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WorksheetsRX - Clinical MS Endo
Total questions: 30
Worksheet time: 20mins
When a person experiences a decrease in antidiuretic hormone (ADH), what is the condition called?
Diabetes insipidus
Diabetes mellitus
Syndrome of inappropriate diuretic hormone
Cushing syndrome
Primary hypothyroidism occurs when the thyroid does not release enough:
TH (T3 and T4)
TSH
TRH
THR
A condition associated with decreased levels of cortisol, aldosterone, or both:
Adrenocortical Insufficiency
Cushing syndrome
Growth hormone disorder
Hyperparathyroidism
Syndrome of inappropriate diuretic hormone:
Causes excess water to be retained in the blood
Prevents reabsorption of water, leading to diuresis
Causes an overproduction of growth hormone
Leads to a decrease in production of TSH
A patient who drinks large amounts of water, urinates frequently, and has trouble sleeping may be experiencing:
Diabetes insipidus
SIADH
Diabetes mellitus
Hyperparathyroidism
A patient who is experiencing lethargy, weight gain, constipation, and always feels cold may have:
Hypothyroidism
Hyperthyroidism
Hypoparathyroidism
Hyperparathyroidism
A high-calcium diet is the only long term treatment for:
Hypoparathyroidism
Hyperparathyroidism
Cushing syndrome
Hypothyroidism
In caring for a patient with GH deficiency, you should:
Assess for signs of cardiovascular disease
Monitor calcium levels
Monitor blood pressure
Assess for dysphagia
Monitoring degree of exopthalmos to prevent eye injury is necessary for patients with:
Hyperthyroidism
Hypothyroidism
Addison Disease
Hyperparathyroidism
The nurse is teaching a patient post-op care and potential complications after a hypophysectomy. What condition does this patient have?
Acromegaly
Growth hormone deficiency
SIADH
Diabetes insipidus
What is a sign that a patient with hypothyroidism is improving?
Weight loss
Denies palpitations
Normoactive bowel sounds
Denies anxiety
A partial thyroidectomy is performed after a nodule is found on your patient's thyroid gland. What intervention will you add to her care plan?
Maintain the patient in a semi-Fowler position
Maintain the patient in a prone position
Maintain the patient in a supine position
Maintain the patient in a side-lying position
A patient that has been in your facility for two weeks is given a new diagnosis of pneumonia. What primary condition would make this patient susceptible to infection?
Cushing syndrome
Hyperparathyroidism
Addison disease
SIADH
Kai, a patient with SIADH, is admitted to the hospital experiencing confusion and seizures. Which intervention should the nurse prioritize for Kai?
Restrict oral fluids
Administer hypotonic IV fluids
Encourage salt-free diet
Administer potassium chloride
Charlotte, a patient with Addison’s disease, is experiencing nausea, vomiting, and abdominal pain. Which action should the nurse take first?
Administer antiemetic medication
Notify the healthcare provider
Encourage oral fluids
Monitor blood glucose
Henry, a patient with diabetes insipidus, is receiving desmopressin. Which assessment finding should the nurse prioritize as evidence the medication is effective?
Increased urine output
Decreased thirst
Decreased urine specific gravity
Increased serum sodium
Grace, who has been diagnosed with hyperpituitarism, is scheduled for a transsphenoidal hypophysectomy. Which preoperative instruction should the nurse prioritize when preparing Grace for surgery?
Avoid brushing teeth for 2 weeks after surgery
Increase fluid intake before surgery
Take all medications with water
Begin a high-protein diet
Jackson, a patient with Addison’s disease, is prescribed hydrocortisone. He calls the clinic to ask what he should do with his medication if he becomes ill. Which instruction should the nurse prioritize regarding medication administration during illness?
Decrease the dose
Double the dose
Skip the dose
Take the dose at bedtime only
Abigail, a nurse, is caring for a patient with diabetes insipidus who is receiving IV fluids. During her assessment, which finding should Abigail prioritize as an indication that the treatment is effective?
Serum sodium increases to 155 mEq/L
Urine output decreases to 100 mL/hr
Urine specific gravity decreases to 1.002
Patient reports increased thirst
Hyperparathyroidism creates problems by releasing too much hormone into the blood. This causes unusually high levels of calcium which can lead to weaker bones and kidney damage. Which hormone(s) would be impacted by this disorder?
Prolactin and testosterone
Parathyroid hormone and calcitonin
ADH and Vitamin D
Androgens and serotonin
Hashimoto's disease is an autoimmune disorder where the body's own defenses attack the thyroid, causing hypothyroidism. What would be a side effect of Hashimoto's disease?
An increase in the production of thyroid hormones
A decrease in the production of thyroid hormones
An increase in the production of parathyroid hormones
A decrease in the production of parathyroid hormones
When teaching a patient who has a new prescription for thyroid hormone, the nurse will instruct the patient to notify the prescriber if which adverse effects are noted? (Select all that apply.)
Palpitations
Weight gain
Angina
Fatigue
Cold intolerance
Which is the most appropriate timing regarding the nurse's administration of a rapid-acting insulin to a hospitalized patient?
Give it 15 minutes before the patient begins a meal.
Give it 1 hour before a meal.
Give it 1 hour after a meal.
The timing of the insulin injection does not matter with insulin lispro.
When monitoring for a therapeutic response to prednisone, the nurse will look for which potential outcome?
Increased lymphocyte levels
Decreased inflammation
Increased growth characteristics
Decrease in Cushing’s syndrome characteristics
The patient is being discharged home with insulin aspart (NovoLog) and insulin isophane suspension (NPH). Which information does the nurse include when providing discharge teaching to the patient?
Store the insulins in the refrigerator.
Shake the insulins for 1 full minute before use.
Administer the injection at a 30-degree angle to your skin.
Draw up the insulin aspart (NovoLog) first and then draw up the insulin isophane suspension (NPH) into the same syringe.
A male patient who has a history of type 2 DM is admitted to the medical unit with a diagnosis of pneumonia. The patient has many questions regarding his care and asks the nurse why everyone keeps telling him about HbA1C. The nurse will inform the patient that HbA1C provides information regarding
which type of DM the patient has.
if he has an infection.
patient compliance with treatment regimen for several months previously.
current fasting blood glucose level.
After the 0700 report, the day shift nurse notices that a patient has a 0730 dose of insulin due and goes to the automated dispensing machine to retrieve the insulin. The nurse sees that the night shift nurse had removed the 0730 dose of insulin, but the medication administration record has not been signed by the nurse. The patient is confused and says she “thinks” the night nurse gave her the insulin. The patient’s blood glucose level is 142 mg/dL. What will the day shift nurse do?
Give the insulin because it was not signed off.
Hold the insulin because the patient thinks she received it, and it is recorded in the machine.
.Ask the charge nurse to call the night nurse at home to clarify whether the insulin was given.
.
Report this to the nursing supervisor.
Which information will the nurse include when teaching a patient about thyroid replacement therapy?
“Take the medication before bed.”
“You will experience beneficial effects of the drug after 1 week of treatment.”
“Stop taking the drug if you experience insomnia.”
“Take the medication on an empty stomach.”
The nurse enters the patient’s room to complete the discharge process and finds the patient to be lying in bed unresponsive and breathing. The patient has a blood glucose reading of 48 mg/dL. What is the most appropriate response by the nurse?
Place a packet of table sugar in the patient’s mouth.
Start cardiopulmonary resuscitation (CPR).
Roll the patient to the side and administer the ordered glucagon
Have the patient drink orange juice.
