CHAPTER 35: AGENTS AFFECTING THYROID, PARATHYROID, AND PITUITARY FUNCTION

CHAPTER 35: AGENTS AFFECTING THYROID, PARATHYROID, AND PITUITARY FUNCTION

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When caring for clients with endocrine disorders, the nurse understands that the purpose of the parathyroid gland is to:

a.	secrete hormones that facilitate the thyroid gland’s control of metabolism.
b.	secrete an enzyme that increases the serum phosphate level.
c.	secrete a hormone that acts to increase the serum calcium level.
d.	secrete calcitonin to maintain serum calcium levels within defined limits.

 

 

ANS:  C

 

	Feedback
A	Incorrect: The parathyroid gland does not have this function.
B	Incorrect: The parathyroid gland secretes a hormone–PTH.
C	Correct: The parathyroid gland secretes PTH to increase serum calcium level.
D	Incorrect: Calcitonin is secreted by the thyroid gland.

 

 

PTS:   1                    REF:   p. 794            OBJ:   Cognitive Level: Comprehension

 

2. A nurse is administering levothyroxine to a client. The nurse should monitor the client for which adverse effects of this agent?

a.	constipation	c.	lethargy
b.	tachycardia	d.	weight gain

 

 

ANS:  B

 

	Feedback
A	Incorrect: This is a manifestation of the hypothyroidism that the medication is treating.
B	Correct: Tachycardia is a manifestation of hyperthyroidism, an adverse effect of thyroid replacement therapy.
C	Incorrect: This is a manifestation of the hypothyroidism that the medication is treating.
D	Incorrect: This is a manifestation of the hypothyroidism that the medication is treating.

 

 

PTS:   1                    REF:   p. 793 | p. 801, Safe Nursing Practice 35-1

OBJ:   Cognitive Level: Comprehension

 

3. The nurse is preparing to administer intravenous calcium. During the infusion, the nurse should:

a.	monitor the client’s blood pressure during and after infusion.
b.	infuse the calcium solution as rapidly as possible.
c.	monitor the infusion site for extravasation, which can cause tissue necrosis.
d.	maintain the client’s room temperature below 70° F to keep the infusion cool.

 

 

ANS:  C

 

	Feedback
A	Incorrect: The client’s heart rate and rhythm should be monitored during calcium infusion.
B	Incorrect: Calcium infusion should never be rapid.
C	Correct: Extravasation of calcium solution can cause tissue necrosis.
D	Incorrect: Intravenous calcium solutions should be warmed to body temperature prior to infusion.

 

 

PTS:   1                    REF:   p. 805            OBJ:   Cognitive Level: Application

 

4. In planning the care of the client receiving thyroid medication, the nurse would identify which of the following as an appropriate nursing diagnosis:

a.	Risk for injury related to altered calcium levels.
b.	Disturbed sleep pattern related to thyroid dysfunction.
c.	Knowledge deficit related to effects of deficiency of thyroid hormone.
d.	Pain related to ulcerogenic effects of thyroid hormone preparations.

 

 

ANS:  B

 

	Feedback
A	Incorrect: This would be more appropriate for a client with parathyroid disease.
B	Correct: Insomnia is a manifestation of hyperthyroidism and can result in clients with hypothyroidism receiving thyroid replacement therapy.
C	Incorrect: This is not a NANDA (North American Nursing Diagnosis Association) nursing diagnosis.
D	Incorrect: Thyroid preparations are not ulcerogenic.

 

 

PTS:   1                    REF:   p. 799            OBJ:   Cognitive Level: Application

 

5. The nurse is teaching the parents of a child receiving somatropin. Which comment by the parents indicates an understanding of the instruction?

a.	“Even with long-term use, this medication cannot cure his parathyroid disease.”
b.	“This medication is administered intranasaly once a day.”
c.	“We should administer this medication as soon as Danny gets up in the morning.”
d.	“We need to treat Danny based on his growth and developmental age.”

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is used in children with dwarfism, a condition of the pituitary.
B	Incorrect: This medication is administered SC or IM.
C	Incorrect: It is best to administer somatropin in the evening.
D	Correct: This is the best method of caring for a child with dwarfism.

 

 

PTS:   1                    REF:   p. 808, Safe Nursing Practice 35-4    OBJ:   Cognitive Level: Evaluation