Chapter 55--Assessment of Endocrine Function

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Chapter 55--Assessment of Endocrine Function MULTIPLE CHOICE 1. Blood work of a female client shows an increase in the production of estradiol. The nurse realizes that this hormone is controlled by ... : 1. positive feedback. 2. negative feedback. 3. nervous feedback. 4. reverse feedback. PTS: 1 DIF: Analyze REF: Positive Feedback Mechanisms 2. The nurse, instructing a client regarding hormones, would include which of the following in these instructions? 1. Hormones are nonspecific. 2. Hormone release triggers a rapid response. 3. Hormones do not influence other hormones. 4. The nervous system and hormones work together to maintain homeostasis. PTS: 1 DIF: Apply REF: Hormones 3. A client is experiencing a disorder to the anterior pituitary gland. The nurse realizes that all of the following hormones will be affected by this disorder EXCEPT: 1. adrenocorticotropic hormone. 2. antidiuretic hormone. 3. melanocyte-stimulating hormone. 4. luteinizing hormone. PTS: 1 DIF: Analyze REF: Table 55-1 Endocrine Gland Hormones 4. A client has a central nervous system disorder. The nurse realizes that the client may be experiencing alterations in hormones regulated by which of the following organs? 1. Hypothalamus 2. Pineal gland 3. Pituitary gland 4. Thyroid PTS: 1 DIF: Analyze REF: Hypothalamus Gland 5. A client is diagnosed with a low serum calcium level. The nurse realizes that which hormone is released when serum calcium levels are low? 1. Calcitonin 2. Cortisol 3. Parathyroid hormone 4. Thyroxine 6. A client is diagnosed with an increased level of glucagon. The nurse realizes that the production of glucagon occurs in which of the following cells within the pancreatic islets of Langerhans? 1. Alpha 2. Beta 3. Delta 4. F cells PTS: 1 DIF: Analyze REF: Pancreas Gland 7. A client is diagnosed with a low level of triiodothyronine. The nurse realizes that this hormone affects which of the following body functions? 1. Blood glucose regulation 2. Bone growth 3. Calcium regulation 4. Metabolism PTS: 1 DIF: Analyze REF: Thyroid Gland 8. A client is diagnosed with benign cysts on the cortex of the adrenal glands. Which of the following hormones will be affected with this health problem? 1. Aldosterone and cortisol 2. Calcitonin and parathyroid hormone 3. Epinephrine and norepinephrine 4. Prolactin and luteinizing hormone PTS: 1 DIF: Analyze REF: Adrenal Glands: Adrenal Cortex 9. The nurse realizes that an adequate amount of which vitamin must be present for parathyroid hormone to be fully effective? 1. Vitamin A 2. Vitamin C 3. Vitamin D 4. Vitamin E PTS: 1 DIF: Analyze REF: Parathyroid Glands 10. The nurse should suspect that a client has an endocrine disorder when which of the following findings is assessed regarding the integumentary status? 1. Freckles 2. Presence of moles 3. Course hair 4. Even skin tone PTS: 1 DIF: Analyze REF: Integumentary 11. A client is scheduled for x-rays of the long bones. The nurse realizes this diagnostic test is useful to help diagnose a disorder of the: 1. pituitary gland. 2. pancreas. 3. thyroid gland. 4. adrenal gland. PTS: 1 DIF: Analyze REF: Table 55-3 Common Diagnostic Tests for Endocrine System Disorders 12. The results of a client’s thyroid scan showed black and gray areas. The nurse realizes this finding is consistent with: 1. malignancies. 2. elevated phosphorus levels. 3. hyperactivity. 4. renal disease. PTS: 1 DIF: Analyze REF: Thyroid Scan 13. A client is scheduled for a thyroid scan. Which of the following should the nurse instruct the client regarding this diagnostic test? 1. Eliminate all salt in the diet. 2. Take nothing by mouth after midnight if I-131 is being used during the test. 3. Continue taking thyroid medication as prescribed. 4. Take nothing by mouth for 45 minutes after receiving intravenous technetium for the test. PTS: 1 DIF: Apply REF: Thyroid Scan: Nursing Management 14. Which of the following should the nurse instruct a client who is recovering from a thyroid biopsy as an outpatient? 1. Notify the physician of any problems with breathing after the procedure. 2. Go to the emergency room with any signs of a sore throat after the procedure. 3. Expect to be admitted to the hospital if the surgeon decides to remove the thyroid after the biopsy. 4. Perform no special preparations for the test. ANS: 1 PTS: 1 DIF: Apply REF: Thyroid Biopsy MULTIPLE RESPONSE 1. The nurse is assessing the endocrine system of an elderly client. Which of the following are considered age-related changes of this system? (Select all that apply.) 1. Increased estrogen in women 2. Increased production of antidiuretic hormone 3. Decreased testosterone in men 4. Increased pancreatic secretion of insulin 5. Smaller thyroid gland 6. Risk for osteoporosis PTS: 1 DIF: Analyze REF: Effects of Aging on the Endocrine System 2. A client is diagnosed with a thyroid storm. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Fever 2. Tachycardia 3. Hypotension 4. Restlessness 5. Cardiac arrhythmias 6. Sweating PTS: 1 DIF: Analyze REF: Red Flag: Thyroid Crisis 3. Which of the following would indicate to the nurse that a client is experiencing an endocrine disorder that is affecting the neurological system? (Select all that apply.) 1. Tremors 2. Memory loss 3. Jitteriness 4. Nervousness 5. Loss of sensation in the feet 6. Nerve pain PTS: 1 DIF: Analyze REF: Neurological 4. A client is scheduled for diagnostic tests to evaluate the adrenal glands. Which of the following will most likely be included in these tests? (Select all that apply.) 1. Vasopressin level 2. Urine specific gravity 3. Cortisol level 4. Dexamethasone suppression test 5. Progesterone assay 6. Aldosterone assay PTS: 1 DIF: Analyze REF: Table 55-3 Common Diagnostic Tests for Endocrine System Disorders [Show More]

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