Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 27- Endocrine Function
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse assesses a group of older adults at a senior center for conditions related to an aging endocrine system. Which of the following assessment findings should the nurse prioritize and address first? | |
| A) | Blood glucose of 300 in an 88-year-old person | |
| B) | Metabolic syndrome in a 67-year-old person | |
| C) | New onset of peripheral edema and constipation in a 72-year-old adult | |
| D) | The presence of a Dupuytren contracture in a 78-year-old adult | |
| Ans: | A | |
| Feedback: | ||
| While all are abnormal findings and need addressing, the elevated blood glucose is the priority before the patient develops other issues with the hyperglycemia. | ||
| Origin: Chapter 27- Endocrine Function, 2
Chapter: 27 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 3 Page and Header: 379, Box 27-2 |
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| 2. | The nurse educates the older adult regarding a new diagnosis of diabetes mellitus. Which of the following educational materials should the nurse consider as appropriate? | |
| A) | A commercial pamphlet with pictures and font size 12 | |
| B) | An audio recording. | |
| C) | Online interactive presentation | |
| D) | Printed handouts on white paper with font size 16 | |
| Ans: | D | |
| Feedback: | ||
| Original handmade aids suited for the individual’s unique needs may have a value equal to or greater than commercially prepared ones. Audio recording is of little benefit to the older person with a hearing problem. A computer presentation may overwhelm the older learner. The print on a commercial pamphlet may appear minute to older eyes. | ||
| Origin: Chapter 27- Endocrine Function, 3
Chapter: 27 Client Needs: B Cognitive Level: Application Difficulty: Moderate Integrated Process: Teaching/learning Objective: 3 Page and Header: 118, Box 27-3 |
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| 3. | The nurse educated the patient with newly diagnosed diabetes. Which of the learning outcomes would be appropriate? (Select all that apply.) | |
| A) | To demonstrate the correct method of blood glucose testing | |
| B) | To demonstrate the proper technique for administration of antidiabetic medication | |
| C) | To lose 5 lb a week for the next 52 weeks | |
| D) | To remain with heart rate within normal limits | |
| E) | To verbalize understanding of diabetes and its management | |
| Ans: | A, B, E | |
| Feedback: | ||
| Weight loss of 1 to 2 lb a week is suggested if indicated, and no direct cardiovascular effects are expected. Heart rate is not related to this learning outcome. | ||
| Origin: Chapter 27- Endocrine Function, 4
Chapter: 27 Client Needs: D4 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 4 Page and Header: 383, Symptoms |
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| 4. | The nurse admits a patient to the skilled care unit with symptoms of fatigue, weakness, and lethargy. Before the primary care provider completes a diagnosis of depression, which of the following laboratory tests should be completed? | |
| A) | Estrogen and testosterone | |
| B) | Random blood glucose | |
| C) | T4 and TSH | |
| D) | Triglyceride | |
| Ans: | C | |
| Feedback: | ||
| Fatigue, weakness, lethargy, depression, and disinterest in activities are all characteristic of hypothyroidism. While fatigue and weakness may indicate hypoglycemia, a random blood glucose will not diagnose diabetes. | ||
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