When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect: Show
D. BP of 176/88 mm Hg. RATIONALE A nurse is caring for a client who had a thyroidectomy and is at risk for hypocalcemia. What should the nurse do? A. Monitor laboratory values daily for elevated thyroid-stimulating hormone. D. Observe for muscle twitching and numbness or tingling of the lips, fingers, and toes. RATIONALE For the first 72 hours after thyroidectomy surgery, a nurse should assess a client for Chvostek's sign and Trousseau's sign because they indicate: A. hypocalcemia. A. hypocalcemia. RATIONALE The preferred preparation for treating hypothyroidism includes which of the following? A.
Levothyroxine (Synthroid) A. Levothyroxine (Synthroid) RATIONALE The nurse assesses a patient who has an obvious goiter. What type of deficiency does the nurse recognize is most likely the cause of this? A. Thyrotropin B. Iodine RATIONALE The nurse obtains a complete family history of a client with a suspected endocrine disorder based on which rationale? B. Endocrine disorders can be inherited. RATIONALE A 24-year-old male patient is being cared for in the intensive care unit following a motorcycle accident. In addition to musculoskeletal injuries, he has developed syndrome of inappropriate antidiuretic hormone (SIADH) from the traumatic head injury. Which of the following imbalances is consistent with this diagnosis? Hyponatremia RATIONALE A 42-year-old man with a history of pheochromocytoma is being treated in the intensive care unit after experiencing an acute exacerbation of his condition. This patient will require the nurse to perform which of the following assessments most frequently? A. Motor and sensory function D. Blood pressure (BP) and heart rate Blood pressures exceeding 250/150 mm Hg have been recorded in cases of pheochromocytoma. Such BP elevations are life-threatening and can cause severe complications. Consequently, constant monitoring of BP and heart rate is a priority over other assessments, even though each of the listed assessments is relevant and appropriate. A client reports extremely frequent urination, sometimes urinating 10 to 12 times each day. What fluid balance disorder would be expected with these symptoms? A. dehydration RATIONALE A client with acromegaly has been given the option of a surgical approach or a medical approach. The client decides to have a surgical procedure to remove the pituitary gland. What does the nurse understand this surgical procedure is called? A. Hypophysectomy A. Hypophysectomy RATIONALE Upon evaluation of the patient's laboratory data and clinical signs and symptoms, the nurse suspects that the patient may have pheochromocytoma. Which of the following is directly related with pheochromocytoma? Select all that apply. A. Severe headache; pain score of 9 out of 10 A. Severe headache; pain
score of 9 out of 10 RATIONALE A 70-year-old female patient is admitted to the unit with enlargement of thyroid gland, hypertension, high TSH levels, and bulging eyes. What nursing intervention is most appropriate for this patient? A. Providing a blanket B. Instilling eye ointment RATIONALE A patient presented to the unit with an ADH-secreting tumor. Upon diagnostic and physical evaluation, the nurse suspects the patient is experiencing SIADH. Which of the following is a clinical manifestation of SIADH? Select all that apply. A. Hyponatremia A. Hyponatremia RATIONALE The nursing management of a patient who underwent transsphenoidal removal of a pituitary tumor yesterday includes which of the following actions? Select all that apply. A. Maintaining oral care A. Maintaining oral care RATIONALE A 55-year-old female presents to the clinic with complaints of fatigue and tiredness. The nurse notices that the patient's skin is thin, fragile, and easily traumatized. Ecchymosis and purple striae are noted over the thighs and abdomen. She presents with a slight kyphosis and a protruding abdomen. Which of the following methods of management might be appropriate for her? A. Increase dose of corticosteroids B. Unilateral or bilateral adrenalectomy RATIONALE Which hormonal disorder may be suspected when positive chvostek and Trousseau signs are assessed?Hypoparathyroidism is similarly correlated with hypocalcemia which can cause abdominal pains, muscle cramping, and paresthesias. The 2 clinical tests commonly done to evaluate for hypocalcemia are Chvostek and Trousseau signs.
Which condition should a nurse expect to find in a client diagnosed with hyperparathyroidism?Explanation: The nurse should know the parathyroid glands regulate serum calcium levels; in hyperparathyroidism, serum calcium levels are elevated.
What is the difference between Graves disease and thyrotoxicosis?The main cause of thyrotoxicosis is hyperthyroidism, which is an overactivity of the thyroid gland resulting in it producing excess levels of thyroid hormones. If the hyperthyroidism is due to an autoimmune cause, it is called Graves' disease.
Which of the following hormones would the nurse identify as being secreted by the thyroid gland?The thyroid gland secretes two main hormones, thyroxine and triiodothyronine, into the bloodstream. These thyroid hormones stimulate all the cells in the body and control biological processes such as growth, reproduction, development, and metabolism.
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What type of deficiency does the nurse recognize is most likely the cause of a patient who has an obvious goiter?
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