Exam 3_ Endocrine
Exam
System
3_–
Endocrine
System
SIADH,
–
System
Diabetes
SIADH,
–
Insipidus,
Diabetes
SIADH, Insipidus,
Hyperthyroidism
Diabetes Insipidus,
Hyperthyroidism
& Hypothyroidism
Hyperthyroidism
& Hypothyroidism
–
& practice
Hypothyroidism
–questions
practice
–questions
with
practice
answers.pdf
questions
with answers.pdf
with answers.pdf
Exam 3: Endocrine
System – SIADH,
Diabetes Insipidus,
Hyperthyroidism &
Hypothyroidism –
practice questions
with answers
Exam 3_ Endocrine
Exam 3_ Endocrine
Exam
System
3_–
Endocrine
System
SIADH,
–
System
Diabetes
SIADH,
–
Insipidus,
Diabetes
SIADH, Insipidus,
Hyperthyroidism
Diabetes Insipidus,
Hyperthyroidism
& Hypothyroidism
Hyperthyroidism
& Hypothyroidism
–
& practice
Hypothyroidism
–questions
practice
–questions
with
practice
answers.pdf
questions
with answers.pdf
with answers.pdf
,Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf
The client diagnosed with a pituitary tumor developed ANS: 2. Early signs and symptoms are nausea and vomiting. The client has the
syndrome of inappropriate antidiuretic hormone syndrome of inappropriate secretion of antidiuretic (against allowing the body to
(SIADH). Which interventions should the nurse urinate) hormone. In other words, the client is producing a hormone that will not
implement? allow the client to urinate.
1. Assess for dehydration and monitor blood glucose 1. The client has excess fluid and is not dehydrated, and blood glucose levels are
levels. not affected.
2. Assess for nausea and vomiting and weigh daily. 3. The client experiences dilutional hyponatremia, and the body has too much
3. Monitor potassium levels and encourage fluid intake. fluid already.
4. Administer vasopressin IV and conduct a fluid 4. Vasopressin is the name of the antidiuretic hormone. Giving more increases the
deprivation test. client's problem. Also, a water challenge test is performed, not a fluid deprivation
test.
The nurse is admitting a client to the neurological ANS: 2. The output is more than double the intake in a short time. This client
intensive care unit who is postoperative transsphenoidal could be developing diabetes insipidus, a complication of trauma to the head.
hypophysectomy. Which data warrant immediate
intervention? 1. Neurological status is monitored every one (1) to two (2) hours. This client's
neurological status appears intact. Clients waking up in an intensive care area
1. The client is alert to name but is unable to tell the nurse may not be aware of their surroundings.
the location. 3. These vital signs are within normal limits.
2. The client has an output of 2,500 mL since surgery and 4. A transsphenoidal hypophysectomy is performed by surgical access above the
an intake of 1,000 mL. gum line and through the nasal passage. There is no dressing. A drip pad is taped
3. The client's vital signs are T 97.6ºF, P 88, R 20, and BP below the nares.
130/80.
4. The client has a 3-cm amount of dark-red drainage on
the turban dressing.
Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf
, Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf
Which laboratory value should be monitored by the ANS: 1. The client will have an elevated sodium level as a result of low circulating
nurse for the client diagnosed with diabetes insipidus? blood volume. The fluid is being lost through the urine. Diabetes means "to pass
through" in Greek, indicating polyuria, a symptom shared with diabetes mellitus.
1. Serum sodium. Diabetes insipidus is a totally separate disease process.
2. Serum calcium
3. Urine glucose. 2. Serum calcium is not affected by diabetes insipidus.
4. Urine white blood cells. 3. Urine glucose is monitored for diabetes mellitus.
4. White blood cells in the urine indicate the presence of a urinary tract infection.
The nurse is discharging a client diagnosed with ANS: 2. Medication for DI is usually taken every 8 to 12 hours, depending on the
diabetes insipidus. Which statement made by the client client. The client should keep the medication close at hand.
warrants further intervention?
1. The client should keep a list of medication being taken and wear a Medic Alert
1. "I will keep a list of my medications in my wallet and bracelet.
wear a Medic Alert bracelet." 3. The client is at risk for fluid shifts. Weighing every morning allows the client to
2. "I should take my medication in the morning and leave follow the fluid shifts. Weight gain indicates too much medication.
it refrigerated at home." 4. Tightness in the chest could be an indicator the medication is not being
3. "I should weigh myself every morning and record any tolerated; if this occurs, the client should notify the health-care provider.
weight gain."
4. "If I develop a tightness in my chest, I will call my
health-care provider."
Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf Exam 3_ Endocrine System - SIADH, Diabetes Insipidus, hyper_hypothyroidism.pdf