Question 1

Which of the following is considered the strongest stimuli responsible for a client's elevated thyroid hormone?

Accepted Answer

Exposure to cold is the strongest stimulus for increasing thyroid hormone levels. This is because the thyroid hormone helps to increase the metabolism and generate body heat in response to cold temperatures. Hunger, ongoing infection, and hypocalcemia may have some impact on thyroid hormone levels, but they are not considered as strong of stimuli as exposure to cold.

Question 2

How would the nurse explain the pathophysiologic etiology of cretinism to a client's family?

Accepted Answer

Cretinism is caused by a congenital hypofunction of the thyroid gland, leading to inadequate thyroid hormone production. This can result from a number of factors, including genetic disorders or maternal iodine deficiency. Without sufficient thyroid hormones, the body is unable to maintain normal metabolic function and growth, leading to developmental delays and physical abnormalities. Hypercalcemia, hypersecretion of the thyroid in the first six months of life, and lack of iodine replacement are not the primary causes of cretinism.

Question 3

The nurse is reviewing the results of a client's laboratory studies. Which of the following must be available to assist in the synthesis of thyroid hormones?

Accepted Answer

Iodine is essential for the synthesis of thyroid hormones, as it is a key component of both thyroxine (T4) and triiodothyronine (T3).

Question 4

When administering insulin to a client, the nurse will rotate injection sites primarily to prevent:

Accepted Answer

Rotating injection sites helps prevent lipodystrophy, a condition in which the fatty tissue under the skin becomes damaged and results in poor insulin absorption.

Question 5

Which of the following medications may require an adjustment of insulin by the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Which of the following medications may require...

Question 6

Which statements indicate that instruction provided to a client with Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Accepted Answer

The answer of Which statements indicate that instruction provided to...

Question 7

The nurse is instructing a client on the role of the pancreas in controlling blood glucose levels. When does the pancreas excrete glucagon to maintain an adequate amount of glucose in the blood? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is instructing a client on...

Question 8

What should the nurse include when teaching a newly diagnosed client about insulin? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A) Rotating injection sites helps prevent tissue damage and absorption problems.
B) Recognizing the signs of hypoglycemia is important to prevent severe complications.
D) Carrying a readily available supply of sugar helps treat hypoglycemia.
E) Wearing a medic alert bracelet ensures that medical personnel are aware of the client's condition in case of an emergency. 
C) Insulin should not be stored in the freezer, as it can be damaged.

Question 9

What dietary instructions should the nurse provide a client who is prescribed glyburide (DiaBeta)? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of What dietary instructions should the nurse provide...

Question 10

The student nurse administers a dose of lispro insulin to a client before breakfast at 0730. At 0735, the porter comes to take the client for a chest x-ray (CXR), the client will be off the floor for about 15 minutes. What is the best action of the student?

Accepted Answer

The answer of The student nurse administers a dose of...

Question 11

Which laboratory value will the nurse monitor to determine the progression of a thyroid disease in a client?

Accepted Answer

Thyroid stimulating hormone (TSH) is the most sensitive marker for monitoring the progression of thyroid disease. High TSH levels indicate hypothyroidism while low TSH levels indicate hyperthyroidism. T3 and T4 levels can also be monitored, but TSH is the primary marker. Iodine levels are not typically monitored in the progression of thyroid disease.

Question 12

The nurse decides to withhold a prescribed dose of metformin to a client after reviewing the medical record. For which conditions is this medication contraindicated or used with caution? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse decides to withhold a prescribed...

Question 13

Which diagnostic test would the nurse prepare a client for to detect malignancy of a thyroid nodule, the nurse would prepare the client for:

Accepted Answer

A needle biopsy is the best diagnostic test to detect malignancy of a thyroid nodule. It involves using a needle to take a small tissue sample from the nodule, which is then examined for cancerous cells. Thyroid scanning, ultrasound, and x-ray are not definitive tests for diagnosing thyroid cancer.

Question 14

In which of the following conditions would the nurse expect to find elevated levels of T3 and T4?

Accepted Answer

T3 and T4 are bound to proteins, including albumin. Hypo-albuminemia would lead to decreased protein binding and increased levels of free T3 and T4 in the bloodstream. Elevated levels of T3 and T4 are not associated with leukopenia, thrombocytopenia, or hemolytic anemia.

Question 15

After an assessment, the nurse suspects that a client is experiencing signs of Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Accepted Answer

The combination of excessive urination, excessive thirst, blurred vision, and tingling of the fingers and toes suggests hyperglycemia, which could be a sign of diabetes. Itchy skin rash is not typically associated with hyperglycemia.

Question 16

MCSA A nurse is conducting a class on diabetes to a group of newly diagnosed clients with Diabetes Type 2) What statement by a client indicates more teaching is necessary?

Accepted Answer

The statement A indicates a misunderstanding about Diabetes Type 2 as beta cell destruction is a characteristic of Type 1 Diabetes, not Type 2. The other statements are correct and show an understanding of the condition or its treatment.

Question 17

What should the nurse teach a client with diabetes about how to reduce the risk of cardiovascular complications from the disorder? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

To reduce the risk of cardiovascular complications from diabetes, the nurse should teach the client to stop smoking, follow a low-fat diet, take blood pressure medication as prescribed, and keep blood glucose levels within normal limits. Preventing constipation may be important for overall health, but it is not directly related to reducing the risk of cardiovascular complications.

Question 18

Which client statements indicate to the nurse that instruction about Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Accepted Answer

The statement "Exercise will cure type 2 diabetes mellitus" is incorrect, while the statement "I can eat anything I want as long as I take my medication exercise afterwards" is also incorrect as it promotes a lack of dietary control. Therefore, only options A and B are correct statements that indicate the client understands the instruction given.

Question 19

Which symptom would the nurse anticipate the client with hypothyroidism to exhibit?

Accepted Answer

Hypothyroidism is characterized by a decrease in thyroid hormone levels, leading to a decrease in metabolism. This can cause constipation, along with other symptoms such as fatigue, cold intolerance, and weight gain. Heat intolerance, weight loss, and hypertension are not typical symptoms of hypothyroidism.

Question 20

A client has low levels of T3 and T4 )  The nurse realizes that in response to these levels, the anterior pituitary will secrete:

Accepted Answer

Low levels of T3 and T4 will trigger the anterior pituitary to secrete thyroid-stimulating hormone (TSH) in order to stimulate the thyroid gland to produce more of these hormones.

Quiz 6: Pharmacology of Alterations in the Endo-crine System

Which of the following is considered the strongest stimuli responsible for a client's elevated thyroid hormone?

How would the nurse explain the pathophysiologic etiology of cretinism to a client's family?

The nurse is reviewing the results of a client's laboratory studies. Which of the following must be available to assist in the synthesis of thyroid hormones?

When administering insulin to a client, the nurse will rotate injection sites primarily to prevent:

Which of the following medications may require an adjustment of insulin by the health care provider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which statements indicate that instruction provided to a client with Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

What should the nurse include when teaching a newly diagnosed client about insulin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

What dietary instructions should the nurse provide a client who is prescribed glyburide (DiaBeta) ? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The student nurse administers a dose of lispro insulin to a client before breakfast at 0730. At 0735, the porter comes to take the client for a chest x-ray (CXR) , the client will be off the floor for about 15 minutes. What is the best action of the student?