Question 1

A tumor of the pituitary has caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH).Which interventions should the nurse plan?

Accepted Answer

The nurse should assist with activities of daily living because of weakness,record accurate urine output because of oliguria,weigh the patient daily to assess fluid volume status,and assess for changes in level of consciousness.There is no overt threat of a GI bleed with SIADH,so assessing stools for occult blood is not indicated.

Question 2

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 6

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 3

The nurse's major contribution to the care of a patient with Cushing syndrome is that of __________ and __________.

Accepted Answer

The answer of The nurse's major contribution to the care...

Question 4

On the first postoperative day following a total thyroidectomy,which finding(s)would lead the nurse to suspect that the patient may be developing a thyroid storm?

Accepted Answer

Rising temperature,a brief attention span,and apprehension with restlessness would indicate a developing thyroid storm.Increasing pulse and respirations are other manifestations of thyroid storm.

Question 5

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 4

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 6

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 5

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 7

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Hyponatremia,edema

Accepted Answer

Increased antidiuretic hormone (ADH) causes water retention in the body, leading to hyponatremia and edema.

Question 8

The nurse is planning care for a patient with diabetes insipidus (DI).Which outcomes are important for the nurse to include?

Accepted Answer

Goals for the patient with DI should include fluid therapy maintenance,energy conservation,and assessment for bradycardia.DI patients are often constipated and frail from weight loss.

Question 9

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Pathologic fractures

Accepted Answer

Decreased growth hormone in adults can lead to decreased bone density, making bones more susceptible to fractures, known as pathologic fractures.

Question 10

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Weight gain,fatigue,and lethargy

Accepted Answer

Decreased thyroid hormone levels would lead to a decrease in metabolic rate, resulting in weight gain and fatigue.

Answer: A
 Decreased growth hormone levels would lead to decreased muscle mass and energy levels, resulting in fatigue and lethargy.

Answer: None of the other options provided would cause weight gain, fatigue and lethargy as their primary symptoms. Increased thyroid hormone levels could lead to weight loss and increased energy levels, decreased follicle-stimulating hormone levels could lead to changes in menstrual cycles, and increased antidiuretic hormone levels could lead to fluid retention, but none of these directly match the symptoms listed.

Question 11

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-Menstrual irregularities

Accepted Answer

Menstrual irregularities can be caused by decreased follicle-stimulating hormone levels. This can result in disrupted follicular development and ovulation, leading to irregular or absent menstrual cycles.

Question 12

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce.

-High metabolism rate

Accepted Answer

Increased thyroid hormone can lead to a high metabolism rate.

Answer: A
 Decreased growth hormone can lead to a reduced metabolism rate, decreased muscle mass, and decreased bone density, but not a high metabolism rate.

Answer: D
 Decreased thyroid hormone can lead to a reduced metabolism rate, but not a high metabolism rate.

Answer: C and E
 Decreased follicle-stimulating hormone can lead to decreased sex hormone levels and decreased fertility. Increased antidiuretic hormone can lead to fluid retention and hyponatremia, but not a high metabolism rate.

Question 13

Which interventions are indicated for the immediate postoperative care of a person after a thyroidectomy?

Accepted Answer

Immediate postoperative care of a person who had a total thyroidectomy includes supporting the head with sandbags,and assessing the patient's ability to swallow,and monitoring for bleeding.The patient should be placed in high Fowler position and vital signs should be assessed every 15 minutes.

Question 14

Which classic signs and symptoms are manifestations of hyperthyroidism?

Accepted Answer

Manifestations of hyperthyroidism include tremulousness,exertional dyspnea,scanty menstruation,and increased thirst and urination.Hyperthyroidism causes tachycardia.

Question 15

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 3

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 16

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 2

Accepted Answer

The answer of The nurse traces the closed loop of...

Question 17

The nurse is evaluating the laboratory results of a patient suspected of having hyperparathyroidism.Which finding(s)would be consistent with this condition?

Accepted Answer

Hyperparathyroidism would result in anorexia,low serum phosphate,and increased serum calcium.Hyperparathyroidism would cause constipation rather than diarrhea and lethargy rather than agitation.

Question 18

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order.

-Step 1

Accepted Answer

The answer of The nurse traces the closed loop of...

Quiz 36: Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

A tumor of the pituitary has caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH) .Which interventions should the nurse plan?

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 6

The nurse's major contribution to the care of a patient with Cushing syndrome is that of and .

On the first postoperative day following a total thyroidectomy,which finding(s) would lead the nurse to suspect that the patient may be developing a thyroid storm?

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 4

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 5

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Hyponatremia,edema

The nurse is planning care for a patient with diabetes insipidus (DI) .Which outcomes are important for the nurse to include?

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Pathologic fractures

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Weight gain,fatigue,and lethargy

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -Menstrual irregularities

The nurse associates the pathophysiology to the signs of the condition it causes in the adult.Match the hormonal change to the symptom it would produce. -High metabolism rate

Which interventions are indicated for the immediate postoperative care of a person after a thyroidectomy?

Which classic signs and symptoms are manifestations of hyperthyroidism?

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 3

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 2

The nurse is evaluating the laboratory results of a patient suspected of having hyperparathyroidism.Which finding(s) would be consistent with this condition?

The nurse traces the closed loop of thyroid secretion.Place the events in appropriate order. -Step 1