Endocrine Nursing Questions (6-10)

6. The nurse is assessing a client with hyperthyroidism. What findings should the nurse expect?

a. Weight gain, constipation, and lethargy
b. Weight loss, nervousness, and tachycardia
c. Exophthalmos, diarrhea, and cold intolerance
d. Diaphoresis, fever, and decreased sweating

7. Which important instruction concerning the administration of levothyroxine (Synthroid) should the nurse teach a client?

a. "Take the drug on an empty stomach."
b. "Take the drug with meals."
c. "Take the drug in the evening."
d. "Take the drug whenever convenient."

8. An incoherent client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, the nurse prepares to take emergency action to prevent the potential complication of:

a. thyroid storm.
b. cretinism.
c. myxedema coma.
d. Hashimoto's thyroiditis.

9. A client is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should anticipate which laboratory test result?

a. Decreased serum sodium level
b. Decreased serum creatinine level
c. Increased hematocrit
d. Increased blood urea nitrogen (BUN) level

10. A client with Cushing's syndrome is admitted to the medical-surgical unit. During the admission assessment, the nurse notes that the client is agitated and irritable, has poor memory, reports loss of appetite, and appears disheveled. These findings are consistent with which problem?

a. Depression
b. Neuropathy
c. Hypoglycemia
d. Hyperthyroidism

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