ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 50 Questions
Question 1 of 5
The nurse is evaluating the laboratory results for a patient who has increased secretion of the anterior pituitary hormones. Which of the following findings should the nurse anticipate when reviewing the laboratory findings?
Correct Answer: C
Rationale: Increased secretion of adrenocorticotropic hormone (ACTH) by the anterior pituitary gland will lead to an increase in serum and urinary cortisol levels. An increase, rather than a decrease, in thyroxine level would be expected with increased secretion of thyroid-stimulating hormone (TSH) by the anterior pituitary. Aldosterone and catecholamine levels are not controlled by the anterior pituitary.
Question 2 of 5
The nurse is obtaining the health history from a patient. Which of the following statements by the patient indicates further assessment of thyroid function may be necessary?
Correct Answer: D
Rationale: Difficulty in swallowing can occur with a goitre. Nocturia is associated with diseases such as diabetes mellitus, diabetes insipidus, or persistent kidney disease. Breast tenderness would occur with excessive gonadal hormone levels. Thirst is a sign of disease such as diabetes.
Question 3 of 5
The nurse is caring for a patient who is preparing for a growth hormone stimulation test. Which of the following adverse effects should the nurse monitor for during the test?
Correct Answer: B
Rationale: During a growth hormone stimulation test, the nurse should continually assess for hypoglycemia and hypotension. There is no indication to monitor for bradycardia or tachypnea.
Question 4 of 5
The nurse is interviewing a patient who has a possible thyroid disorder. Which of the following questions will provide the most useful information?
Correct Answer: D
Rationale: Because thyroid function affects metabolic rate, changes in weight may indicate hyper- or hypofunction of the thyroid gland. Nocturia, visual difficulty, and changes in stress level are associated with other endocrine disorders.
Question 5 of 5
The nurse is caring for a patient in the outpatient clinic who has a prescription for blood cortisol testing. Which of the following instructions should the nurse provide for the patient?
Correct Answer: C
Rationale: Cortisol levels are usually drawn in the morning when levels are highest. The other instructions would be given to patients who were having other endocrine testing.