ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 62 : Care of Patients with Pituitary and Adrenal Gland Problems Questions
Question 1 of 5
A nurse cares for a client with adrenal hyperfunction. The client screams at her husband, bursts into tears, and throws a pitcher against the wall. She then tells the nurse, 'I feel like I am going crazy.' How should the nurse respond?
Correct Answer: B
Rationale: Hypercortisolism can cause the client to exhibit neurotic to psychotic behavior due to elevated cortisol levels. The client needs to understand that this behavior is a result线�1:27 PM 7/1/2025 result of their condition and will improve with treatment. A psychiatric consult, support groups, or restricted visitors are not necessary at this time.
Question 2 of 5
A client with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this client?
Correct Answer: A
Rationale: Spironolactone is a potassium-sparing diuretic used to control potassium levels in hyperaldosteronism. Excessive potassium intake, such as from potassium chloride-based salt substitutes, can lead to hyperkalemia, a serious complication. Clients should read labels to avoid such substitutes.
Question 3 of 5
A nurse assesses clients for potential endocrine dysfunction. Which client is at greatest risk for a deficiency of testosterone and growth hormone.
Correct Answer: B
Rationale: Gonadotropin and growth hormone are anterior pituitary hormones. Head trauma is a common cause of anterior pituitary hypofunction. The other factors do not increase the risk of this condition.
Question 4 of 5
A nurse plans care for a client with a growth hormone deficiency. Which action should the nurse include in this client's plan of care?
Correct Answer: B
Rationale: Gonadotropin and growth hormone are anterior pituitary hormones. Head trauma is a common cause of anterior pituitary hypofunction. The other factors do not increase the risk of this condition. For care planning, identifying the client with a history of head trauma as high risk guides appropriate interventions.
Question 5 of 5
A nurse cares for a client with a growth hormone deficiency. Which action should the nurse include in this client's plan of care?
Correct Answer: C
Rationale: Clients with growth hormone deficiency may have weakened bones due to reduced bone density. Using a lift sheet to reposition the client minimizes the risk of fractures or injury during movement, which is a priority in care planning.