216 Endocrine2

The nurse is caring for a patient diagnosed with hypothyroidism secondary to Hashimoto’s thyroiditis. When assessing this patient, what sign or symptom would the nurse expect?

• Fatigue
• Bulging eyes
• Palpitations
• Flushed skin

A patient with thyroid cancer has undergone surgery and a significant amount of parathyroid tissue has been removed. The nurse caring for the patient should prioritize what question when addressing potential complications?

• “Do you feel any muscle twitches or spasms?”
• “Do you feel flushed or sweaty?”
• “Are you experiencing any dizziness or lightheadedness?”
• “Are you having any pain that seems to be radiating from your bones?”

The nurse is caring for a patient with a diagnosis of Addison’s disease. What sign or symptom is most closely associated with this health problem?

• Truncal obesity
• Hypertension
• Muscle weakness
• Moon face

The nurse is caring for a patient with Addison’s disease who is scheduled for discharge. When teaching the patient about hormone replacement therapy, the nurse should address what topic?

• The possibility of precipitous weight gain
• The need for lifelong steroid replacement
• The need to match the daily steroid dose to immediate symptoms
• The importance of monitoring liver function

The nurse is teaching a patient that the body needs iodine for the thyroid to function. What food would be the best source of iodine for the body?

• eggs
• shellfish
• table salt
• red meat

A patient is prescribed corticosteroid therapy. What would be priority information for the nurse to give the patient who is prescribed long-term corticosteroid therapy?

• The patient’s diet should be low protein with ample fat.
• The patient may experience short-term changes in cognition.
• The patient is at an increased risk for developing infection.
• The patient is at a decreased risk for development of thrombophlebitis and thromboembolism.

A nurse caring for a patient with diabetes insipidus is reviewing laboratory results. What is an expected urinalysis finding?

• Glucose in the urine
• Albumin in the urine
• The patient is at an increased risk for developing infection.
• The patient is at a decreased risk for development of thrombophlebitis and thromboembolism.

The nurse caring for a patient with Cushing syndrome is describing the dexamethasone suppression test scheduled for tomorrow. What does the nurse explain that this test will involve?

• Administration of dexamethasone orally, followed by a plasma cortisol level every hour for 3 hours
• Administration of dexamethasone IV, followed by an x-ray of the adrenal glands
• Administration of dexamethasone orally at 11 PM, and a plasma cortisol level at 8 AM the next morning
• Administration of dexamethasone intravenously, followed by a plasma cortisol level 3 hours after the drug is administered

A patient presents at the walk-in clinic complaining of diarrhea and vomiting. The patient has a documented history of adrenal insufficiency. Considering the patient’s history and current symptoms, the nurse should anticipate that the patient will be instructed to do which of the following?

• Increase his intake of sodium until the GI symptoms improve.
• Increase his intake of potassium until the GI symptoms improve.
• Increase his intake of glucose until the GI symptoms improve.
• Increase his intake of calcium until the GI symptoms improve.

While assisting with the surgical removal of an adrenal tumor, the OR nurse is aware that the patient’s vital signs may change upon manipulation of the tumor. What vital sign changes would the nurse expect to see?

• Hyperthermia and tachypnea
• Hypertension and heart rate changes
• Hypotension and hypothermia
• Hyperthermia and bradycardia