Chapter 42 Assessment And Management Of Patients With Endocrine Disorders

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Chapter 42  Assessment And Management Of Patients With Endocrine Disorders

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. The nurse is caring for a patient diagnosed with Hashimoto’s thyroiditis. When assessing this patient, what symptom would the nurse expect in a patient with hypothyroidism?
A) Numbness and tingling in the fingers
B) Bulging eyes

C) Palpitations D) Flushed skin

Ans: A
Chapter: 42
Client Needs: D-4
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 3
Page and Header: 1257, Specific Disorders of the Thyroid Gland

Feedback: Symptoms of hypothyroidism include extreme fatigue, hair loss, brittle nails, dry skin, voice huskiness or hoarseness, menstrual disturbance, and numbness and tingling of the fingers. Bulging eyes, palpitations, and flushed skin would be signs and symptoms of hyperthyroidism.

2. The PACU staff has brought a patient to the unit following a thyroidectomy. To promote comfort for this patient how would you position the patient?
A) Side-lying (lateral) with one pillow under the head
B) Head of the bed elevated 30 degrees and no pillows placed under the head

C) Semi-Fowler’s with the head supported on two pillows D) Flat, with a small roll supporting the neck

Ans: C
Chapter: 42
Client Needs: D-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Page and Header: 1271, Specific Disorders of the Thyroid Gland

Feedback: When moving and turning the patient, the nurse carefully supports the patient’s head and avoids tension on the sutures. The most comfortable position is the semi-Fowler’s position, with the head elevated and supported by pillows. Therefore options A, B, and D are incorrect.

3. A patient who has had a total parathyroidectomy has returned to the unit from the PACU. The nurse caring for the patient knows he should assess for what complication following this surgery?
A) Tetany

B) Hypercalcemia C) Brittle bones D) Fatigue

Ans: A
Chapter: 42
Client Needs: D-3
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 5
Page and Header: 1273, Specific Disorders of the Parathyroid Glands

Feedback: Care of postoperative patients having a parathyroidectomy is directed toward detecting early signs of hypoparathyroidism and subsequent hypocalcemia and anticipating signs

of tetany, seizures, and respiratory difficulties. Brittle bones and fatigue are not assessment parameters for parathyroidectomy.

4. The nursing instructor is teaching the senior nursing class Addison’s disease. What symptom would the instructor teach the student’s is characteristic of Addison’s disease?
A) Truncal obesity
B) Hypertension

C) Muscle weakness D) “Moon” face

Ans: C
Chapter: 42
Client Needs: D-4
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 6
Page and Header: 1279, Specific Disorders of the Adrenal Glands

Feedback: Patients with Addison’s disease demonstrate muscular weakness, anorexia, gastrointestinal symptoms, fatigue, emaciation, dark pigmentation of the skin, and hypotension. Patients with Cushing’s syndrome demonstrate truncal obesity, “moon” face, acne, abdominal striae, and hypertension.

5. The nurse is caring for a patient with Addison’s disease. The patient is scheduled for discharge in the morning. When teaching the patient about hormone replacement, the nurse instructs that too low a dose may be indicated by what?
A) Weight gain

B) Dizziness on standing
C) Increase in systolic blood pressure D) Headache

Ans: B
Chapter: 42
Client Needs: D-3
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 7
Page and Header: 1280, Specific Disorders of the Adrenal Glands

Feedback: The development of edema or weight gain may signify too high a dose of hormone; postural hypotension (decrease in systolic blood pressure, light-headedness, dizziness on standing) and weight loss may indicate too low a dose.

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