Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
$2.99
Chapter 50, Caring for Clients With Disorders of the Endocrine System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is reviewing a client’s history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following? | |
| A) | Gigantism | |
| B) | Dwarfism | |
| C) | Acromegaly | |
| D) | Simmonds’ disease | |
| Ans: | A | |
| Feedback: | ||
| When oversecretion of GH occurs before puberty, gigantism results. Dwarfism occurs when secretion of GH is insufficient during childhood. Oversecretion of GH during adulthood results in acromegaly. An absence of pituitary hormonal activity causes Simmonds’ disease. | ||
| 2. | Which of the following precautions would be most appropriate when caring for a client being treated with radioactive iodine (RAI) for a thyroid tumor? | |
| A) | Administer prescribed corticosteroids carefully. | |
| B) | Handle body fluids carefully. | |
| C) | Monitor the respiratory status. | |
| D) | Administer the prescribed medications at the same time each day. | |
| Ans: | B | |
| Feedback: | ||
| The nurse handles body fluids carefully to prevent spread of contamination. Corticosteroids are not prescribed for thyroid tumor. Monitoring the respiratory status and administering prescribed medicines at the same time each day are unrelated to the care of a client receiving RAI. | ||
| 3. | Which group of clients should not receive potassium iodide? | |
| A) | Those who are allergic to corticosteroids | |
| B) | Those who are pregnant | |
| C) | Those taking medications such as cough medicines | |
| D) | Those who are allergic to seafood | |
| Ans: | D | |
| Feedback: | ||
| Potassium iodide should not be administered to anyone who is allergic to seafood, which is also high in iodine. Clients who take corticosteroids or cough medicines and those who are pregnant would be appropriate candidates for potassium iodide therapy. | ||
| 4. | A client with Addison’s disease has a blood glucose level above 80 mg/dL 30 minutes after receiving 15 g of carbohydrates for symptoms of hypoglycemia. Which of the following would the nurse do now? | |
| A) | Inform the physician immediately. | |
| B) | Give the client milk and graham crackers. | |
| C) | Instruct the client to remain in bed. | |
| D) | Check the client’s blood glucose level before each meal. | |
| Ans: | B | |
| Feedback: | ||
| Milk and graham crackers contain forms of carbohydrates that take longer to absorb and tend to maintain the blood glucose level for an extended period. The physician should be informed if the client continues to be symptomatic and the blood glucose level is below 80 mg/dL. Maintaining bed rest protects the client from injuries from a fall but does not address the blood glucose issue. Assessing the client’s blood glucose level provides a numeric assessment of the blood glucose level and would be performed in an ongoing fashion. | ||
| 5. | A client with diabetes insipidus is extremely dehydrated and is unable to take oral fluids. Fluid therapy is prescribed. Which intervention would be most important for the client? | |
| A) | Measuring the urine output every 30 minutes | |
| B) | Monitoring the rate of IV infusions | |
| C) | Measuring the fluid intake | |
| D) | Weighing the client daily | |
| Ans: | A | |
| Feedback: | ||
| The nurse must measure the urine output every 30 minutes when administering prescribed fluid and drug therapy when the client is acutely ill or extremely dehydrated, fails to take oral fluids, or is beginning to receive medical treatment. Doing so ensures adequate kidney function. Although monitoring the rate of IV infusions, measuring fluid intake, and weighing the client daily are important, measuring the urine output every 30 minutes is the priority. | ||
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $90.00.$60.00Current price is: $60.00.
Original price was: $499.00.$49.00Current price is: $49.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $100.00.$70.00Current price is: $70.00.