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 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.
Question 2 of 5
A nurse assesses a female client who presents with hirsutism. Which question should the nurse ask when assessing this client?
Correct Answer: B
Rationale: Hirsutism, or excessive hair growth, can result from endocrine disorders and may cause a disruption in body image, especially for female clients. Asking about self-perception addresses the psychosocial impact of the condition.
Question 3 of 5
A nurse teaches a client who has been prescribed a 24-hour urine collection to measure excreted hormones. The client asks, Why do I need to collect urine for 24 hours instead of providing a random specimen? How should the nurse respond?
Correct Answer: A
Rationale: Hormones are secreted in a pulsatile or circadian cycle. A 24-hour urine collection provides a more accurate reflection of hormone secretion over time compared to a random specimen.
Question 4 of 5
A nurse plans care for an older adult who is admitted to the hospital for pneumonia. The client has no known drug allergic status nor a significant medical history. Which action should the nurse include in this clients plan of care?
Correct Answer: B
Rationale: Decreased antidiuretic hormone (ADH) production is a normal age-related change, leading to increased urine output and risk of dehydration. Offering fluids regularly helps prevent dehydration in older adults.
Question 5 of 5
A nurse cares for a client who is prescribed a 24-hour urine collection. The unlicensed assistive personnel (UAP) reports that, while pouring urine into the collection container, some urine splashed his hand. Which action should the nurse take next?
Correct Answer: A
Rationale: The nurse should ensure the UAP washed their hands to follow Standard Precautions and remove any potential preservative, which may be caustic. This is the immediate safety priority.