Chapter 27- Endocrine Function

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

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

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

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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