A patient with suspected Cushing syndrome is prescribed a 24-hour urine collection. What should the nurse explain to the patient about the reason for this urine collection?
1. It measures the amount of cortisol in the urine over 24 hours.
2. At least 2,000 mL of urine is required to perform the test.
3. It identifies urine specific gravity changes over a 24-hour period.
4. The 24-hour timeline reduces unwanted effects of medications excreted in the urine.
Question 2A patient with a non-ACTH-producing adrenal cortex tumor is scheduled for a surgical procedure to remove the tumor. Which statement by the patient indicates that teaching about the procedure has been effective?
1. The adrenal gland with the tumor will be removed.
2. I will need to take adrenal hormones for the rest of my life.
3. The tumor will be removed by the transsphenoidal route.
4. I will receive IV cortisol in preparation for the surgery.
Question 3The nurse is reviewing health history information for a group of patients. Which patient should the nurse identify as being at the lowest risk of developing Cushing syndrome?
1. The patient who received radioactive iodine treatment for hyperthyroidism
2. The patient receiving treatment for rheumatoid arthritis
3. The patient who has had an organ transplant
4. The patient receiving chemotherapy to treat a brain tumor
Question 4The nurse suspects that a patient with chronic hyperfunction of the adrenal cortex has an infection. What did the nurse assess to come to this conclusion?
1. general feeling of malaise
2. recent weight loss
3. muscular tremors
4. sense of nervous energy
Question 5The nurse is caring for a patient with hypoparathyroidism. What actions should the nurse expect to perform to help this patient with a low calcium level?
Select all that apply.
1. administering calcium tablets as prescribed
2. arranging for a dietary consult regarding foods high in calcium
3. restricting fluids
4. administering intravenous IV calcium gluconate
5. administering calcimimetic
Question 6The nurse notes that a patient who has hypoparathyroidism has a serum calcium level of 6.8 mg/dL. What would be a priority problem when planning care for this patient?
1. potential for injury
2. safety concerns because of confusion
3. changes in renal function
4. problems with oxygenation
Question 7A patient with hyperparathyroidism secondary to renal failure is prescribed calcimimetic. What should the nurse instruct the patient about this medication?
1. It increases the sensitivity of the calcium-sensing receptors of the parathyroid gland to serum calcium.
2. It blocks calcium receptors in the nervous and musculoskeletal systems.
3. It decreases resorption of calcium in the distal renal tubule.
4. It binds calcium to bile salts that are then excreted through the GI tract.
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