Endocrine
1. Fluid management in patient with SIADH should include?
a. Rapid IV fluid infusion
b. Fluid restriction
c. Increasing oral fluid intake
d. Administering glucose-containing IV fluids
Answer. B
Treatment
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Endocrine
1. Fluid management in patient with SIADH should include?
a. Rapid IV fluid infusion
b. Fluid restriction
c. Increasing oral fluid intake
d. Administering glucose-containing IV fluids
Answer. B
Treatment is geared toward reducing water retention.
A, c, and d. Administration of fluids only increases water intoxication.
Source: Lippincott’s Review series Medical Surgical Nursing.p.279
2.The patient receiving PTU should be instructed to immediately stop the medication and call the
physician if which of the following occurs?
a. Diarrhea
b. Palpitation
c. Fever
d. Weight gain
Answer. C
Fever may be indicative of infection, and infection may be caused by agranulocytosis.
A and b. Diarrhea and palpitations are symptoms of hyperthyroidism.
D. weight gain is a common consequence of decreasing thyroid hormone levels.
Source: Lippincott’s Review series Medical Surgical Nursing.p.279
3. Which of the following statements regarding analgesic therapy for a hypothyroid patient is
correct?
a. Increased dosage will be needed because the patient is overweight.
b. Analgesics are not needed because the patient already is lethargic.
c. Decreased dosages will be needed due to prolonged drug degradation rate.
d. Increased dosages will be needed because of the hypermetabolic drug state.
Answer. C
A hypothyroid patient has increased sensitivity to all drugs because of altered metabolism and
excretion, depressed metabolic rate and respiratory status.
a. weight is not a factor.
b. Failure to administer analgesics when appropriate may cause unnecessary suffering.
d. Increased dosages may lead to overdose.
Source: Lippincott’s Review series Medical Surgical Nursing. p.279
4. In the postoperative parathyroidectomy patient, “hungry bone” syndrome is manifested by
a. Carpopedal spasm
b. Weakness
c. Back pain
d. Polyuria
Answer. A
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