Endocrine disorders recall quiz

A client presents with polyuria, polydipsia, and extreme dehydration. Which lab finding is most consistent with DI?

• Low serum sodium

• High urine specific gravity

• Low urine osmolality

• High urine sodium

Which are nursing interventions for Diabetes Insipidus? Select all that apply.

• Monitor I&O

• Encourage fluids

• Restrict sodium intake

• Administer desmopressin

The priority nursing diagnosis for a client with Diabetes Insipidus is:

• Risk for injury

• Fluid volume deficit

• Impaired skin integrity

• Risk for infection

A client with SIADH (syndrome of inappropriate antidiuretic hormone) may present with:

• Polyuria, polydipsia

• Confusion, weight gain, low serum sodium

• Hypernatremia, dry mucous membranes

• Hypotension, tachycardia

Nursing interventions for SIADH include Select all that apply:

• Fluid restriction

• Daily weight monitoring

• Hypertonic saline administration

• Desmopressin administration

A client presents with fatigue, weight gain, bradycardia, and cold intolerance. The nurse suspects:

• Hyperthyroidism

• Hypothyroidism

• Addison’s disease

• Cushing’s syndrome

Expected labs in hypothyroidism. Select all that apply:

• Increased TSH

• Decreased TSH

• Decreased T3/T4

• Increased T3/T4

• Hyponatremia

Priority nursing diagnosis for severe hypothyroidism:

• Ineffective airway

• Decreased cardiac output

• Risk for falls

• Activity intolerance

What medication is used for hypothyroidism?

• Methimazole

• Levothyroxine

• Radioactive iodine

• Hydrocortisone

What are medical and nursing interventions for hyperthyroidism?

• Administer antithyroid medications (methimazole)

• Administer beta-blockers

• Encourage high-calorie diet

• Fluid restriction

• Monitor cardiac rhythm