Extract:

Question 1 of 5

A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)

A. HepatomegalyB. Moon faceC. Coarse facial featuresD. Enlarged distal extremitiesE. Loss of color discrimination

Correct Answer: A,C,D,E

Rationale: Acromegaly causes hepatomegaly, coarse facial features, enlarged extremities, and vision changes like loss of color discrimination due to excess growth hormone.

Question 2 of 5

The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?

A. More rapid insulin releaseB. Intolerance of fatty foodsC. Decreased sensitivity to insulinD. Lower and prolonged blood glucose levels

Correct Answer: C

Rationale: Decreased insulin sensitivity is a typical age-related change, exacerbating insulin resistance in type 2 diabetes.

Question 3 of 5

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?

A. A client who has a calcium of 9.3 mg/dLB. A client who has a phosphate of 5.7 mg/dLC. A client who has a vitamin D of 25 ng/mLD. A client who has a magnesium of 1.8 mg/dL

Correct Answer: B

Rationale: Elevated phosphate levels result from low parathyroid hormone in hypoparathyroidism, which reduces phosphate excretion.

Question 4 of 5

When preparing to provide morning medications, the nurse would give levothyroxine (Synthroid) ordered daily in which of the following ways?

A. In the morning with breakfastB. In the morning on an empty stomach with other daily medsC. In the evening with a snackD. In the morning before breakfast and without any other medications

Correct Answer: B

Rationale: Levothyroxine is best absorbed on an empty stomach in the morning, at least 30 minutes before food or other medications.

Question 5 of 5

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

A. It is caused by the lack of production of insulin by the pancreas.B. It is caused by the overproduction of growth hormone by the pituitary gland.C. It is caused by the lack of production of aldosterone by the adrenal gland.D. It is caused by the overproduction of parathormone by the parathyroid gland.

Correct Answer: C

Rationale: Addison's disease results from insufficient aldosterone and cortisol production by the adrenal glands.