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Lewis Medical-Surgical Nursing 11th Edition Test Bank- Chapter 49 Endocrine Problems Actual Questions and Answers Verified by Expert | $12.49
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Lewis Medical-Surgical Nursing 11th Edition Test Bank- Chapter 49
Endocrine Problems Actual Questions and Answers Verified by Expert
| 2024-2025
1 Which information will the nurse include when teaching a 50-year-old male patient about
somatropin (Genotropin)?
a. The medication will be needed for 3 to 6 months.
b. Inject the medication subcutaneously every day.
c. Blood glucose levels may decrease when taking the medication. d. Stop taking the medication
if swelling of the hands or feet occurs. - answer>>>ANS: B
Somatropin is injected subcutaneously on a daily basis, preferably in the evening. The patient
will need to continue on somatropin for life. If swelling or other common adverse effects
occur, the health care provider should be notified. Growth hormone will increase blood
glucose levels.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2 A patient who had a subtotal thyroidectomy earlier today develops laryngeal stridor and a
cramp in the right hand upon returning to the surgical nursing unit. Which collaborative action
will the nurse anticipate next?
a. Suction the patients airway.
b. Administer IV calcium gluconate.
c. Plan for emergency tracheostomy.
d. Prepare for endotracheal intubation. - answer>>>ANS: B
The patients clinical manifestations of stridor and cramping are consistent with tetany caused
by hypocalcemia resulting from damage to the parathyroid glands during surgery.
Endotracheal intubation or tracheostomy may be needed if the calcium does not resolve the
stridor. Suctioning will not correct the stridor.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
,3 Which nursing assessment of a 69-year-old patient is most important to make during
initiation of thyroid replacement with levothyroxine (Synthroid)?
a. Fluid balance
b. Apical pulse rate
c. Nutritional intake
d. Orientation and alertness - answer>>>ANS: B
In older patients, initiation of levothyroxine therapy can increase myocardial oxygen demand
and cause angina or dysrhythmias. The medication also is expected to improve mental status
and fluid balance and will increase metabolic rate and nutritional needs, but these changes
will not result in potentially life-threatening complications.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
4. An expected nursing diagnosis for a 30-year-old patient admitted to the hospital with
symptoms of diabetes insipidus is
a. excess fluid volume related to intake greater than output.
b. impaired gas exchange related to fluid retention in lungs.
c. sleep pattern disturbance related to frequent waking to void.
d. risk for impaired skin integrity related to generalized edema. - answer>>>ANS: C
Nocturia occurs as a result of the polyuria caused by diabetes insipidus. Edema, excess fluid
volume, and fluid retention are not expected.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. . A 45-year-old male patient with suspected acromegaly is seen at the clinic. To assist in
making the diagnosis, which question should the nurse ask?
a. Have you had a recent head injury?
, b. Do you have to wear larger shoes now?
c. Is there a family history of acromegaly?
d. Are you experiencing tremors or anxiety? - answer>>>ANS: B
Acromegaly causes an enlargement of the hands and feet. Head injury and family history are
not risk factors for acromegaly. Tremors and anxiety are not clinical manifestations of
acromegaly.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
6. The nurse determines that demeclocycline (Declomycin) is effective for a patient with
syndrome of inappropriate antidiuretic hormone (SIADH) based on finding that the patients
a. weight has increased.
b. urinary output is increased.
c. peripheral edema is decreased.
d. urine specific gravity is increased. - answer>>>ANS: B
Demeclocycline blocks the action of antidiuretic hormone (ADH) on the renal tubules and
increases urine output. An increase in weight or an increase in urine specific gravity indicates
that the SIADH is not corrected. Peripheral edema does not occur with SIADH. A sudden
weight gain without edema is a common clinical manifestation of this disorder.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
7. The nurse determines that additional instruction is needed for a 60-year-old patient with
chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient says which
of the following?
a. I need to shop for foods low in sodium and avoid adding salt to food.
b. I should weigh myself daily and report any sudden weight loss or gain.
c. I need to limit my fluid intake to no more than 1 quart of liquids a day.
d.I will eat foods high in potassium because diuretics cause potassium loss. - answer>>>ANS: A
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