Introduction To Medical Surgical Nursing, 6th Edition by Linton
Introduction To Medical Surgical Nursing, 6th Edition by Linton
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Chapter 46: Pituitary and Adrenal Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “The doctor wants to know if you have either diabetes or acromegaly.” |
| b. | “The growth hormone will cause the glucose to be used up very quickly during the test.” |
| c. | “It measures the growth hormone in the presence of oral glucose levels at specified times.” |
| d. | “It tells whether your thyroid reacts to the high levels of sugar taken during this test.” |
ANS: C
The level of growth hormone will drop in the presence of oral glucose. In a patient with acromegaly, the growth hormone level drops dramatically. The GTT is the best diagnostic tool for acromegaly.
DIF: Cognitive Level: Comprehension REF: p. 1010-1011
OBJ: 2 TOP: Acromegaly KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Avoid sneezing. |
| b. | Drink through a straw. |
| c. | Cough forcefully. |
| d. | Wash mouth out with peroxide. |
ANS: A
The patient should be taught to avoid sneezing, coughing, drinking through a straw, and using a stringent mouthwash that might dislodge the graft.
DIF: Cognitive Level: Comprehension REF: p. 1016 OBJ: 4
TOP: Pituitary Surgery KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | Prolactin |
| b. | Growth hormone |
| c. | Thyroid-stimulating hormone |
| d. | Adrenocorticotropic hormone |
ANS: B
Excess growth hormone in an adult will cause the flat bones to grow because the adult has little capacity for heightened growth. In a child, this same excess would cause giantism.
DIF: Cognitive Level: Knowledge REF: p. 1010 OBJ: 3
TOP: Acromegaly KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Diuresis, tachycardia, and weakness |
| b. | Dizziness, hypertension, and excitability |
| c. | Stress incontinence, vomiting, and edema |
| d. | Bradycardia, insomnia, and muscle cramps |
ANS: A
The hypovolemia from massive diuresis leads to decreased blood pressure, tachycardia, and weakness.
DIF: Cognitive Level: Knowledge REF: p. 1019 OBJ: 1
TOP: Diabetes Insipidus KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | Increases cardiac output |
| b. | Regulates the excretion of potassium and sodium |
| c. | Decreases the level of cortisol |
| d. | Lowers the blood sugar level |
ANS: B
Hydrocortisone helps regulate the excretion of potassium and sodium, the two electrolytes that control fluid distribution.
DIF: Cognitive Level: Comprehension REF: p. 1027 OBJ: 3
TOP: Addison Disease KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
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