Endocrine Problems Discussion Assignment Essay

Endocrine Problems Discussion Assignment

The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. After a hypophysectomy for acromegaly, postoperative nursing care
should focus on
a. frequent monitoring of serum and urine osmolarity.
b. parenteral administration of a GH-receptor antagonist.
c. keeping the patient in a recumbent position at all times.
d. patient teaching regarding the need for lifelong hormone
therapy.
2. A patient with a head injury develops SIADH. Manifestations the
nurse would expect to find include
a. hypernatremia and edema.
b. muscle spasticity and hypertension.
c. low urine output and hyponatremia.
d. weight gain and decreased glomerular filtration rate.
3. The health care provider prescribes levothyroxine (Synthroid) for a
patient with hypothyroidism. After teaching regarding this drug,
the nurse determines that further instruction is needed when the
patient says
a. “I can expect the medication dose may need to be adjusted.”
b. “I only need to take this drug until my symptoms are improved.”
c. “I can expect to return to normal function with the use of this
drug.”
d. “I will report any chest pain or difficulty breathing to the doctor
right away.”
4. After thyroid surgery, the nurse suspects damage or removal of the
parathyroid glands when the patient develops
a. muscle weakness and weight loss.
b. hyperthermia and severe tachycardia.
c. hypertension and difficulty swallowing.
d. laryngospasms and tingling in the hands and feet.

5. Important nursing intervention(s) when caring for a patient with
Cushing syndrome include (select all that apply)
a. restricting protein intake.
b. monitoring blood glucose levels.
c. observing for signs of hypotension.
d. administering medication in equal doses.
e. protecting patient from exposure to infection.
6. An important preoperative nursing intervention before an adrenalectomy for hyperaldosteronism is to
a. monitor blood glucose levels.
b. restrict fluid and sodium intake.
c. administer potassium-sparing diuretics.
d. advise the patient to make postural changes slowly.
7. To control the side effects of corticosteroid therapy, the nurse
teaches the patient who is taking corticosteroids to
a. increase calcium intake to 1500 mg/day.
b. perform glucose monitoring for hypoglycemia.
c. obtain immunizations due to high risk of infections.
d. avoid abrupt position changes because of orthostatic hypotension.
8. The nurse teaches the patient that the best time to take corticosteroids for replacement purposes is
a. once a day at bedtime.
b. every other day on awakening.
c. on arising and in the late afternoon.
d. at consistent intervals every 6 to 8 hours.

Endocrine Problems Discussion Assignment Essay

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