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WorksheetsEndocrine NRSG 3440
Total questions: 23
Worksheet time: 17mins
A client is admitted to the ED with decreased respirations, severe bradycardia, and is not arousable. A diagnosis of myxedema coma is made. Which action should the nurse prepared to carry out initially?
Warm the patient
Maintain a patent airway
Administer thyroid replacement
Administer fluid replacement
A female adult client with a history of chronic hyperparathyroidism admits to being noncompliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client, which “related-to” phrase should the nurse add?
Related to bone demineralization resulting in pathologic fractures
Related to exhaustion secondary to an accelerated metabolic rate
Related to edema and dry skin secondary to fluid infiltration into the interstitial spaces
Related to tetany secondary to decreased calcium
The nurse should expect a client with hypothyroidism to report which health concerns?
Increased appetite and weight loss
Nervousness and tremors
Puffiness of the face and hands
Thyroid gland swelling
What signs and symptoms are associated with SIADH? SATA
Hypernatremia
Generalized edema
Hyponatremia
Hypotension
Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs?
Diabetic ketoacidosis
Hypoglycemia
Thyroid crisis
Tetany
When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect:
BP of 130/70 mm Hg
BG level of 130 mg/dL
Bradycardia
BP of 176/88 mm Hg
A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which orders should the nurse question?
Infusing 1000 mL bag of NS at 125 mL/hr
Fluid restriction
Place the patient on a regular diet
Infusing a 500 mL bag of D50
The nurse is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find:
Hypotension
Thick, coarse skin
Deposits of adipose tissue in the trunk and dorsocervical area
Weight gain in arms and legs
A patient presents to the emergency department with months long symptoms of polyuria, pale urine, extreme thirst, dehydration, and nocturia. A random PP BG level is drawn, and it is 135 mg/dL. Their blood pressure is taken, and it is 100/75 mm Hg. What medication should the nurse expect to administer?
Vasopressin
Furosemide (Lasix)
Regular Insulin Drip
10% Dextrose
What is the most important finding in a patient who had a total thyroidectomy for thyroid cancer today?
Pain rated 8/10
Calcium level: 9 mg/dL
White blood cell count: 11,500
Positive Chvostek's sign
Which is a characteristic diagnostic study finding in a patient with hyperthyroidism?
Elevated thyroid stimulating hormone (TSH) level
Elevated level of free thyroxine (T4)
Decreased cortisol levels
Decreased iodine levels
A patient undergoes a clonidine suppression test due to complaints of hypertension and hyperglycemia. The test comes back (a) , meaning the patient does not have pheochromocytoma
The patient had pituitary surgery yesterday. Which symptom is most important for you to monitor?
Urine specific gravity of 1.01
Crackles in lungs
Voids 10L/day
Temperature of 100.4 F
A patient with hyperthyroidism would have (a) TSH levels
Following a unilateral adrenalectomy, nurse Betty would assess for hyperkalemia shown by which of the following?
Muscle weakness
Diaphoresis
Tremors
Constipation
TRUE OR FALSE: the anterior pituitary gland works on a POSITIVE feedback loop with the body systems
TRUE
FALSE
What is the nurse's priority intervention prior to a patient undergoing a radioactive iodine scan for hyperthyroidism?
Place a 22 G IV
Assess of allergies
Take vital signs
Get a family history
A patient undergoes a thyroid screening panel and their T3 resin uptake is 20%. This patient most likely has
Hyperthyroidism
Hypoparathyroidism
Hypothyroidism
Hyperparathryoidism
What medications ordered would the nurse question for a patient admitted for myxedema coma? SATA
Labetalol
Levothyroxine (Synthroid)
Amiodarone
Adenosine
A patient presents to the ED with symptomatic hypocalcemia due to hypoparathyroidism. The nurse would expect to give these medications EXCEPT
Hydrochlorothiazide (HCTZ)
Magnesium sulfate (Mg)
Calcitonin
Calcium gluconate
What medication would you expect to give to patient in a hypercalcemic crisis?
Fosmax IV
Vitamin D3
Magnesium sulfate
3% Normal Saline
What signs and symptoms would you expect to see in a patient with Addison's disease? SATA
Hypoglycemia
Elevated cortisol and aldosterone levels
Generalized weakness
Hyponatremia
Weight gain
A patient presents to the ED via EMS after being found unconscious at home in the morning. The patient's family reports she has adrenal insufficiency, recent complaints of fatigue and weakness, and developed a fever last night. The patient's blood pressure is 100/75 mm Hg, their heart rate is 140 bpm, and her fever has risen to 102 F. What medications would you expect to give the patient initially? SATA
IV Glucocorticosteroids
Epinephrine
Vasopressin (Levophed)
Broad spectrum antibiotics
IV Potassium
