WorksheetsEndocrine
Total questions: 20
Worksheet time: 11mins
What response is correct for the nurse to make to the client asking about the suppression test?
"A steroid will be injected to suppress cortisol release."
"Adrenal stimulants will be injected to assess adrenal function."
"Epinephrine will be injected to assess metabolic functions."
"Diuretics will be injected to assess adrenal functions."
Which of the following are signs/symptoms of hypothyroidism?
Tremors, oily skin
Increased appetite, diarrhea
Dry skin, cold sensitivity
Weight loss, tachycardia
Which lab values indicate the client with diabetes insipidus is responding to treatment?
Urine ketones
Calcium
Potassium
Urine specific gravity
Which of the following actions is correct for a client who has received radioactive iodine therapy?
Flush the toilet once after use.
Handle all bodily fluids as contaminated.
Allow a pregnant CNA to care for the client.
Coordination with radiation safety is not made.
A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glipizide. The client should be taught that glipizide works in which of the following ways?
Glipizide promotes the breakdown of glycogen to glucose.
Glipizide stimulates the pancreas to release adequate insulin.
Glipizide blocks glucose production in the liver.
Glipizide slows gastric emptying and decreases appetite.
A nurse is reinforcing teaching to a client who has diabetes mellitus and is to start taking chlorpropamide. The nurse should teach the client to avoid consumption of which of the following while taking this medication?
Grapefruit
Milk
Alcohol
Shellfish
A nurse is collecting data from a client who has been taking methimazole for hyperthyroidism. For which of the following findings should the nurse monitor to identify that the medication is effective?
Weight loss
Decreased heart rate
Increased urine output
Elevated temperature
A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?
Serum sodium 145 mEq/L
Urine specific gravity 1.028
Urine output 650 mL/hr
Blood glucose 198 mg/dL
A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend?
Place the client in a side-lying position.
Ensure that acetylcysteine IV is readily available.
Check the client for Asterixis.
Check for bleeding on the dressing at the back of the client’s neck.
A nurse is collecting data from a client. The provider suspects the client may have syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)
Osteoarthritis
Lung cancer
Liver cirrhosis
Dyspepsia
Seizures
A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?
Vitamin D 25 ng/mL
Magnesium 1.8 mEq/L
Calcium 9.8 mg/dL
Phosphate 5.7 mg/dL
A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7mg/dL. Which of the following client findings should the nurse expect?
Muscle tetany
Hypertension
Increased thirst
Diaphoresis
A nurse is preparing to administer 0.9% sodium chloride 1 L IV to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
(a)
While reviewing lab finding for a client who might have SIADH, which of the following substances would the nurse expect to see an elevation?
Triiodothyronine
Plasma-free metanephrine
Urine cortisol
Urine osmolality
A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following should the nurse include? (SATA)
Anorexia
Heat intolerance
Constipation
Palpitations
Bradycardia
A nurse is caring for a client who has Cushing's disease. The nurse should identify that this client is at increased risk for which of the following? (SATA)
Infection
Electrolyte imbalances
Renal calculi
Bone fractures
Dysphagia
What are common complications from Type 2 Diabetes Mellitus?
DKA, diabetic retinopathy
Increase libido, infection
Decreased circulation, SOB
Electrolyte imbalance, increased stamina
A client has DKA and ketones in the urine. The nurse should expect which of the following findings? (SATA)
Weight gain
Fruity odor of breath
Abdominal pain
Kussmaul respirations
Metabolic acidosis
A nurse is assisting with collecting data from a client during a water deprivation test. For which of the following complications should the nurse monitor the client?
Bradycardia
Orthostatic hypotension
Neck vein distention
Crackles in lungs
If a patient has elevated thyroid levels, which assessment would not be performed?
Collect a UA
Palpate thyroid gland
Check DTRs
Observe mucous membranes
