ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 61 : Assessment of the Endocrine System Questions
Question 1 of 5
A nurse cares for a client with a deficiency of aldosterone. Which assessment finding should the nurse correlates with this deficiency?
Correct Answer: A
Rationale: Aldosterone, the major mineralocorticoid, maintains extracellular fluid volume. It promotes sodium and water reabsorption and potassium excretion in the kidney tubules. A client with an aldosterone deficiency will have increased urine output due to decreased reabsorption of sodium and water.
Question 2 of 5
A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte imbalance should the nurse assess?
Correct Answer: C
Rationale: Parafollicular cells produce thyrocalcitonin (calcitonin), which regulates serum calcium levels. Excessive calcitonin can lead to hypocalcemia by inhibiting bone resorption and increasing calcium excretion.
Question 3 of 5
A nurse assesses a client who is prescribed a medication that stimulates beta1 receptors. Which assessment finding should alert the nurse to urgently contact the health care provider?
Correct Answer: A
Rationale: Stimulation of beta1 receptor sites in the heart has positive chronotropic and inotropic actions, leading to an increased heart rate and cardiac output. A heart rate of 50 beats/min indicates the client is not responding to the medication, which is a cause for concern.
Question 4 of 5
A nurse prepares to palpate a clients thyroid gland. Which action should the nurse take when performing this assessment?
Correct Answer: D
Rationale: The correct technique for thyroid palpation involves the nurse standing behind the client, with the client in a sitting position and chin tucked down to relax the neck muscles, facilitating palpation of the thyroid gland.
Question 5 of 5
A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is prescribed a 24-hour urine specimen collection. Which statement should the nurse include when delegating this activity to the UAP?
Correct Answer: A
Rationale: The 24-hour urine collection begins after discarding the first void to ensure a full 24-hour period of collection. This ensures accurate measurement of excreted substances.