Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 39. Nursing Care of Patients With Endocrine Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient scheduled for diagnostic tests for hypothyroidism. Which symptoms should the nurse expect to observe in a patient with this disorder?
| a. | Tremor and oily skin |
| b. | Anxiety and tachycardia |
| c. | Dry skin and slowed heart rate |
| d. | Increase in appetite and diarrhea |
____ 2. A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which statement should the nurse include when teaching the patient about this medication?
| a. | “If you do not take your medication, you will retain water and begin to see swelling in your feet and legs.” |
| b. | “Cushing’s syndrome is a complication of severe hypothyroidism, so you need to take this medication regularly.” |
| c. | “Thyrotoxicosis results from too little thyroid hormone, so you should monitor your temperature every day.” |
| d. | “Worsening hypothyroidism can result in a condition called myxedema coma, so it is important to take this medication.” |
____ 3. The nurse is caring for a patient with a history of asthma who is newly diagnosed with hyperthyroidism. What assessment finding should the licensed practical nurse (LPN) report immediately to the registered nurse (RN)?
| a. | Heart rate 112 beats/min |
| b. | Temperature 97.2°F (36.2°C) |
| c. | Blood pressure 112/73 mm Hg |
| d. | Respiratory rate 20 breaths/min |
____ 4. The nurse is caring for a patient with exophthalmos secondary to Graves’ disease. What nursing interventions are appropriate for this patient?
| a. | Myotic eyedrops and privacy |
| b. | Television and other diversionary activities |
| c. | An accepting attitude and lubricating eyedrops |
| d. | Reassurance that the symptoms will resolve when the Graves’ disease is under control |
____ 5. The nurse is preparing a patient for a thyroidectomy to treat hyperthyroidism. What patient statement indicates to the nurse that the patient understands the preoperative instructions?
| a. | “I know that I should avoid turning my head after surgery.” |
| b. | “I will probably need thyroid replacement medication after surgery.” |
| c. | “I will avoid taking any thyroid or antithyroid drugs before surgery.” |
| d. | “I will need to increase my calorie intake after surgery to avoid weight loss.” |
MULTIPLE CHOICE
Symptoms of hypothyroidism are related to the reduced metabolic rate and include fatigue, weight gain, bradycardia, constipation, mental dullness, feeling cold, shortness of breath, decreased sweating, and dry skin and hair. A. B. D. These symptoms are associated with hyperthyroidism.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
If a patient does not take medication to correct hypothyroidism, worsening hypothyroidism will occur, which can lead to myxedema coma. A. Fluid excess is not directly related to hypothyroidism. C. Thyrotoxicosis occurs with too much, not too little, thyroid hormone. B. Cushing’s syndrome is caused by deficient cortisol, not thyroid hormone.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Application
A heart rate of 112 beats per minute is abnormal. B. C. D. All the other vital signs are normal.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
Lubricating eyedrops will help keep the eyes moist if the patient is unable to close them. An accepting attitude is important if the patient’s body image is disturbed. A. B. Diversion and myotic eyedrops do not address the problem. D. Symptoms will not resolve with treatment.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application
Most patients require thyroid replacement therapy after thyroidectomy. A. Patients should be taught range-of-motion exercises, not to avoid turning the head. D. Calories will need to be reduced, not increased. C. Antithyroid drugs may be ordered to stabilize thyroid function prior to surgery.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Evaluation
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