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AndyWang AndyWang
wrote...
Posts: 366
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6 years ago
A patient is scheduled for surgery to remove a tumor of the anterior pituitary. The nurse realizes that which hormones will be affected by this surgery?
 
  Select all that apply.
  1. adrenocorticotropic hormone (ACTH)
  2. thyroid stimulating hormone (TSH)
  3. gonadotropin hormones
  4. prolactin
  5. oxytocin

Question 2

The nurse is completing an endocrine-focused health assessment interview with an older adult. What finding should the nurse suspect is related to an age-related change in the patient's thyroid function?
 
  1. inability to tolerate heat and cold
  2. indigestion and intolerance of fatty foods
  3. increased facial hair
  4. enlarged nose, hands, and feet

Question 3

During a focused endocrine assessment, the patient states that her brother has fragile X syndrome. What should the nurse know about this health problem?
 
  1. It is an endocrine disorder having a genetic basis.
  2. It is not a relevant issue since the patient is female.
  3. It is a health condition separate from the endocrine system.
  4. It is a blood disorder.

Question 4

A patient is experiencing severe hypertension. The nurse realizes that this finding might indicate a disorder in which endocrine gland?
 
  1. adrenal
  2. thyroid
  3. parathyroid
  4. gonads

Question 5

The nurse is assessing an older patient for genetic influences on the endocrine system. What should the nurse ask this patient during the assessment?
 
  Select all that apply.
  1. Do you have any family members with diabetes mellitus?
  2. Is there a pattern of obesity in your family?
  3. Has anyone in your family been diagnosed with Hashimoto disease?
  4. How do you cope with stress?
  5. Have you noticed any changes in coloration of your skin?

Question 6

An older adult patient tells the nurse she is ingesting a fat-soluble vitamin every day to boost her endocrine system. For what age-related change does the nurse recognize the patient is addressing by taking this vitamin?
 
  1. The ability to absorb fat-soluble vitamins declines with aging.
  2. Lipase production is increased and results in fat intolerance.
  3. Older patients have increased resistance to insulin.
  4. Indigestion increases with aging due to decreased lipase production.

Question 7

The nurse is conducting a health interview with a female patient. What should the nurse ask this patient that focuses on the endocrine system?
 
  1. Is your menstrual cycle regular?
  2. Do you have children?
  3. Are you able to provide for your children?
  4. How old were you when your menses first began?

Question 8

The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?
 
  1. decreased sensitivity to insulin
  2. more rapid insulin release
  3. intolerance of fatty foods
  4. lower and prolonged blood glucose levels
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Replies
wrote...
6 years ago
The answer to question 1

Correct Answer: 1,2,3,4
The anterior pituitary produces adrenocorticotropic hormone, thyroid-stimulating hormone, the gonadotropin hormones which are follicle stimulating hormone and luteinizing hormone, growth hormone, and prolactin. Oxytocin is produced in the posterior pituitary.

The answer to question 2

Correct Answer: 1
A lowered basal metabolic rate due to decreased thyroid activity in the aging patient may cause intolerance to heat and cold. Decreased production of the pancreatic enzyme lipase results in indigestion and intolerance of fatty foods. Increased facial hair and enlargement of the nose, hands, and feet occur due to decreased pituitary function.

The answer to question 3

Correct Answer: 1
Fragile X syndrome involves a gene mutation causing learning disabilities and mental retardation and is considered an endocrine disorder. Males are more severely affected than females and both sexes can be carriers of the disorder.

The answer to question 4

Correct Answer: 1
The patient with hypertension could be experiencing an adrenal disorder, as the adrenal gland regulates epinephrine and norepinephrine, both of which can influence blood pressure. The adrenal gland also regulates blood pressure by secreting mineralocorticoids and aldosterone. The thyroid regulates metabolism. The parathyroid gland regulates calcium. The gonads secrete the hormones of sexuality.

The answer to question 5

Correct Answer: 1, 2, 3
A family history of diabetes mellitus, obesity, and Hashimoto disease has a genetic influence on the endocrine system. Questions about the patient's ability to cope with stress and changes in skin color are asked to identify possible disorders of endocrine gland function.

The answer to question 6

Correct Answer: 1
Absorption of fat-soluble vitamins declines with age. Lipase production decreases in the older adult patient, causing reduced fat absorption. This may result in intolerance to fatty foods and indigestion. Older patients have increased resistance to insulin, but this has no effect on absorption of fat-soluble vitamins.

The answer to question 7

Correct Answer: 1
The patient who has a change in her menstrual cycle might be experiencing an endocrine disorder such as increased androgen production or decreased estrogen levels. Having children is not a function of the endocrine system. Asking how the patient is able to provide for her children provides psychosocial information. Asking when menses first began might provide information about cancer risk but not about endocrine function.

The answer to question 8

Correct Answer: 1
Decreased sensitivity to insulin and delayed and decreased insulin release are seen in the older patient diagnosed with type 2 diabetes. Intolerance of fatty foods occurs in older adults but is not specific to the older patient with type 2 diabetes. Blood glucose levels are higher and prolonged in the older patient with diabetes.
AndyWang Author
wrote...
6 years ago
Passed my quiz with this!
wrote...
6 years ago
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