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Worksheetsendocrine analyze quiz
Total questions: 16
Worksheet time: 24mins
A client is 24 hours postoperative after a thyroidectomy. The nurse notes mild perioral tingling, a positive Chvostek’s sign, respiratory rate 18, no stridor noted. Which action is most appropriate?
Administer IV calcium gluconate as prescribed
Prepare for emergency tracheostomy
Place the client on seizure precautions
Notify the healthcare provider immediately
A client on long-term levothyroxine reports chest pain and palpitations. What is the priority nursing action?
Reassure the client this is a normal effect of thyroid replacement
Hold the medication and notify the healthcare provider
Instruct the client to take the medication with food to reduce side effects
Document findings and recheck vital signs in 1 hour
Which medication is the standard treatment for hypothyroidism?
Methimazole
Levothyroxine
Propylthiouracil (PTU)
Radioactive iodine
A client with hyperthyroidism reports unintentional weight loss despite increased appetite. Which breakfast choice indicates the client is following dietary recommendations?
Scrambled eggs, whole wheat toast with peanut butter
Bagel with cream cheese
Doughnut and coffee
Fruit juice and toast
A nurse is evaluating a client receiving IV hydrocortisone for Addisonian crisis. Which assessment finding indicates treatment is effective? Select all that apply
BP increases from 85/50 to 110/70 mmHg
Serum potassium rises to 6.2 mEq/L
Heart rate increases to 130 bpm
Serum sodium rises to 135 mEq/L
A client asks why it’s important not to stop steroid therapy abruptly. Which response demonstrates correct understanding?
Stopping suddenly can cause Addisonian crisis, which is life-threatening.
Abruptly stopping steroids will have no effect on my health.
I can just take a double dose once a week instead.
It only matters if I exercise vigorously.
A nurse evaluates a client with Diabetes Insipidus who is complaining of extreme thirst, palpitations and dizziness. Which finding is most concerning?
Blood pressure 82/56 mmHg
Urine output 400 mL over 4 hours
Serum sodium 142 mEq/L
Skin turgor slightly decreased
A client with Addison’s disease has serum potassium of 5.8 mEq/L and sodium of 128 mEq/L. Which nursing interventions are appropriate for this patient? SELECT ALL THAT APPLY
Monitor for peaked T waves and arrhythmias on ECG
Encourage a high-potassium diet to correct electrolyte imbalance
Encourage the client to restrict fluids to prevent potassium loss
Notify the healthcare provider immediately if potassium rises further
Which technique correctly assesses Trousseau’s sign?
Tap the cheek and observe for facial twitching
Inflate a BP cuff on the upper arm to 20 mmHg above systolic pressure for 3 minutes and observe for carpal spasm
Check deep tendon reflexes with a reflex hammer
Ask the client to lift their legs while lying supine
A nurse evaluates snack choices of a client with Grave’s disease. Which selection shows understanding of the dietary needs?
Protein shake and nuts
Low fat yogurt and carrot sticks
Avocado toast with a glass of orange juice
Saltine crackers and cheese
A client has just returned to the unit after a unilateral adrenalectomy for a pheochromocytoma. Which findings should the nurse evaluate as highest priority in the immediate postoperative period? SELECT ALL THAT APPLY
Blood pressure fluctuations
Increased heart rate
Elevated blood glucose
Increased urinary output
A client with Addison’s disease develops muscle cramps and palpitations. Which is the priority nursing action?
Prepare to administer sodium polystyrene
Encourage high-potassium foods
Encourage high sodium foods
Place client in supine position
A client with SIADH has serum sodium 118 mEq/L and urine output 50 mL/hour. The nurse evaluates effectiveness of demeclocycline therapy. Which finding indicates therapy is effective? Select all that apply
Serum sodium rises to 128 mEq/L
Urine output decreases to 20 mL/hour
Weight increases by 2 lbs in 24 hrs
Urinary output increases to 60 ml/hr
A client with Addison’s disease has been on hydrocortisone and fludrocortisone for 2 weeks. The nurse evaluates the effectiveness of therapy. Which findings indicate successful treatment?
Blood pressure 98/76 mmHg, heart rate 102 bpm
Serum sodium rises to 138 mEq/L
Client reports fatigue, dizziness, and nausea
Client reports tremor and nervousness
The nurse plans care for a patient with hyperthyroidism. Which interventions should the nurse implement? (Select all that apply)
Keep the room temperature cool
Encourage the client to wear lightweight, loose-fitting clothing
Offer warm blankets to prevent shivering
Provide frequent low calorie meals
The nurse is assessing a client with newly diagnosed hypoparathyroidism. Which clinical findings should the nurse expect? (Select all that apply)
Tingling around the mouth and fingertips
Muscle cramps and spasms
Positive Chvostek’s and Trousseau’s signs
Hypertension and flushed, warm skin
Cold intolerance and weight gain
