Chapter 23 Endocrine Function

Chapter 23  Endocrine Function

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse caring for an older adult with type 2 diabetes mellitus places importance on assessing the patient for:
a.
painful nodules on the fingers and toes.
b.
reddened rash and brittle nails on the hands.
c.
heartburn and flatus after meals.
d.
skin temperature and hair growth pattern on the legs.

ANS: D
Insulin resistance causes increased production of inflammatory cytokines correlating with the development of type 2 diabetes mellitus and atherosclerotic vascular disease, therefore skin temperature and hair growth pattern on the legs should be assessed.

DIF: Remembering (Knowledge) REF: Page 458 OBJ: 23-2
TOP: Nursing Process: Assessment MSC: Physiologic Integrity

2. The nurse recognizes that an older adult on both antihypertensive and antidepressant drug therapies has a specific need for:
a.
regular blood pressure monitoring.
b.
an effective history focusing on sexual function.
c.
an increase in daily fluid intake.
d.
frequent assessment of emotional stability.

ANS: B
Drugs such as oral contraceptives, hormone replacement, antihypertensives, antidepressants, or sedatives can cause a sexual arousal disorder as a side effect. In women this can manifest as female sexual dysfunction (FSD), and in men it can manifest as erectile dysfunction (ED).

DIF: Remembering (Understanding) REF: Page 471-2 OBJ: 23-2
TOP: Nursing Process: Assessment MSC: Physiologic Integrity

3. Aware that older adult patients often present with nonclassic symptoms of type 2 diabetes mellitus, the nurse is particularly suspicious of a patient reporting:
a.
bouts of diarrhea alternating with periods of constipation.
b.
recent problems reading and an infected sore on the toe that will not heal.
c.
periods of depression and severe indigestion after eating.
d.
dizziness when getting up too quickly and a red rash on the hands.

ANS: B
Often a newly diagnosed older individual will describe symptoms of fatigue, blurred vision, weight change (gain or loss), and infections. The other symptoms are not related.

DIF: Remembering (Knowledge) REF: Page 460 OBJ: 23-2
TOP: Nursing Process: Assessment MSC: Physiologic Integrity

4. The nurse observes signs that a patient being assessed may have an underactive thyroid. The data supporting this suspicion includes:
a.
heat intolerance, low-grade fever, and patchy hair loss.
b.
polycythemia, tachycardia, and oral candidiasis.
c.
muscle cramps, fatigue, and cold intolerance.
d.
increased blood pressure, postural hypotension, and blurred vision.

ANS: C
Older patients are seen with complaints of fatigue, cold intolerance, weight gain, muscle cramps, paresthesias, and confusion, which are symptoms of hypothyroidism that are often attributed to old age. Heat intolerance is often associated with hyperthyroidism. The other options are not related to thyroid dysfunction.

DIF: Remembering (Knowledge) REF: Page 470 OBJ: 23-2
TOP: Nursing Process: Assessment MSC: Physiologic Integrity

5. The nurse is preparing to provide an older, newly diagnosed diabetic patient with information regarding type 2 diabetes. The nurse initially:
a.
asks if the patient prefers a video or a pamphlet.
b.
invites the patient’s spouse to be present during the instruction.
c.
selects a quiet, well-lighted space for the class.
d.
ensures that the patient is pain-free and comfortably seated.

ANS: A
Cognitive function and learning styles vary, so knowing the patient’s preferred learning style facilitates education. Some individuals prefer to learn by visual methods, others by listening, and still others by experiencing contact in a hands-on approach. Controlling pain and ensuring the patient is comfortable will also facilitate learning, but it is more important to meet the patient’s preferred learning style. The other options are helpful but not as vital.

DIF: Understanding (Comprehension) REF: Page 462 OBJ: 23-2
TOP: Teaching-Learning MSC: Health Promotion