Caring for the Adult Unit 3 Chapter Reviews

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Caring for the Adult Unit 3 Chapter Reviews
2012-09-29 00:34:37
Caring Adult

Chapters 44 & 45
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  1. Which of the following is the overall mission of the endocrine system?
    a.       To maintain electrolyte balance
    b.      To control metabolic rate
    c.       To maintain homeostasis
    d.      To resist infection
  2. Hormones secreted by the anterior pituitary include which of the following? (Select all that apply.)
    a.       ADH
    b.      ACTH
    c.       GH
    d.      LH
    b, c, d
  3. A patient who has recently started treatment for acromegaly says, "I will be so glad to look like myself again!" Which of the following is the most appropriate response?
    a.       "I know you  are looking forward to that."
    b.      "The process of reversing the effects of acromegaly is very slow."
    c.       "Treatment will keep your symptoms from getting worse but will not reverse all of them."
    d.      "These drugs can slow down the progression of acromegaly, but you will have additional bone enlargement."
  4. After surgery to remove a pituitary adenoma, a patient complains of neck stiffness. Which of the following actions should you take?
    a.       Give a gentle neck massage.
    b.      Administer a prescribed analgesic agent.
    c.       Lower the head of the bed.
    d.      Look for other signs of infection.
  5. Patients with hypopituitarism who wish to have children must be treated with which of the following hormones? (Select all that apply.)
    a.       LH
    b.      Thyroid hormone
    c.       FSH
    d.      Prolactin
    a, c
  6. Which of the following is the main symptom of SIADH?
    a.       Increased blood glucose
    b.      Water retention
    c.       Generalized edema
    d.      Hypotension
  7. To regulate drug dosages for the patient with DI, which of the following records must be maintained?
    a.       Daily diet
    b.      Sodium intake
    c.       Urine specific gravity
    d.      BP and pulse
  8. Fluid and electrolyte imbalances associated with Addison disease include which of the following? (Select all that apply.)
    a.       Hyperkalemia
    b.      Hyponatremia
    c.       Hypervolemia
    d.      Metabolic alkalosis
    a, b
  9. A patient who is brought to the emergency department has BP 88/40 mm Hg; pulse 108 bpm, thready; and dry skin and mucous membranes. He is confused. A medical alert card in his wallet states that he takes drugs for Addison disease. You recognize the signs and symptoms of which of the following?
    a.       Acute adrenal crisis
    b.      Cushing syndrome
    c.       Diabetic ketoacidosis
    d.      Cushing disease
  10. Nursing care of the patient with Cushing syndrome should include which of the following? (Select all that apply.)
    a.       Apply moisturizers to dark, toughened areas of skin.
    b.      Protect the patient from visitors and other patients with infections.
    c.       Tell the patient that mood swings and irritability will lessen with treatment.
    d.      Encourage the patient to use salt liberally to offset excessive loss in the urine.
    a, c
  11. The primary function of thyroid hormones is to regulate?
  12. You are notified that a patient with severe hypothyroidism is being admitted to your nursing unit. Which of the following actions is (or are) appropriate? (Select all that apply.)
    a.       Obtain an emergency tracheostomy tray.
    b.      Close the blinds to dim the room light.
    c.       Have extra blankets put in the room.
    d.      Pad the side rails on the bed.
  13. Which of the following findings is (or are) most likely in a patient with severe hyperthyroidism? (Select all that apply.)
    a.       Respiratory rate of 12  breaths per minute
    b.      Heart rate of 120 bpm
    c.       BP of 160/90 mm Hg
    b, c
  14. You observe that a hyperthyroid patient has prominent, bulging eyeballs. The term used to describe this condition is                                             .
  15. A 6-week course of treatment with propylthiouracil (PTU) is prescribed for a patient who is scheduled for a thyroidectomy. The patient asks why she has to take this medication. Which of the following is the best response?
    a.       "PTU will help you eliminate excess thyroid hormone."
    b.      "It reduces your thyroid activity, which makes surgery safe for you."
    c.       "PTU will provide replacement thyroid hormones after your thyroid gland is removed."
    d.      "This drug will cause your thyroid gland to shrink, which will reduce pressure on your airway."
  16. In the immediate postoperative period after thyroidectomy, which of the following is the first priority?
    a.       Maintain a patent airway.
    b.      Inspect for hemorrhage.
    c.       Monitor for hypocalcemia.
    d.      Prevent strain on the suture line.
  17. Which of the following is the purpose of measuring serum thyroglobulin in a patient who has had thyroid cancer?
    a.       To determine adequacy of thyroid hormone replacement
    b.      To detect any recurrence of the thyroid cancer
    c.       To see whether all RAI has been eliminated
    d.      To determine whether parathyroid function is normal
  18. Which of the following statements accurately describes the relationship between PTH and serum calcium? (Select all that apply.)
    a.       The secretion of PTH increases when serum calcium is low.
    b.      Increased secretion of PTH causes the kidneys to retain calcium.
    a, b
  19. A patient had a parathyroid adenoma removed 2 days ago. She is now complaining of muscle cramps in her hands and feet. Which of the following should you suspect?
    a.       Poor circulation
    b.      Thyroid storm
    c.       Hypocalcemia
    d.      Metabolic acidosis
  20. Nursing implications in administering iodide solutions to a patient include which of the following?
    a.       Dilute in milk or juice, and provide a straw.
    b.      Take the patient's pulse and BP before each dose.
    c.       Tell the patient to report any changes in hearing acuity.
    d.      Carefully maintain accurate intake and output records.