INTEGRATED QUESTIONS AND ANSWERS FOR
ASSESSMENT AND MANAGEMENT OF PATIENTS WITH
ENDOCRINE DISORDERS EXAM
When preparing teaching plan for a client with an
endocrine disorder, the nurse includes information
about hormone regulation. Which of the following
would the nurse include?
The gland becomes enlarged leading to a deficiency of
the hormone.
Most disorders result from over- or underproduction
of the hormone.
The gland slows hormone secretion when the
hormone level decreases.
Hormone secretion occurs as a straight-line
continuous process. - CORRECT ANSWER -Most
disorders result from over- or underproduction of the
hormone.
Explanation:
,Most endocrine disorders result from an
overproduction or underproduction of specific
hormones. A negative feedback loop controls hormone
levels, such that a decrease in levels stimulates the
releasing gland. Glandular enlargement is not involved
with hormonal regulation.
Cardiac effects of hyperthyroidism include?
decreased pulse
pressure.
decreased systolic
blood pressure.
bradycardia.
palpitations. - CORRECT ANSWER -palpitations.
Explanation:
,Cardiac effects may include sinus tachycardia,
increased pulse pressure, and palpitations. Systolic
blood pressure is elevated.
A client who is postpartum is receiving intravenous
oxytocin, and the client asks the nurse about the
function of oxytocin in the body. How should the nurse
respond?
"It increases blood calcium by stimulating calcium
release from the bone and decreases the blood
phosphate level."
"It stimulates the production and secretion of thyroid
hormones."
"It stimulates bone and muscle growth and promotes
protein synthesis and fat mobilization."
"It stimulates the contraction of the pregnant uterus
before birth and stimulates the release of breast milk
after childbirth." - CORRECT ANSWER -"It stimulates
the contraction of the pregnant uterus before birth
, and stimulates the release of breast milk after
childbirth."
Explanation:
The nurse should inform the client that oxytocin's
function in the body is to stimulate the contraction of
the pregnant uterus before birth and to stimulate the
release of breast milk after childbirth.
Somatotropin stimulates bone and muscle growth and
promotes protein synthesis and fat mobilization.
Thyroid-stimulating hormone causes production and
secretion of thyroid hormones. Parathyroid hormone
increases blood calcium by stimulating calcium release
from the bone and decreases the blood phosphate
level.
Which is a clinical manifestation of diabetes insipidus?
Low urine output
Excessive thirst
Weight gain
ASSESSMENT AND MANAGEMENT OF PATIENTS WITH
ENDOCRINE DISORDERS EXAM
When preparing teaching plan for a client with an
endocrine disorder, the nurse includes information
about hormone regulation. Which of the following
would the nurse include?
The gland becomes enlarged leading to a deficiency of
the hormone.
Most disorders result from over- or underproduction
of the hormone.
The gland slows hormone secretion when the
hormone level decreases.
Hormone secretion occurs as a straight-line
continuous process. - CORRECT ANSWER -Most
disorders result from over- or underproduction of the
hormone.
Explanation:
,Most endocrine disorders result from an
overproduction or underproduction of specific
hormones. A negative feedback loop controls hormone
levels, such that a decrease in levels stimulates the
releasing gland. Glandular enlargement is not involved
with hormonal regulation.
Cardiac effects of hyperthyroidism include?
decreased pulse
pressure.
decreased systolic
blood pressure.
bradycardia.
palpitations. - CORRECT ANSWER -palpitations.
Explanation:
,Cardiac effects may include sinus tachycardia,
increased pulse pressure, and palpitations. Systolic
blood pressure is elevated.
A client who is postpartum is receiving intravenous
oxytocin, and the client asks the nurse about the
function of oxytocin in the body. How should the nurse
respond?
"It increases blood calcium by stimulating calcium
release from the bone and decreases the blood
phosphate level."
"It stimulates the production and secretion of thyroid
hormones."
"It stimulates bone and muscle growth and promotes
protein synthesis and fat mobilization."
"It stimulates the contraction of the pregnant uterus
before birth and stimulates the release of breast milk
after childbirth." - CORRECT ANSWER -"It stimulates
the contraction of the pregnant uterus before birth
, and stimulates the release of breast milk after
childbirth."
Explanation:
The nurse should inform the client that oxytocin's
function in the body is to stimulate the contraction of
the pregnant uterus before birth and to stimulate the
release of breast milk after childbirth.
Somatotropin stimulates bone and muscle growth and
promotes protein synthesis and fat mobilization.
Thyroid-stimulating hormone causes production and
secretion of thyroid hormones. Parathyroid hormone
increases blood calcium by stimulating calcium release
from the bone and decreases the blood phosphate
level.
Which is a clinical manifestation of diabetes insipidus?
Low urine output
Excessive thirst
Weight gain
