Another typical symptom of hyperthyroidism is:

Appropriate nursing diagnosis for the client with hypothyroidism would likely include which of the following?

Rodwin has recently undergone surgical removal of a pituitary tumor. Dr. Wong prescribes corticotropin (Acthar), 20 units I.M. Q.I.D. as a replacement therapy. What is the mechanism of action of corticotropin?

A 28-year-old man presents with gradual enlargement of hands and feet, coarse facial features, and deepened voice that developed after puberty. Which of the following conditions does this indicate?

A 45-year-old with small-cell lung cancer has low serum sodium, low serum osmolality, and concentrated urine. What is the possible diagnosis?

Mr. Saunders undergoes hypophysectomy. In the immediate postoperative period, the nurse should monitor him closely for signs of:

Situation: Kelly Walters appears normal at birth. Six weeks later, she begins to eat poorly, her skin becomes dry and scaly, and her tongue begins to protrude. She is being breastfed. Kelly has cretinism. Her mother asks the nurse, "how will we know if the medicine is helping Kelly?" The nurse should respond by saying that in addition to certain blood tests, Kelly will also be evaluated by regular examinations of her:

A patient is admitted with uncontrolled hypertension and the doctor suspects pheochromocytoma. On assessment, you note the blood pressure to be 196/120 and HR 130. The patient reports feeling very anxious, sweaty, and having palpitations. What do you expect the doctor will order to confirm a diagnosis of pheochromocytoma?

Which medication blocks synthesis of thyroid hormone and is safe in non-pregnant patients?

A patient develops fever, sore throat and suspected agranulocytosis after starting PTU. What is your priority intervention?

This client undergoes a subtotal thyroidectomy. Which of the following techniques would best enable the nurse to assess her wound for bleeding?

Protrusion of the eyeballs can be observed in some clients with hyperthyroidism. Bulging eyes or protrusion bulbi is a condition that is also known as:

In administering potassium iodide to the client, the nurse must consider that this medication is best administered with:

Which drug class is used short-term to control adrenergic symptoms (palpitations, tremor) in hyperthyroidism?

You are caring for a patient with hyperparathyroidism. This includes:

Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. At 2 p.m., the client has a capillary glucose level of 250 mg/dl for which he receives 8 U of regular insulin. Nurse Vince should expect the dose’s:

Acarbose (Precose), an alpha-glucosidase inhibitor, is prescribed for a female client with type 2 diabetes mellitus. During discharge planning, nurse Pauleen would be aware of the client’s need for additional teaching when the client states:

Maria is diagnosed with pheochromocytoma and has to undergo surgery. As part of her preoperative management, which of the following should be included?

Situation: Eight-year-old Andy Thompson is admitted to the hospital unconscious. He has ketoacidosis due to type I diabetes. A typical sign Andy is likely to demonstrate on admission is:

Mrs. Lonzo says, “My husband and I are not heavy drinkers, but we do like to have wine with our evening meal. Is that alright?” The nurse should caution Mrs. Lonzo that alcoholic beverages must be included in calculating total caloric intake and if used in excess by someone taking tolbutamide (Orinase), tend to cause symptoms of:

After five years of treatment, Mrs. Lonzo, now age 60, needs to switch to insulin therapy. The oral hypoglycemic agent is discontinued and isophane insulin suspension (NPH insulin) is prescribed for her. Mrs. Lonzo is taught to take her insulin at 8 am each day. At which time is Mrs. Lonzo at greatest risk for hypoglycemia?

A woman was taught how to administer insulin on her diabetic child. During the return-demonstration, which of the following actions if performed by the mother indicates to the nurse that she still needs further teaching? She was observed:

Musculo-skeletal problems may also occur in clients with this chronic endocrine disorder. Which of these conditions is most likely to occur as a result of elevated corticosteroid levels?

Situation: A 37-year-old female named Kari, a corporate executive, manifested weight gain, moon face, body weakness and poor resistance to stress and infection as a result of hypersecretion of corticoid hormones by the adrenal glands. This condition is mainly manifested by clients with

Aside from the chief complaints mentioned by Kari during initial assessment, the client with this endocrine disease was also observed to show the following manifestations, except:

Which drug suppresses GH secretion in acromegaly?

Post-transsphenoidal hypophysectomy nursing care includes all except:

The most common cause of hyperthyroidism is:

Mrs. Lonzo is taught that an especially desirable constituent in her diet that has been observed to minimize a rise in blood glucose levels after meals is:

When caring for a patient with Cushing’s syndrome, which of the following is the most appropriate nursing diagnosis?

A patient with acromegaly is scheduled for pituitary surgery. Pre-operative teaching should emphasize:

Gian is diagnosed with SIADH. His laboratory results showed a Na level of 118 mmol/L and confusion. As his nurse, which is your priority nursing action?

A 40-year-old with Graves’ disease is prescribed propranolol. The nurse explains this drug will help with which of the following?

Which lab result confirms primary hypothyroidism?

Ralph is diagnosed with hyperparathyroidism. Which among the complications is he most at risk to have?

A client is experiencing extreme thirst, frequent urination, and fruity-smelling breath. You know that these are signs and symptoms of DKA. Which will be your initial priority?

A nurse is teaching a client about insulin glargine. Which statement is correct?

A nurse is caring for a client with pheochromocytoma. Which data would indicate a potential complication associated with this disorder?

Which nursing action would be appropriate to implement when a client has a diagnosis of pheochromocytoma?

A client with hypothyroidism is prescribed levothyroxine. Which statement by the client indicates correct understanding?

A nurse suspects myxedema coma. Which manifestation supports her suspicion?

A post-thyroidectomy patient suddenly complains of tingling around the mouth and spasms in the hands. Which is the best initial action?

A client with hypoparathyroidism should increase intake of which foods?

A patient with Addison’s disease says, “I stopped taking my hydrocortisone because I felt fine.” Which is the nurse’s best response?

Diabetes insipidus is usually managed conservatively. If the client develops signs of dehydration, the nurse would expect the physician to order which medication?

Following hypophysectomy, the client should be monitored for signs and symptoms of which potential complication?

The most important factor predisposing a female to Type II (adult-onset) diabetes mellitus is

Saturated solution of potassium iodide (SSKI) is prescribed preoperatively for the client with hyperthyroidism. The primary reason for using this drug is that it helps:

Mrs. Muriel Torry, a 33-year-old homemaker and mother of three children, visits her physician because of nervousness, irritability, and difficulty sleeping. A tentative diagnosis of hyperthyroidism is made. Which symptom related her menstrual cycle is she very likely to report on the initial assessment?