Exam (elaborations)
endocrine NCLEX Questions with correct answer1.
- Course
- NCLEX
- Institution
- Maryville College
endocrine NCLEX Questions with correct answer1.
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endocrine NCLEX Questions with correct answersA nurse is collecting data regarding a client after a thyroidectomy and
notes that the client has developed hoarseness and a weak voice. Which
nursing action is appropriate?
1. Check for signs of bleeding.
2. Administer calcium gluconate.
3. Notify the registered nurse immediately.
4. Reassure the client that this is usually a temporary condition. Correct
Answer-1. Check for signs of bleeding.
2. Administer calcium gluconate.
3. Notify the registered nurse immediately.
*4. Reassure the client that this is usually a temporary condition.*
*rationale* Weakness and hoarseness of the voice can occur as a result
of trauma of the laryngeal nerve. If this develops, the client should be
reassured that the problem will subside in a few days. Unnecessary
talking should be discouraged. It is not necessary to notify the registered
nurse immediately. These signs do not indicate bleeding or the need to
administer calcium gluconate.
A nurse is reviewing discharge teaching with a client who has Cushing's
syndrome. Which statement by the client indicates that the instructions
related to dietary management were understood?
1. "I can eat foods that contain potassium."
2. "I will need to limit the amount of protein in my diet."
3. "I am fortunate that I can eat all the salty foods I enjoy."
,4. "I am fortunate that I do not need to follow any special diet." Correct
Answer-*1. "I can eat foods that contain potassium."*
2. "I will need to limit the amount of protein in my diet."
3. "I am fortunate that I can eat all the salty foods I enjoy."
4. "I am fortunate that I do not need to follow any special diet."
*rationale* A diet that is low in calories, carbohydrates, and sodium but
ample in protein and potassium content is encouraged for a client with
Cushing's syndrome. Such a diet promotes weight loss, the reduction of
edema and hypertension, the control of hypokalemia, and the rebuilding
of wasted tissue.
A nursing instructor asks a student to describe the pathophysiology that
occurs in Cushing's disease. Which statement by the student indicates an
accurate understanding of this disorder?
1. "Cushing's disease is characterized by an oversecretion of insulin."
2. "Cushing's disease is characterized by an oversecretion of
glucocorticoid hormones."
3. "Cushing's disease is characterized by an undersecretion of
corticotropic hormones."
4. "Cushing's disease is characterized by an undersecretion of
glucocorticoid hormones." Correct Answer-1. "Cushing's disease is
characterized by an oversecretion of insulin."
*2. "Cushing's disease is characterized by an oversecretion of
glucocorticoid hormones."*
3. "Cushing's disease is characterized by an undersecretion of
corticotropic hormones."
,4. "Cushing's disease is characterized by an undersecretion of
glucocorticoid hormones."
*rationale* Cushing's syndrome is characterized by an oversecretion of
glucocorticoid hormones. Addison's disease is characterized by the
failure of the adrenal cortex to produce and secrete adrenocortical
hormones. Options 1 and 4 are inaccurate regarding Cushing's
syndrome.
A nurse would expect to note which interventions in the plan of care for
a client with hypothyroidism? *Select all that apply.*
1. Provide a cool environment for the client.
2. Instruct the client to consume a high-fat diet.
3. Instruct the client about thyroid replacement therapy.
4. Encourage the client to consume fluids and high-fiber foods in the
diet.
5. Instruct the client to contact the health care provider if episodes of
chest pain occur.
6. Inform the client that iodine preparations will be prescribed to treat
the disorder. Correct Answer-1. Provide a cool environment for the
client.
2. Instruct the client to consume a high-fat diet.
*3. Instruct the client about thyroid replacement therapy.*
*4. Encourage the client to consume fluids and high-fiber foods in the
diet.*
*5. Instruct the client to contact the health care provider if episodes of
chest pain occur.*
, 6. Inform the client that iodine preparations will be prescribed to treat
the disorder.
*rationale* The clinical manifestations of hypothyroidism are the result
of decreased metabolism from low levels of thyroid hormone.
Interventions are aimed at replacement of the hormones and providing
measures to support the signs and symptoms related to a decreased
metabolism. The nurse encourages the client to consume a well-balanced
diet that is low in fat for weight reduction and high in fluids and high-
fiber foods to prevent constipation. The client often has cold intolerance
and requires a warm environment. The client would notify the health
care provider if chest pain occurs since it could be an indication of
overreplacement of thyroid hormone. Iodine preparations are used to
treat hyperthyroidism. These medications decrease blood flow through
the thyroid gland and reduce the production and release of thyroid
hormone.
Which nursing action would be appropriate to implement when a client
has a diagnosis of pheochromocytoma?
1. Weigh the client.
2. Test the client's urine for glucose.
3. Monitor the client's blood pressure.
4. Palpate the client's skin to determine warmth. Correct Answer-1.
Weigh the client.
2. Test the client's urine for glucose.
*3. Monitor the client's blood pressure.*
4. Palpate the client's skin to determine warmth.
*rationale* Hypertension is the major symptom that is associated with
pheochromocytoma. The blood pressure status is monitored by taking
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