Deck 51: Endocrine Drugs: Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Question 1

A client is noted to have Cushing syndrome. The highest priority nursing intervention related to the client's electrolyte levels is to monitor for evidence of:

A) sodium retention.
B) water depletion.
C) hypocalcemia.
D) hyperkalemia.

Answer 1

sodium retention.

Question 2

The nurse teaches the client the signs and symptoms of hypothyroidism. The client is taught to self-monitor closely for:

A) tachycardia.
B) palpitations.
C) intolerance to heat.
D) weight gain.

Answer 2

weight gain.

Question 3

The client is an older adult who is being treated with a glucocorticoid medication. The highest priority nursing intervention with this client is to monitor for evidence of:

A) cardiac dysrhythmias.
B) visual disturbances.
C) cognitive deterioration.
D) increased osteoporosis.

Answer 3

increased osteoporosis.

Question 4

The client is being treated with calcitriol. Her treatment regimen includes thiazide diuretics. The highest priority nursing intervention based on this drug interaction is to monitor serum _____ level.

A) calcium
B) potassium
C) sodium
D) magnesium

Question 5

Dietary instructions for the client who is being treated with glucocorticoids includes eating a diet high in:

A) vitamin A.
B) potassium.
C) iron.
D) magnesium.

Question 6

The client is being treated with growth hormone. During treatment, the nurse monitors the client closely for evidence of:

A) diabetes mellitus.
B) gastrointestinal distress.
C) hypotension.
D) dwarfism.

Question 7

A client sustains a brain injury. The client is being treated with desmopressin acetate. What would indicate a positive outcome from the medication?

A) Reduction in urine output
B) Increase in urine output
C) Decrease in reabsorption of water in the renal tubules
D) Elevation of the client's heart rate

Question 8

The client is being treated with thyroid replacement therapy. What is the highest priority nursing instruction regarding dietary requirements?

A) Avoid eating shellfish.
B) Avoid eating steak.
C) Increase intake of spinach.
D) Increase intake of strawberries.

Question 9

The client is being treated with prednisone. His treatment regimen includes aspirin. The nurse anticipates that the interaction of the two medications will result in _____ toxicity.

A) cardiac
B) genitourinary
C) gastrointestinal
D) respiratory

Question 10

The healthcare provider left an order to discontinue prednisone (Deltasone, Meticorten, Orasone, others). The highest priority action for the nurse is to:

A) contact the healthcare provider to determine a tapering schedule.
B) explain to the client that the drug will be immediately stopped.
C) contact the pharmacist to determine a tapering schedule.
D) begin gradually decreasing the prednisone dose.

Question 11

A client is found to be deficient in a mineralocorticoid. The nurse assesses the client for manifestation of this deficiency by noting evidence of:

A) hypotension.
B) hypertension.
C) bradycardia.
D) edema.

Question 12

The client is scheduled to be treated with corticotropin. Which aspect of her client history would cause the nurse to contact the primary healthcare provider?

A) Peptic ulcer
B) Arthritis
C) Glaucoma
D) Dysphagia

Question 13

The client is being treated with potassium iodide. In instructing the client on self-administration of the medication, what is the highest priority nursing instruction?

A) Drink the medication at room temperature.
B) Swallow the medication in the form of a wafer.
C) Sip the medication through a straw.
D) Chew the tablets thoroughly before swallowing.

Question 14

The nurse provides medication instructions to a client prescribed liothyronine sodium (Cytomel) for treatment of hypothyroidism. Which symptoms should the client be taught to monitor for that will indicate an overaccumulation of this drug?

A) Dry mouth and lack of ability to urinate
B) Rapid or racing heat rate
C) Lethargy and fatigue
D) Nausea and constipation

Question 15

The client is being treated with calcitriol. He complains of changes in his vision. The nurse recognizes that this symptom is most likely ________ the medication.

A) an anaphylactic reaction to
B) indicative of a toxic dosage of
C) an adverse reaction to
D) a side effect of

Question 16

The client is being treated with prednisone. Her treatment regimen includes estrogen replacement therapy. The nurse anticipates that the interaction of the two medications will result in:

A) increased effects from the estrogen.
B) increased effects from the prednisone.
C) an anaphylactic reaction.
D) toxicity from the prednisone dosage.

Question 17

A school-aged client with growth hormone (GH) deficiency is recommended for growth hormone injections. What in the client's history would warrant contacting the primary healthcare provider?

A) Asthma
B) Obesity
C) Apnea
D) Seizure disorder

Question 18

Health teaching for the client receiving prednisone (Deltasone, Meticorten, Orasone, others) to decrease the inflammatory effects related to arthritis includes which instruction?

A) Instruct the patient that the dose can be stopped as needed.
B) Advise the patient to avoid foods rich in potassium.
C) Inform the patient that prednisone should be taken between meals and without food.
D) Teach the client the signs and symptoms of excessive use of glucocorticoids.

Question 19

Client teaching on proper administration of a thyroid replacement drug includes which instruction?

A) Advise the client to report symptoms of hypothyroidism.
B) Instruct the client to take the drug at the same time each day.
C) Instruct the client to eat foods that inhibit thyroid secretion.
D) Teach the client to take the medication on a full stomach.

Question 20

The client is being treated with a glucocorticoid medication. The nurse plans to monitor him closely for evidence of:

A) hypertension.
B) hypoglycemia.
C) hypovolemia.
D) hyperkalemia.