ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 49 : Introduction to the Endocrine System Questions
Question 1 of 5
A client is admitted to the hospital and will be undergoing tests to determine if an abdominal mass is present. What should the nurse be sure to document when asking about allergies?
Correct Answer: C
Rationale: The nurse must document allergies to iodine or shellfish, as these can react with contrast dyes used in imaging tests for abdominal masses. Allergies to beef, pork, or grapefruit are not relevant to contrast dye safety.
Question 2 of 5
A client is scheduled to have a test to determine thyroid function. What should the nurse ask the client prior to scheduling the testing?
Correct Answer: A
Rationale: The nurse should ask about recent diagnostic tests using iodine, as these can interfere with thyroid function tests. Payment ability, fluid intake, and birth control pills are not relevant to thyroid testing accuracy.
Question 3 of 5
A client is being seen in the clinic to receive the results of the lab work to determine thyroid levels. The nurse observes the client's eyes appear to be bulging, and there is swelling around the eyes. What does the nurse know to be the correct documentation of this finding?
Correct Answer: D
Rationale: Exophthalmos is the correct term for bulging eyes and periorbital swelling, often associated with hyperthyroidism (e.g., Graves' disease). Retinal detachment, periorbital swelling alone, or the vague term 'bulging eyes' are less precise.
Question 4 of 5
The nurse should inform the client that oxytocin's function in the body is to do what?
Correct Answer: D
Rationale: Oxytocin, secreted by the posterior pituitary, stimulates uterine contractions during labor and breast milk release postpartum. The other options describe functions of thyroid-stimulating hormone, parathyroid hormone, and somatotropin, respectively.
Question 5 of 5
A client has polycystic ovarian syndrome and has increased levels of testosterone. What symptom(s) does the nurse anticipate observing in this client? Select all that apply.
Correct Answer: A,C
Rationale: Testosterone promotes male secondary sex characteristics, such as facial hair and a deep voice, in clients with polycystic ovarian syndrome. High voice, breast development, and decreased hair growth are not associated with elevated testosterone levels.