Deck 18: Nursing Care of People With Endocrine Disorders

Question 1

A person recovering from a thyroidectomy asks when the eyes will return to normal. Which nursing diagnosis is appropriate for this person's concern?

A)Disturbed body image.
B)Powerlessness.
C)Disturbed sensory perception: visual.
D)Coping

Answer 1

Disturbed body image.

Question 2

A person is scheduled for a thyroidectomy. What should the nurse include when providing preoperative teaching?

A)Remind the person to avoid iodine and salt.
B)Review scar expectations and how the use of plastic surgery is often helpful.
C)Explain how the bed will need to be flat after surgery.
D)Instruct about how to support the neck with the hands while coughing.

Answer 2

Instruct about how to support the neck with the hands while coughing.

Question 3

A person being treated for hyperthyroidism is concerned because the symptoms are not improving. How should the nurse respond to this person?

A)'It sounds like you need another medication to add to the one you are already taking.'
B)'Maybe the medication isn't working.'
C)'It can take several weeks for the medication to begin working.'
D)'Be sure to tell the doctor about how you are feeling.'

Answer 3

'It can take several weeks for the medication to begin working.'

Question 4

Which manifestation should the nurse expect to assess in a person with hypoparathyroidism?

A)Peptic ulcers.
B)Paraesthesia.
C)Hypertension.
D)Weight loss.

Question 5

A person with Cushing's syndrome is concerned about the frequency of head colds. ''Which nursing intervention would be appropriate for this person?

A)Assess for protein and vitamin intake.
B)Encourage daily weighing.
C)Limit visitor contact.
D)Plan for frequent rest periods.

Question 6

A family member is concerned about keeping an older person's broken skin areas clean. What should the nurse teach this family member?

A)'Use warm water.'
B)'Use firm, consistent strokes when bathing.'
C)'Make sure she has a daily bath.'
D)'Follow the bath with an alcohol body massage.'

Question 7

A person is newly diagnosed with hyperthyroidism. Which manifestation is consistent with this diagnosis?

A)Muscle weakness.
B)Blurred vision.
C)Bradycardia.
D)Lethargy.

Question 8

A person is newly diagnosed with hypothyroidism. Which manifestation is consistent with this diagnosis?

A)Bradycardia.
B)Tremors.
C)Exophthalmos.
D)Nausea and vomiting.

Question 9

Which laboratory data would be used to diagnose a person with Grave's disease?

A)Increased serum thyroid-stimulating hormone.
B)Increased serum thyroid antibodies.
C)Decreased radioactive iodine uptake.
D)Decreased serum thyroxine.

Question 10

During the assessment of a person with a hyperthyroidism, the nurse notes smooth, fine hair and warm, dry skin. What do these findings indicate?

A)Inconsistency with the diagnosis of hyperthyroidism.
B)Nothing, as these are normal findings in hyperthyroidism.
C)A concurrent disease.
D)Oversecretion of thyroid-stimulating hormone.

Question 11

A person is diagnosed with hyperparathyroidism. Which assessment finding is consistent with this diagnosis?

A)Hypotension.
B)Muscle weakness.
C)Weight gain.
D)Fluid retention.

Question 12

A person with hyperthyroidism is prescribed propranolol (Inderal). What should the nurse explain as being the purpose of this medication?

A)Prevent muscle wasting.
B)Reduce tachycardia.
C)Limit insomnia.
D)Prevent abdominal pain

Question 13

A person taking steroid medication is concerned about 'losing weight' in the legs. '''What should the nurse suspect this person is experiencing?

A)Increased risk of compression fractures.
B)Muscle wasting.
C)Peripheral oedema.
D)Increased risk of infections.

Question 14

A person comes into the emergency department with Addisonian crisis. What should the nurse be prepared to administer to this person?

A)Dexamethasone.
B)Adrenaline.
C)Intravenous fluids.
D)Vasopressin.

Question 15

A person with myxoedema is concerned about a rising cholesterol level despite adhering to a strict diet. How should the nurse respond to this person?

A)'It's a normal part of ageing.'
B)'The thyroid gland disease can affect your cholesterol level.'
C)'You need to cut all fat out of your diet'
D)'Maybe you don't realise how much fat is in the foods that you eat.'

Question 16

A person asks why the skin is tanning despite rarely spending time out of doors in the sun. '''What should the nurse assess in this person?

A)Ask what time of day the person is outdoors.
B)Ask if the person is still taking the prescribed steroid for Addison's disease.
C)Palpate the person's adrenal gland.
D)Perform a complete integumentary assessment.

Question 17

A person is recovering from a bilateral adrenalectomy. Which action should the nurse take to monitor for the development of adrenal insufficiency?

A)Change the wound dressing using clean technique.
B)Restrict dietary protein.
C)Place on fluid restriction.
D)Monitor strict fluid intake and output.

Question 18

The nurse suspects that a person has hypoparathyroidism. Which assessment findings did the nurse use to make this clinical determination? (Select all that apply.)

A)Hypertension.
B)Hair loss.
C)Smooth, soft skin.
D)Abdominal cramps.

Question 19

A person recovering from surgical removal of the parathyroid glands has a temperature of 38.9°C with a rising systolic blood pressure. What should the nurse do for this person?

A)Administer paracetamol as prescribed.
B)Apply a cooling blanket.
C)Nothing, as these are normal postoperative findings.
D)Apply ice to the groin.

Question 20

A 35-year-old woman who takes oral contraceptives is prescribed steroid therapy. What should be included when teaching the person about this medication?

A)Monitor blood glucose levels.
B)Avoid salt.
C)Consider changing the form of contraception.
D)Check blood pressure daily.