&#10;A) &#34;I will wear dark glasses whenever I am outdoors.&#34;&#10;B) &#34;I will keep food on upper shelves so I do not have to bend over.&#34;&#10;C) &#34;I will wash the incision line every day with peroxide and redress it immediately.&#34;&#10;D) &#34;I will remember to cough and deep breathe every 2 hours while I am awake.&#34;

Accepted Answer

The answer of A client is going home after an...

Question 14

A client who had a trans-sphenoidal hypophysectomy 2 days ago now has nuchal rigidity.Which is the nurse's priority action?&#10;A) Have the client do active range-of-motion exercises for the neck.&#10;B) Document the finding and monitor the client.&#10;C) Take the client's temperature and other vital signs.&#10;D) Assess using a pain scale and administer pain medication.

Accepted Answer

The answer of A client who had a trans-sphenoidal hypophysectomy...

Question 15

Which dietary alterations does the nurse make for a client with Cushing's disease?&#10;A) High carbohydrate, low potassium&#10;B) Low carbohydrate, low sodium&#10;C) Low protein, low calcium&#10;D) High Carbohydrate, low potassium

Accepted Answer

The answer of Which dietary alterations does the nurse make...

Question 16

A client with suspected syndrome of inappropriate antidiuretic hormone (SIADH)has a serum sodium of 114 mEq/L.Which action by the nurse is best?&#10;A) Consult with the registered dietitian about increased dietary sodium.&#10;B) Restrict the client's fluid intake to 900 mL/24 hr.&#10;C) Handle the client gently by using turn sheets for repositioning.&#10;D) Instruct the nursing assistants to measure intake and output.

Accepted Answer

The answer of A client with suspected syndrome of inappropriate...

Question 17

Which safety measure does the nurse use for the adult client who has growth hormone deficiency?&#10;A) Avoid intramuscular medications.&#10;B) Place the client in protective isolation.&#10;C) Use a lift sheet to reposition the client.&#10;D) Assist the client to change positions slowly.

Accepted Answer

The answer of Which safety measure does the nurse use...

Question 18

A client who has been taking high-dose corticosteroid therapy for 1 month to treat a severe inflammatory condition,which has now resolved,asks the nurse why she needs to continue taking corticosteroids.Which is the nurse's best response?

A) "It is possible for the inflammation to recur if you stop the drugs."
B) "Once you start corticosteroids, you have to be weaned off them."
C) "You must decrease the dose slowly so your hormones will begin to work again."
D) "The drug suppresses your immune system, which needs to be built back up."

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Accepted Answer

The answer of A client who has been taking high-dose...

Question 19

An adult client has been diagnosed with a deficiency of gonadotropin and growth hormone.Which fact reported in the client's history could have contributed to this problem?&#10;A) Mother with adult-onset diabetes mellitus&#10;B) Experienced head trauma 5 years ago&#10;C) Severe allergy to shellfish and iodine&#10;D) Has used oral contraceptives for 5 years

Accepted Answer

The answer of An adult client has been diagnosed with...

Question 20

The new nurse is assessing a client with suspected pheochromocytoma.Which action by the nurse requires the precepting nurse to intervene?&#10;A) Auscultating, palpating, and percussing the client's abdomen&#10;B) Taking the client's blood pressure for reports of chest pain&#10;C) Assessing the client's diet for red wine and aged cheeses&#10;D) Limiting visitors while the client is sleeping

Accepted Answer

The answer of The new nurse is assessing a client...

Question 21

A female client is beginning treatment with bromocriptine (Parlodel).The nurse has initiated teaching sessions about potential side effects.Which is the most important point of instruction?&#10;A) &#34;Take and record your temperature daily.&#34;&#10;B) &#34;Be sure to eat 20 to 30 grams of fiber daily.&#34;&#10;C) &#34;Plan to take the medication on an empty stomach.&#34;&#10;D) &#34;I will need to teach you how to give the injection.&#34;

Accepted Answer

The answer of A female client is beginning treatment with...

Question 22

A client has cortisol deficiency and is being treated with prednisone (Deltasone).Which instruction by the nurse is most appropriate?&#10;A) &#34;You will need to learn how to rotate the injection sites.&#34;&#10;B) &#34;If you work outside when it's hot, you may need another drug.&#34;&#10;C) &#34;Be sure to stay on your salt restriction even though it's difficult.&#34;&#10;D) &#34;Take one tablet in the morning and two tablets at night to start.&#34;

Accepted Answer

The answer of A client has cortisol deficiency and is...

Question 23

Which physical characteristics are indicative of anterior pituitary hyperfunction?&#10;A) Protrusion of the lower jaw&#10;B) High-pitched voice&#10;C) Enlarged hands and feet&#10;D) Kyphosis&#10;E) Barrel-shaped chest&#10;F) Excessive sweating

Accepted Answer

The answer of Which physical characteristics are indicative of anterior...

Question 24

The nurse is caring for a client who has undergone a hypophysectomy.Which is the nurse's priority postoperative intervention?&#10;A) Keep the head of the bed flat and the client supine.&#10;B) Instruct the client to cough, turn, and deep breathe hourly.&#10;C) Report clear or yellow drainage from the nose or incision site.&#10;D) Apply petroleum jelly to the client's lips to avoid mouth dryness.

Accepted Answer

The answer of The nurse is caring for a client...

Question 25

The client has chronic hypercortisolism.Which intervention is the highest priority for the nurse?&#10;A) Wash the hands when entering the room.&#10;B) Keep the client in protective isolation.&#10;C) Observe the client for increased white blood cell counts.&#10;D) Assess the daily chest x-ray.

Accepted Answer

The answer of The client has chronic hypercortisolism.Which intervention is...

Question 26

A client is brought to the emergency department via rescue squad in acute adrenal crisis.Which action by the nurse is the priority?&#10;A) Start an IV line if the client does not already have one.&#10;B) Administer hydrocortisone sodium succinate (Solu-Cortef).&#10;C) Instruct the nursing assistant to check the client's blood glucose.&#10;D) Administer 20 units of insulin and 20 mg of dextrose in normal saline.

Accepted Answer

The answer of A client is brought to the emergency...

Question 27

Which conditions may cause hypopituitarism?&#10;A) Benign pituitary tumors&#10;B) Diplopia&#10;C) Anorexia nervosa&#10;D) Hypotension&#10;E) Shock&#10;F) Weight gain

Accepted Answer

The answer of Which conditions may cause hypopituitarism?&#10;A) Benign pituitary...

Question 28

Which serum laboratory values alert the nurse to the possibility of hyperaldosteronism?&#10;A) Sodium, 150 mEq/L&#10;B) Sodium, 130 mEq/L&#10;C) Potassium, 2.5 mEq/L&#10;D) Potassium, 5.0 mEq/L&#10;E) pH, 7.28&#10;F) pH, 7.50

Accepted Answer

The answer of Which serum laboratory values alert the nurse...

Question 29

A female client has a decrease in all pituitary hormones.Which assessment question by the nurse elicits the best information?&#10;A) &#34;Do you have any biological children?&#34;&#10;B) &#34;Do you have a decreased sex drive?&#34;&#10;C) &#34;Have you noticed increased facial hair?&#34;&#10;D) &#34;Are you more intolerant of heat?&#34;

Accepted Answer

The answer of A female client has a decrease in...

Deck 65: Care of Patients With Pituitary and Adrenal Gland Problems