Anthony is being treated with medication for hypot

Question 1 of 9

Anthony is being treated with medication for hypothyroidism. The physician explains to Anthony that his symptoms should resolve as the medication reaches an appropriate level. Presenting signs and symptoms of hypothyroidism include:

A. Fatigue and cold intolerance. B. Weight loss and hyperglycemia. C. Polydipsia and polyphagia. D. Tachycardia and diarrhea.

Correct Answer: A

Rationale: Common symptoms of hypothyroidism include fatigue, cold intolerance, and weight gain, due to a deficiency in thyroid hormones.

Question 2 of 9

What is an appropriate nursing intervention for the patient with hyperparathyroidism?

A. Pad side rails as a seizure precaution. B. Increase fluid intake to 3000 to 4000 mL daily. C. Maintain bed rest to prevent pathologic fractures. D. Monitor the patient for Trousseau's and Chvostek's signs.

Correct Answer: B

Rationale: Increasing fluid intake helps prevent kidney stones and other complications of hyperparathyroidism by reducing calcium levels and preventing dehydration.

Question 3 of 9

Mary has been a diabetic for 10 years and is normally well controlled on 20 U of NPH insulin a day. She reports that she has a fever and is nauseated; her last three urine specimens had over 2% sugar and tested positive for acetone. Your evaluation of this situation is that

A. she has not been taking her insulin B. her urine-testing supplies are outdated C. she has an infection that is increasing her insulin needs D. she is resistant to insulin

Correct Answer: C

Rationale: Fever and illness can increase the body's insulin needs, potentially leading to elevated blood sugar and ketone production.

Question 4 of 9

When teaching the patient with type 1 diabetes, what should the nurse emphasize as the major advantage of using an insulin pump?

A. Tight glycemic control can be maintained. B. Errors in insulin dosing are less likely to occur. C. Complications of insulin therapy are prevented. D. Frequent blood glucose monitoring is unnecessary.

Correct Answer: A

Rationale: The insulin pump allows for tight glycemic control with more precise adjustments in insulin delivery.

Question 5 of 9

Which endocrine gland secretes cortisol?

A. Ovaries B. Thyroid C. Adrenal cortex D. Adrenal medulla

Correct Answer: C

Rationale: Cortisol is secreted by the adrenal cortex, a key hormone in the stress response and in regulating metabolism.

Question 6 of 9

Priority Decision: Two days following a self-managed hypoglycemic episode at home, the patient tells the nurse that his blood glucose levels since the episode have been between 80 and 90 mg/dL. Which is the best response by the nurse?

A. That is a good range for your glucose levels. B. You should call your health care provider because you need to have your insulin increased. C. That level is too low in view of your recent hypoglycemia and you should increase your food intake. D. You should take only half your insulin dosage for the next few days to get your glucose level back to normal.

Correct Answer: A

Rationale: A blood glucose range of 80 to 90 mg/dL is within the target range for most patients, so no adjustments are needed.

Question 7 of 9

Anthony is being treated with medication for hypothyroidism. The physician explains to Anthony that his symptoms should resolve as the medication reaches an appropriate level. Presenting signs and symptoms of hypothyroidism include:

A. Fatigue and cold intolerance. B. Weight loss and hyperglycemia. C. Polydipsia and polyphagia. D. Tachycardia and diarrhea.

Correct Answer: A

Rationale: Common symptoms of hypothyroidism include fatigue, cold intolerance, and weight gain, due to a deficiency in thyroid hormones.

Question 8 of 9

When caring for a patient with nephrogenic diabetes insipidus, what should the nurse expect the treatment to include?

A. Fluid restriction B. A high-sodium diet C. Thiazide diuretics D. Chlorpropamide (Diabinese)

Correct Answer: C

Rationale: Nephrogenic diabetes insipidus treatment typically includes thiazide diuretics to help concentrate urine by promoting sodium excretion and enhancing water retention.

Question 9 of 9

The patient with pheochromocytoma had surgery to remove his adrenal glands. Which nursing intervention should you delegate to the nursing assistant?

A. Add strategies to provide a calm and restful environment post-operatively to the care plan. B. Warn the patient to avoid smoking and drinking caffeinated beverages. C. Monitor the patient's skin and mucous membranes for signs of adequate hydration. D. Monitor lying and standing blood pressure every 4 hours with cuff placed on same arm.

Correct Answer: D

Rationale: Monitoring lying and standing blood pressure every 4 hours is a routine task that can be delegated to the nursing assistant to ensure proper blood pressure management post-operatively.

Anthony is being treated with medication for hypothyroidism. The physician explains to Anthony that his symptoms should resolve as the medication reaches an appropriate level. Presenting signs and symptoms of hypothyroidism include:

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