ASSESSMENT AND MANAGEMENT OF
PATIENTS WITH ENDOCRINE DISORDERS
EXAM (CH. 52)
A nurse is caring for a client with suspected
hyperparathyroidism. Which condition may contribute to
hyperparathyroidism?
1. Steroid use
2. Renal failure
3. Decreased serum calcium level
4. Thyroidectomy - CORRECT ANSWER -Correct response:
Renal failure
Explanation:
Kidney damage can result from the precipitation of calcium
phosphate in the renal pelvis and parenchyma, which
causes renal calculi (kidney stones), obstruction,
pyelonephritis, and kidney injury. Parathyroid hormone
release increases, causing hyperparathyroidism. Serum
calcium level may rise as a result of hyperparathyroidism.
Thyroidectomy may lead to hypoparathyroidism if the
parathyroid is also removed during surgery. Steroid use
,causes calcium to leave bone, suppressing parathyroid
hormone.
The nurse obtains a complete family history of a client with
a suspected endocrine disorder based on which rationale?
1. An allergy to iodine is inherited.
2. It helps determine the client's general status.
3. Endocrine disorders can be inherited.
4. Diet and drug histories are related to the family history. -
CORRECT ANSWER -Correct response:
Endocrine disorders can be inherited.
Explanation:
Some endocrine disorders are inherited or have a tendency
to run in families. Therefore, it is essential to take a
complete family history. A complete blood count and
chemistry profile are performed to determine the client's
general status and to rule out disorders. Obtaining
information about an allergy to iodine is important because
diagnostic testing may involve the use of contrast dyes.
However, an allergy to iodine is not related to endocrine
disorders. Diet and drug histories, although important
information, are not associated with the family history.
,Accidental removal of one or both parathyroid glands can
occur during a thyroidectomy. Which of the following is
used to treat tetany?
1. Tapazole
2. Synthroid
3. Propylthiouracil (PTU)
4. Calcium gluconate - CORRECT ANSWER -Correct
response:
Calcium gluconate
Explanation:
Sometimes in thyroid surgery, the parathyroid glands are
removed, producing a disturbance in calcium metabolism.
Tetany is usually treated with IV calcium gluconate.
Synthroid is used in the treatment of hypothyroidism. PTU
and Tapazole are used in the treatment of hyperthyroidism.
A nurse is caring for a client with a kidney disorder. What
hormone released by the kidneys initiates the production of
angiotensin and aldosterone to increase blood pressure
and blood volume?
, 1. erythropoietin
2. cholecystokinin
3. gastrin
4. rerenin - CORRECT ANSWER -Correct response:
renin
Explanation:
Renin is released from the kidneys and initiates the
production of angiotensin and aldosterone to increase
blood pressure and blood volume. The kidneys secrete
erythropoietin, a substance that promotes the maturation
of red blood cells. Cholecystokinin released from cells in
the small intestine stimulates contraction of the
gallbladder to release bile when dietary fat is ingested.
Gastrin is released within the stomach to increase the
production of hydrochloric acid.
A client with acromegaly is admitted to the hospital with
complaints of partial blindness that began suddenly. What
does the nurse suspect is occurring with this client?
1. Retinal detachment
2. Pressure on the optic nerve
PATIENTS WITH ENDOCRINE DISORDERS
EXAM (CH. 52)
A nurse is caring for a client with suspected
hyperparathyroidism. Which condition may contribute to
hyperparathyroidism?
1. Steroid use
2. Renal failure
3. Decreased serum calcium level
4. Thyroidectomy - CORRECT ANSWER -Correct response:
Renal failure
Explanation:
Kidney damage can result from the precipitation of calcium
phosphate in the renal pelvis and parenchyma, which
causes renal calculi (kidney stones), obstruction,
pyelonephritis, and kidney injury. Parathyroid hormone
release increases, causing hyperparathyroidism. Serum
calcium level may rise as a result of hyperparathyroidism.
Thyroidectomy may lead to hypoparathyroidism if the
parathyroid is also removed during surgery. Steroid use
,causes calcium to leave bone, suppressing parathyroid
hormone.
The nurse obtains a complete family history of a client with
a suspected endocrine disorder based on which rationale?
1. An allergy to iodine is inherited.
2. It helps determine the client's general status.
3. Endocrine disorders can be inherited.
4. Diet and drug histories are related to the family history. -
CORRECT ANSWER -Correct response:
Endocrine disorders can be inherited.
Explanation:
Some endocrine disorders are inherited or have a tendency
to run in families. Therefore, it is essential to take a
complete family history. A complete blood count and
chemistry profile are performed to determine the client's
general status and to rule out disorders. Obtaining
information about an allergy to iodine is important because
diagnostic testing may involve the use of contrast dyes.
However, an allergy to iodine is not related to endocrine
disorders. Diet and drug histories, although important
information, are not associated with the family history.
,Accidental removal of one or both parathyroid glands can
occur during a thyroidectomy. Which of the following is
used to treat tetany?
1. Tapazole
2. Synthroid
3. Propylthiouracil (PTU)
4. Calcium gluconate - CORRECT ANSWER -Correct
response:
Calcium gluconate
Explanation:
Sometimes in thyroid surgery, the parathyroid glands are
removed, producing a disturbance in calcium metabolism.
Tetany is usually treated with IV calcium gluconate.
Synthroid is used in the treatment of hypothyroidism. PTU
and Tapazole are used in the treatment of hyperthyroidism.
A nurse is caring for a client with a kidney disorder. What
hormone released by the kidneys initiates the production of
angiotensin and aldosterone to increase blood pressure
and blood volume?
, 1. erythropoietin
2. cholecystokinin
3. gastrin
4. rerenin - CORRECT ANSWER -Correct response:
renin
Explanation:
Renin is released from the kidneys and initiates the
production of angiotensin and aldosterone to increase
blood pressure and blood volume. The kidneys secrete
erythropoietin, a substance that promotes the maturation
of red blood cells. Cholecystokinin released from cells in
the small intestine stimulates contraction of the
gallbladder to release bile when dietary fat is ingested.
Gastrin is released within the stomach to increase the
production of hydrochloric acid.
A client with acromegaly is admitted to the hospital with
complaints of partial blindness that began suddenly. What
does the nurse suspect is occurring with this client?
1. Retinal detachment
2. Pressure on the optic nerve
