Chapter 56 Endocrine Dysfunction: Nursing Management

Chapter 56  Endocrine Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A male client is diagnosed with hyperprolactinemia. The nurse realizes that which of the following clinical manifestations occurs less frequently in men?
1.
A decrease in testosterone
2.
Erectile dysfunction
3.
Gynecomastia
4.
Infertility

ANS: 3
In men, hyperprolactinemia causes a decrease in testosterone secondary to an inhibition of gonadotropin secretion, leading to decreased facial and body hair, erectile dysfunction, decreased libido, small testicles, and infertility. Gynecomastia occurs less frequently in men.

PTS: 1 DIF: Analyze
REF: Hyperprolactinemia: Assessment with Clinical Manifestations

2. A female client is admitted with hyperprolactinemia. Which of the following would not be a clinical manifestation of the disorder in this client?
1.
Excessive estrogen
2.
Hirsutism
3.
Osteoporosis
4.
Weight gain

ANS: 1
Hyperprolactinemia is associated with a decrease in estrogen, resulting in symptoms of vaginal dryness, hot flashes, osteopenia, and osteoporosis. The patient may also experience weight gain, irritability, hirsutism, anxiety, and depression.

PTS: 1 DIF: Analyze
REF: Hyperprolactinemia: Assessment with Clinical Manifestations

3. A client has been instructed regarding a prolactin level to be drawn the next day. Which of the following statements indicate that the client will need further instruction?
1.
“I will be on time, in the afternoon.”
2.
“I will be relaxed.”
3.
“I will make sure not to take my antihistamine.”
4.
“I will practice another method of birth control rather than the pill.”

ANS: 1
Certain medications (e.g., antihistamines and oral contraceptives) and fear can increase the prolactin level. The prolactin level is drawn in the morning.

PTS: 1 DIF: Analyze REF: Box 56-1 Prolactin Levels

4. An adult client is complaining of vision changes and difficulty speaking because the tongue is larger. The client also states that his shoes no longer fit. Based on these symptoms, the client is most likely to be diagnosed with:
1.
acromegaly.
2.
cretinism.
3.
gigantism.
4.
Graves’ disease.

ANS: 1
Acromegaly is caused by a hypersecretion of the pituitary growth hormone over a long period. This hypersecretion causes a coarsening of the features, including soft tissue overgrowth such as the tongue. Shoes and rings may no longer fit due to tissue and bone overgrowth. In children, hypersecretion of growth hormone causes gigantism. Cretinism and Graves’ disease are caused by a thyroid hormone imbalance.

PTS: 1 DIF: Analyze
REF: Acromegaly (Gigantism): Assessment with Clinical Manifestations