1. A nurse is caring for a client with hyperthyroidism who suddenly…

QuestionAnswered step-by-step1. A nurse is caring for a client with hyperthyroidism who suddenly…1. A nurse is caring for a client with hyperthyroidism who suddenly develops symptoms related to thyroid storm. What symptoms does the nurse recognize that are indicative of this emergency?A) Blood pressure 90/58 mm HgB) Oxygen saturation of 96%C) Temperature of 102 degrees FD) Heart rate of 62 2. The nurse is performing an assessment of the thyroid gland. In order to decrease the risk that the nurse will stimulate the release of large amounts of thyroid hormone, what should the nurse be sure to do?A) Continue to palpate the gland until it is felt for enlargementB) Palpate firmly in order to feel the thyroid glandC) Palpate gently without repeated attemptsD) Not palpate the thyroid and just listen for a bruit 3. What clinical manifestations does the nurse recognize would be associated with a diagnosis of hyperthyroidism? Select all that apply.A) Weight lossB) Intolerance to coldC) A pulse rate slower than 90 bpmD) An elevated systolic blood pressureE) Muscular fatigability 4. Which of the following precautions would be most appropriate when caring for a client being treated with radioactive iodine (RAI) for a thyroid tumor?A) Administer prescribed corticosteroids carefullyB) Handle body fluids carefullyC) Administer the prescribed medications at the same time each dayD) Monitor the respiratory status 5. When thyroid hormone is administered for prolonged hypothyroidism for a client, what should the nurse monitor for?A) AnginaB) Mental confusionC) HypoglycemiaD) Depression 6. A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:A) Applies a heating pad to her feetB) Takes a hot bath morning and eveningC) Uses an electric blanket at nightD) Dresses in extra layers of clothing 7. The nurse is caring for a client with hyperthyroidism. Which clinical manifestation should be reported to the physician immediately?A) SedationB) DrowsinessC) Urinary retentionD) Heart failure 8. Which medication would the nurse expect to be prescribed for a client exhibiting tetany after parathyroid surgery?A) CalciumB) SodiumC) PotassiumD) iodide 9. A client who has given birth is receiving intravenous oxytocin. Why will this medication be used for this client after the birth of her child?A) Will prevent lactation for a woman who is bottle feeding her newbornB) Decreases the postpartum crampingC) Stimulates the contraction of the uterus and prevents bleedingD) Helps treat nausea 10. A client with a history of hypothyroidism is admitted to the intensive care unit unconscious and with a temperature of 95.2 degrees F. A family member informs the nurse that the client has not taken thyroid medication in over 2 months. What does the nurse suspect that these findings indicate?A) Syndrome of inappropriate antidiuretic hormone (SIADH)B) Diabetes insipidusC) Myxedema comaD) Thyroid storm 11. The nurse is caring for a client with acromegaly. Following transsphenoidal hypophysectomy, the nurse should:A) Place the client in low Trendelenburg positionB) Suction the mouth and pharynx every hourC) Monitor the client’s blood sugarD) Encourage the client to cough 12. When a client’s gallbladder has decreased ability to release bile when he is having a high fat content meal, what hormone is not released to stimulate contractions the gallbladder?A) GastrinB) CholecystokininC) AngiotensinD) Erythropoietin 13. The nurse caring for a client with hyperthyroidism would expect which group of clinical manifestations to be exhibited?A) Confusion, weakness, and increased weightB) Diuresis, hypokalemia, and tachycardiaC) Restlessness, fatigue, and weight lossD) Shortness of breath, dyspnea, and decreased libido 14. A client is suspected to have a pituitary tumor due to signs of diabetes insipidus. What initial test does the nurse assist the client with preparing for?A) Radioactive iodine uptake testB) RadioimmunoassayC) A nuclear scanD) Magnetic resonance imaging 15. What nursing assessment indicates that a client with diabetes insipid us is experiencing a therapeutic response to treatment?A) The client has a significant weight loss.B) Sexual dysfunction is no longer occurringC) The client’s course facial features are more normalD) The client’s urine output is a normal amount 16. A client has polycystic ovarian syndrome and has increased levels of testosterone. What symptoms does the nurse anticipate observing in this client? Select apply.A) Development of breastsB) Facial hairC) Deep voiceD) High voiceE) Development in hair growth 17. Which of the following nursing assessment data is the nurse likely to detect when caring for a client with Cushing’s syndrome? Select all that apply.A) Bronzed skinB) Hirsutism in femalesC) Buffalo HumpD) Moon faceE) Emaciation 18. A client is having chronic pain from arthritis, What type of hormone is released in response to the stress of this pain that suppresses inflammation and helps the withstand stress?A) GlucocorticoidsB) EstrogenC) TestosteroneD) Mineralocorticoids 19. A client with Addison’s disease has a blood glucose level above 80 mg/dL 30 minutes after receiving 15 g of carbohydrates for symptoms of hypoglycemia. Which the following would the nurse do now?A) Check the client’s blood glucose level before each mealB) Inform the physician immediatelyC) Instruct the client to remain in bedD) Give the client milk and graham crackers 20. The nurse assesses a client who has an obvious goiter. What type of deficiency does the nurse recognize is most likely the cause of this?A) CalcitoninB) ThyroxineC) ThyrotropinD) Iodine 21. A client has a decreased secretion of erythropoietin from the kidneys due to end-stage kidney disease. What outcome will the decrease in erythropoietin have?A) Decrease in blood sugar levels due to alteration in insulin levelsB) Anemia from the decrease in maturation of red blood cellsC) Development of male sex characteristicsD) Increase in blood sugar levels due to alteration in insulin levels 22. The nurse is preparing a client with Addison’s disease for discharge. The nurse should explain that the client can hip prevent complications by;A) Restricting foods rich in potassiumB) Dressing in lightweight clothingC) Avoiding dietary sources of sodiumD) Staying out crowds 23. The nurse is caring for a client with a diagnosis of diabetes insipidus. Which of the following clinical manifestations is expected?A) PolyuriaB) OliguriaC) Nose bleedD) Clot formation 24. A client is taking methimazole every 8 hours around the clock for the treatment of severe hyperthyroidism. The client has been taking medication for 2 months. should the nurse instruction the client to report immediately? Select all that apply.A) Pain in the legB) FeverC) Unusual bleedingD) CoughE) Sore throat 25. The nurse is caring for a client with hyperparathyroidism and observes a calcium level of 16.2 mg/dL. What interventions does the nurse prepare to provide to re the calcium level? Select all that apply.A) Administration of calcium carbonateB) Administration of a bronchodilatorC) Administration of calcitoninD) Monitoring the client for fluid overloadE) Intravenous isotonic saline solution in large quantities 26. A client recovering from a thyroidectomy tells the nurse, “I feel numbness and my face is twitching.” What is the nurse’s best initial action?A) Document the finding as the only actionB) Offer mouth careC) Notify the physicianD) Loosen the neck dressing 27. A client is suspected to have pancreatic carcinoma and is having diagnostic testing to determine insulin deficiency. What would the nurse determine is an indica insulin deficiency in this client? Select all that apply.A) An abnormal glucose toleranceB) HypoglycemiaC) GlucosuriaD) Elevated lipase levelE) Hyperglycemia 28. The nurse is reviewing a client’s history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?A) GigantismB) AcromegalyC) Simmonds’ diseaseD) Dwarfism 29. A client is having difficulty with falling and staying asleep and has obtained over-the-counter melatonin to help with this issue. What gland would be responsible for decreased secretion of melatonin?A) PinealB) ThymusC) ThyroidD) Adrenal 30. A client is scheduled for a hypophysectomy for the management of a pituitary tumor. What are the nurse’s priorities for this client? Select all that apply.A) Assure the client that he will make it through the surgery without any difficulty.B) Relieve discomfort from headaches, abdominal distention, and skeletal pain.C) Pace activities to accommodate the client’s fatigue.D) Help the client cope with changes in physical appearance.E) Encourage self-care and activities as client’s endurance permits 31. The nurse is caring for a client who has an excess amount of potassium being excreted and has a serum level of 6.2 mEq/L. What group of adrenal hormones is likely to be impacting the laboratory result?A) TestosteroneB) GlucocorticoidsC) MineralocorticoidsD) Estrogen 32. A client is admitted with adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:A) Low blood pressureB) Increased urinationC) Warm, flushed skinD) Sow regular pulse 33. A client is admitted with a diagnosis of hypothyroidism. An initial assessment of the client would reveal:A) Weight gain, lethargy, slowed speech, and decreased respiratory rateB) Decreased body temperature, weight loss, and increased respirationsC) Rapid pulse, constipation, and bulging eyesD) Slow pulse rate, weight loss, diarrhea, and cardiac failure 34. A client has a subtotal thyroidectomy. The nurse is observed requesting that the client state her name frequently. The primary reason for this assessment is to monitor for which of the following?A) HemorrhageB) Lower airway obstructionC) Laryngeal nerve damageD) Tetany 35. A client is being seen in the clinic to receive the results of the lab work to determine thyroid levels. The nurse observes the client’s eyes bulged, and swelling around the eyes. What does the nurse know that the correct documentation of this finding is?A) ExophthalmosB) Dilated pupilsC) Retinal detachmentD) Periorbital swelling 36. A client is admitted with hypothyroidism. Which clinical manifestation would the nurse expect the client to exhibit?A) DiaphoresisB) DiarrheaC) Intolerance to coldD) Hyperactivity 37. A client has been diagnosed with myxedema from long-standing hypothyroid ism. What clinical manifestations of this disorder does the nurse recognize are progressing to myxedema coma? Select all that apply.A) HypotensionB) HypothermiaC) HypoventilationD) HyperventilationE) Hypertension 38. The nurse is caring for a client who had a thyroidectomy. What items should the nurse have available when the client recovers after thyroidectomy? Select all that apply.A) Calcium gluconateB) Tracheostomy trayC) Oral airwayD) Pulse oximeterE) Tourniquet 39. The nurse is caring for a client following removal of the thyroid. Immediately post-op, the nurse should:A) Maintain the client in a semi-Fowler’s position with the head and neck supported by pillowsB) Maintain the client in a supine position with sandbags placed on either side of the head and neckC) Encourage the client to turn her head side to side, to promote drainage of oral secretionsD) Encourage the client to cough and breathe deeply every 2 hours, with the neck in a flexed position 40 A client is scheduled to have a test to determine thyroid function. What should the nurse ask the client prior to scheduling the testing?A) If the client is taking birth control pillsB) If the client has had a diagnostic test that used dye within the last 3 monthsC) If the client is drinking adequate amounts of fluid dailyD) If the client is able to pay for the testing or have insurance coverage Health ScienceScienceNursingShare Question