ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 49 : Introduction to the Endocrine System Questions
Question 1 of 5
The nurse is caring for a client with diabetes who developed hypoglycemia. What can the nurse administer to the client to raise the blood sugar level?
Correct Answer: B
Rationale: Glucagon, secreted by pancreatic alpha cells, raises blood sugar levels by stimulating glycogenolysis in the liver. Insulin lowers blood sugar, while cortisone and estrogen do not directly affect blood glucose levels.
Question 2 of 5
What does the nurse understand will be released to maintain a relatively constant level of blood sugar in a client with normal function of the pancreas?
Correct Answer: D
Rationale: Somatostatin, secreted by pancreatic delta cells, inhibits the release of insulin and glucagon, helping maintain stable blood sugar levels. Cortisol, glucagon, and insulin have more direct roles in raising or lowering blood sugar.
Question 3 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 4 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 5 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.