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ATI Med Surg Woolery Q5 Questions

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Question 1 of 5

The patient is returning to the unit after undergoing a bilateral adrenalectomy. Which clinical manifestation would indicate that the client is experiencing an Addisonian crisis?

Correct Answer: C

Rationale: Low blood pressure (92/50) (
C) indicates Addisonian crisis due to adrenal insufficiency. Surgical pain (
A) is expected. Hyperglycemia (
B) is unrelated. High sodium (
D) is incorrect; hyponatremia is typical.

Question 2 of 5

A nurse is caring for a client who has hypokalemia, hyperglycemia, and hypertension. A diagnosis of Cushing syndrome is suspected.Which of the following tests would the nurse anticipate the health care provider will order to help confirm the diagnosis of Cushing syndrome?

Correct Answer: B

Rationale: The 24-hour cortisol urine study (
B) measures cortisol levels to confirm Cushing syndrome, characterized by excess cortisol. Radioactive iodine uptake (
A) is for thyroid disorders. ACTH stimulation test (
C) assesses adrenal insufficiency, not Cushing syndrome. Edrophonium test (
D) diagnoses myasthenia gravis, unrelated to Cushing syndrome.

Question 3 of 5

A nurse is caring for a female client who has a diagnosis of Cushing syndrome. The client is embarrassed that she is experiencing hirsutism and severe acne. The nurse understands that these manifestations are caused by which of the following?

Correct Answer: B

Rationale: Hirsutism and acne in Cushing syndrome are caused by excess adrenal androgens (
B). Mineralocorticoids (
A) affect fluid balance. Thyroid hormone (
C) is unrelated. Glucocorticoids (
D) cause other symptoms, not these.

Question 4 of 5

The patient is returning to the unit after undergoing a bilateral adrenalectomy. Which clinical manifestation would indicate that the client is experiencing an Addisonian crisis?

Correct Answer: C

Rationale: Low blood pressure (92/50) (
C) indicates Addisonian crisis due to adrenal insufficiency. Surgical pain (
A) is expected. Hyperglycemia (
B) is unrelated. High sodium (
D) is incorrect; hyponatremia is typical.

Question 5 of 5

A nurse is providing dietary teaching for a client who has Graves' disease. Which of the following statements made by the client indicates a need for further teaching by the nurse?

Correct Answer: D

Rationale: Six full meals (
D) is excessive; smaller, frequent, high-calorie meals are better for Graves' disease. Protein and carbohydrates (
A), avoiding caffeine (
B), and high-fiber diet (
C) are appropriate.

Similar Questions

A client with a history of hypothyroidism has accidentally been taking double her prescribed dose of levothyroxine. Which assessment findings would the nurse expect due to an excess of this medication?
A client in a primary care provider's office has a new diagnosis of hypothyroidism. The nurse understands that the client should be screened for which of the following conditions common in people who have hypothyroidism?
Select the 3 interventions that the nurse should anticipate for this client.
At the beginning of the shift, a nurse receives report on the following four patients.Which patient should the nurse place priority on assessing first?
A nurse is caring for a client who has a diagnosis of Cushing syndrome. After performing magnetic resonance imaging (MRI), the underlying cause of the condition is found to be an ectopic ACTH-secreting tumor on the liver. Which of the following lab results would the nurse anticipate with this condition?

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