Nursing and Clinical

Your patient who is being treated for hyperparathyroidism is receiving calcitoni

Your patient who is being treated for hyperparathyroidism is receiving calcitoni

Your patient who is being treated for hyperparathyroidism is receiving calcitonin. The action of this hormone is to:
1.   promote excretion of calcium in the urine.
2.   promote calcium absorption from the gastrointestinal (GI) tract.
3.   i

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biology101

The nurse would anticipate that the patient with hyperparathyroidism would exhib

The nurse would anticipate that the patient with hyperparathyroidism would exhib

The nurse would anticipate that the patient with hyperparathyroidism would exhibit:
1.   fatigue, hyperactive reflexes, muscle cramps, twitching.
2.   poor muscle tone, bone pain, hypertension, fractures.
3.   hunger, thirst, frequent urinat

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biology101

In order to check for Chvostek’s sign, the nurse will: 1.ask the patient to gri

In order to check for Chvostek’s sign, the nurse will: 1.ask the patient to gri

In order to check for Chvostek’s sign, the nurse will:
1.   ask the patient to grimace and note if response is symmetrical.
2.   inflate a blood pressure cuff to systolic level and watch for carpopedal spasm.
3.   tap the face over the facia

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biology101

To address the nursing diagnosis Risk for impaired skin integrity related to dry

To address the nursing diagnosis Risk for impaired skin integrity related to dry

To address the nursing diagnosis Risk for impaired skin integrity related to dry skin, in the patient with hypothyroidism, the nurse would:
1.   increase the frequency of bathing to get rid of the old and dry skin.
2.   apply lotions and creams

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biology101

Your neighbor complains of being cold all the time. In addition, she looks depre

Your neighbor complains of being cold all the time. In addition, she looks depre

Your neighbor complains of being cold all the time. In addition, she looks depressed and very weary. You suspect that she may have a thyroid deficiency. All the following are nursing diagnoses for hypothyroidism except:
1.   Risk for Impaired Skin

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biology101

An older patient wondered why the doctor has decreased her daily dose of thyroid

An older patient wondered why the doctor has decreased her daily dose of thyroid

An older patient wondered why the doctor has decreased her daily dose of thyroid hormone. The nurse’s best response would be that the decreased dose is because:
1.   “The pharmaceutical houses have greatly improved the efficacy of the thyroid horm

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biology101

The patient, seeking additional information about her diagnosis of hypothyroidis

The patient, seeking additional information about her diagnosis of hypothyroidis

The patient, seeking additional information about her diagnosis of hypothyroidism, asks if this condition has been present since infancy. The nurse responds:
1.   “That’s possible. Is this the first time that you have been tested for this disease?

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biology101

The nurse’s technique in assessing for bleeding in a patient who has had a thyro

The nurse’s technique in assessing for bleeding in a patient who has had a thyro

The nurse’s technique in assessing for bleeding in a patient who has had a thyroidectomy for bleeding, would be to:
1.   check his chest since he is to be positioned in high Fowler’s position.
2.   turn him side to side to check; he must be kep

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biology101

On returning from surgery after undergoing a thyroidectomy, the patient is alarm

On returning from surgery after undergoing a thyroidectomy, the patient is alarm

On returning from surgery after undergoing a thyroidectomy, the patient is alarmed about the large tracheostomy tray on the bedside table. When she asks why it is there, the nurse replies:
1.   “We have it there as a precautionary measure in the u

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biology101

The nurse will include in the pre-surgical teaching of a patient scheduled for a

The nurse will include in the pre-surgical teaching of a patient scheduled for a

The nurse will include in the pre-surgical teaching of a patient scheduled for a subtotal thyroidectomy that the patient will have to:
1.   lie flat on her back for 24 hours to prevent undue strain on the suture line.
2.   be able to verbalize

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biology101

The patient, newly diagnosed with hypothyroidism, seems very anxious to begin he

The patient, newly diagnosed with hypothyroidism, seems very anxious to begin he

The patient, newly diagnosed with hypothyroidism, seems very anxious to begin her drug regimen. The nurse’s instructions include:
1.   “Be certain that no dose is skipped.”
2.   “If a dose is skipped one day, double the dose the next day.”

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biology101

The patient has been diagnosed with hyperthyroidism. The nursing diagnoses that

The patient has been diagnosed with hyperthyroidism. The nursing diagnoses that

The patient has been diagnosed with hyperthyroidism. The nursing diagnoses that best applies is:
1.   Hypothermia related to increased metabolic processes.
2.   Constipation related to increased hormonal stimulation.
3.   Disturbed Body Imag

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biology101

The patient has been given an antithyroid drug called propylthiouracil. Appropri

The patient has been given an antithyroid drug called propylthiouracil. Appropri

The patient has been given an antithyroid drug called propylthiouracil. Appropriate nursing Implementations include:
1.   using special radioactive precautions for her urine for the first 24 hours.
2.   monitoring her vital signs and withholdin

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biology101

The nurse assessing a 1 day postoperative subtotal thyroidectomy patient notes t

The nurse assessing a 1 day postoperative subtotal thyroidectomy patient notes t

The nurse assessing a 1 day postoperative subtotal thyroidectomy patient notes that the color is poor, the pulse and respirations are rapid, and the patient feels warm to the touch. The patient says that she feels frightened. The nurse’s initial Impl

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biology101

The patient with Graves’ disease asks the nurse for additional information regar

The patient with Graves’ disease asks the nurse for additional information regar

The patient with Graves’ disease asks the nurse for additional information regarding this disease. The nurse responds:
1.   “Your thyroid gland is not sending out enough hormones, and so you will need replacement hormones.”
2.   “Your thyroid g

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biology101

The nurse instructs the patient is scheduled to have a radioactive iodine uptake

The nurse instructs the patient is scheduled to have a radioactive iodine uptake

The nurse instructs the patient is scheduled to have a radioactive iodine uptake test to:
1.   watch for any signs of bleeding or swelling from the biopsy site.
2.   avoid contact with others until notified otherwise.
3.   wash hands with so

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biology101

The patient asks about his lab test, which showed a high level of TSH and a low

The patient asks about his lab test, which showed a high level of TSH and a low

The patient asks about his lab test, which showed a high level of TSH and a low level of T4. You explain:
1.   “It means that you have an inconsistency in your thyroid tests, and you will need more testing.”
2.   “I am sorry. You will have to a

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biology101

A thyroid scan (123I) has been ordered for the patient. The nurse explains it as

A thyroid scan (123I) has been ordered for the patient. The nurse explains it as

A thyroid scan (123I) has been ordered for the patient. The nurse explains it as:
1.   “A blood test measures hormones circulating in the bloodstream.”
2.   “A small needle will be used to remove a tissue sample that will be examined by a cytop

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biology101

The hyperthyroid patient complains of fatigue, but still cannot get to sleep. Th

The hyperthyroid patient complains of fatigue, but still cannot get to sleep. Th

The hyperthyroid patient complains of fatigue, but still cannot get to sleep. The nurse suggests:
1.   taking “cat naps” during the day.
2.   adhering to a bedtime ritual.
3.   drinking a cup of cocoa before bedtime.
4.   mild pre-bedtime

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biology101

An older woman comes to the office with vague complaints of fatigue, lethargy, b

An older woman comes to the office with vague complaints of fatigue, lethargy, b

An older woman comes to the office with vague complaints of fatigue, lethargy, being forgetful, lacking energy, and always being cold. She apologizes for taking up the clinic’s time, because her problems don’t seem too severe. The best response would

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biology101

A young woman makes an appointment to see a physician at the clinic. She complai

A young woman makes an appointment to see a physician at the clinic. She complai

A young woman makes an appointment to see a physician at the clinic. She complains of tiredness, weight gain, muscle aches and pains, and constipation. The physician will likely order:
1.   T3 and T4 serum level laboratory tests.
2.   glucose t

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biology101

The nurse explains that growth hormone will be given to the child with hypopitui

The nurse explains that growth hormone will be given to the child with hypopitui

The nurse explains that growth hormone will be given to the child with hypopituitarism on a scheduled basis until the child reaches the height of ____________________.

This is for my medical nursing class

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biology101

The nurse caring for a patient with diabetes insipidus should be alert for the f

The nurse caring for a patient with diabetes insipidus should be alert for the f

The nurse caring for a patient with diabetes insipidus should be alert for the following and report signs that indicate a change in condition (select all that apply):
1.   Dropping blood pressure
2.   Light clear urine
3.   Moist mucous memb

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biology101

When the 18-year-old girl is diagnosed with adenoma of the anterior pituitary, t

When the 18-year-old girl is diagnosed with adenoma of the anterior pituitary, t

When the 18-year-old girl is diagnosed with adenoma of the anterior pituitary, the nurse assesses for the classic signs of this diagnosis, which are (select all that apply):
1.   cessation of menses.
2.   milk production.
3.   changing facia

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biology101

When assessing the patient with a diagnosis of SIADH during an intake interview,

When assessing the patient with a diagnosis of SIADH during an intake interview,

When assessing the patient with a diagnosis of SIADH during an intake interview, the nurse expects that the patient will complain of (select all that apply):
1.   headache.
2.   elevated blood pressure.
3.   weight gain.
4.   muscle cramp

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biology101

The patient with hypopituitarism must take medications for the rest of his life.

The patient with hypopituitarism must take medications for the rest of his life.

The patient with hypopituitarism must take medications for the rest of his life. His patient teaching plan would include:
1.   “Constipation must be prevented because straining increases intracranial pressure.”
2.   “You must become familiar wi

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biology101

The mother of a 6-foot 2-inch 16-year-old girl who is being treated for hypopitu

The mother of a 6-foot 2-inch 16-year-old girl who is being treated for hypopitu

The mother of a 6-foot 2-inch 16-year-old girl who is being treated for hypopituitarism says, “I can’t stand it that my beautiful daughter is a freak.” The nurse’s best response is:
1.   “Gigantism is treatable.”
2.   “Her height could help her

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biology101

Discharge planning for a postoperative hypophysectomy patient would be focused o

Discharge planning for a postoperative hypophysectomy patient would be focused o

Discharge planning for a postoperative hypophysectomy patient would be focused on:
1.   finding a support group.
2.   nutritional maintenance.
3.   education on self-care.
4.   self-image improvement.


This is for my medic

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biology101

The nurse explains that the laboratory report indicating a low ACTH level in a p

The nurse explains that the laboratory report indicating a low ACTH level in a p

The nurse explains that the laboratory report indicating a low ACTH level in a patient with Addison’s disease means that:
1.   surgery on the adrenals is the best remedy.
2.   the disease is caused by a pituitary problem.
3.   the disorder’s

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biology101

The care of a postoperative hypophysectomy patient, in whom the entire pituitary

The care of a postoperative hypophysectomy patient, in whom the entire pituitary

The care of a postoperative hypophysectomy patient, in whom the entire pituitary was removed, would include:
1.   strict intake and output.
2.   keeping patient flat in bed for the first 24 hours.
3.   withholding analgesics to assess level

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biology101

The nurse making a care plan for a 10-year-old boy with hyperpituitarism identif

The nurse making a care plan for a 10-year-old boy with hyperpituitarism identif

The nurse making a care plan for a 10-year-old boy with hyperpituitarism identifies a disturbed self-image. The nursing diagnosis she would add to the nursing care plan would best be stated as “Disturbed self-image” related to:
1.   lack of facial

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biology101

The nurse assessing a patient with Simmonds’ cachexia anticipates that the patie

The nurse assessing a patient with Simmonds’ cachexia anticipates that the patie

The nurse assessing a patient with Simmonds’ cachexia anticipates that the patient will exhibit:
1.   a high body temperature.
2.   a ruddy complexion.
3.   silky body hair.
4.   muscle wasting.


This is for my medical nur

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biology101

The nurse evaluates no need for further instruction for self-care for the patien

The nurse evaluates no need for further instruction for self-care for the patien

The nurse evaluates no need for further instruction for self-care for the patient with Cushing’s syndrome who states:
1.   “I know I should add salt to everything I eat.”
2.   “I make a point to avoid excessive exposure to sun.”
3.   “I avoi

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biology101

The hallmark findings that you would expect to see when assessing a patient with

The hallmark findings that you would expect to see when assessing a patient with

The hallmark findings that you would expect to see when assessing a patient with Cushing’s syndrome would be:
1.   edema of the trunk, extremities, and face.
2.   wasting of the abdomen with thick, calloused skin.
3.   excess adipose tissue

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biology101

The long-term asthmatic patient develops Cushing’s syndrome. The nurse explains

The long-term asthmatic patient develops Cushing’s syndrome. The nurse explains

The long-term asthmatic patient develops Cushing’s syndrome. The nurse explains that this condition is probably the result of:
1.   his taking corticosteroids for many years.
2.   an abrupt withdrawal of cortisone therapy.
3.   the lack of a

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biology101

In drawing up a teaching plan for your patient with Addison’s disease, include t

In drawing up a teaching plan for your patient with Addison’s disease, include t

In drawing up a teaching plan for your patient with Addison’s disease, include the following:
1.   Discontinue hormonal replacement therapy if nauseated or has diarrhea.
2.   Decrease medication if under stress or being treated for an infection

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biology101

The family member of a patient in adrenal crisis asks why IV cortisone is contin

The family member of a patient in adrenal crisis asks why IV cortisone is contin

The family member of a patient in adrenal crisis asks why IV cortisone is continued after the initial IV push of Solu-Cortef, which seems to stop the symptoms. The nurse replies that:
1.   Solu-Cortef has a very brief therapeutic period and needs

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biology101

The nurse includes in the discharge plan for a patient with Addison’s disease, “

The nurse includes in the discharge plan for a patient with Addison’s disease, “

The nurse includes in the discharge plan for a patient with Addison’s disease, “Risk for injury.” Measures to deal with this include:
1.   arranging for uncluttered floor space.
2.   rising slowly from a lying position.
3.   keeping the room

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biology101

The patient inquires about the purpose of the laboratory test to measure the ser

The patient inquires about the purpose of the laboratory test to measure the ser

The patient inquires about the purpose of the laboratory test to measure the serum level of adrenocorticotropic hormone (ACTH). The nurse responds that the laboratory test will determine if:
1.   the pituitary gland is sending the correct message

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biology101

The nurse caring for a patient with Addison’s disease suspects adrenal crisis wh

The nurse caring for a patient with Addison’s disease suspects adrenal crisis wh

The nurse caring for a patient with Addison’s disease suspects adrenal crisis when the patient exhibits:
1.   hypertension and abdominal pain.
2.   confusion and tachycardia.
3.   bradycardia and nausea.
4.   widening pulse pressure and s

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biology101