lOMoARcPSD|3013804
Chapter 57 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 57: Concepts of Care for Patients With Pituitary and Adrenal Gland
Problems Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse assesses clients for potential endocrine dysfunction. Which client is at greatest
risk for a deficiency of gonadotropin and growth hormone?
a.
A 36-year-old female who has used oral contraceptives for 5 years
b.
A 42-year-old male who experienced head trauma 3 years ago
c.
A 55-year-old female with a severe allergy to shellfish and iodine
d.
A 64-year-old male with adult-onset diabetes mellitus
ANS: B
Gonadotropin and growth hormone are anterior pituitary hormones. Head trauma is a
common cause of anterior pituitary hypofunction. The other factors do not increase the risk
of this condition.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Pituitary disorder, Risk factors
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A nurse plans care for a client with a growth hormone deficiency. Which action would the
nurse include in this client’s plan of care?
a.
Avoid intramuscular medications.
b.
Place the client in protective isolation.
c.
Use a lift sheet to reposition the patient.
G R A D E S L AB.COM
d.
Assist the client to dangle b e fo re r is in g.
ANS: C
In adults, growth hormone is necessary to maintain bone density and strength. Adults with
growth hormone deficiency have thin, fragile bones. Avoiding IM medications, using
protective isolation, and assisting the client as he or she moves from sitting to standing will
not serve as safety measures when the client is deficient in growth hormone.
DIF: Applying TOP: Integrated Process: Nursing Process: Implementation
KEY: Pituitary disorder, Safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse is caring for a client who has acromegaly. What physical change would the nurse
expect to observe?
a.
Large hands and face
b.
Thin, dry skin
c.
Short height
d.
Truncal obesity
ANS: A
The client who has acromegaly has an excess of growth hormone as an adult and therefore
has a large musculoskeletal structure that is readily observed.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Pituitary disorder, Assessment
Chapter 57 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 57: Concepts of Care for Patients With Pituitary and Adrenal Gland
Problems Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse assesses clients for potential endocrine dysfunction. Which client is at greatest
risk for a deficiency of gonadotropin and growth hormone?
a.
A 36-year-old female who has used oral contraceptives for 5 years
b.
A 42-year-old male who experienced head trauma 3 years ago
c.
A 55-year-old female with a severe allergy to shellfish and iodine
d.
A 64-year-old male with adult-onset diabetes mellitus
ANS: B
Gonadotropin and growth hormone are anterior pituitary hormones. Head trauma is a
common cause of anterior pituitary hypofunction. The other factors do not increase the risk
of this condition.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Pituitary disorder, Risk factors
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A nurse plans care for a client with a growth hormone deficiency. Which action would the
nurse include in this client’s plan of care?
a.
Avoid intramuscular medications.
b.
Place the client in protective isolation.
c.
Use a lift sheet to reposition the patient.
G R A D E S L AB.COM
d.
Assist the client to dangle b e fo re r is in g.
ANS: C
In adults, growth hormone is necessary to maintain bone density and strength. Adults with
growth hormone deficiency have thin, fragile bones. Avoiding IM medications, using
protective isolation, and assisting the client as he or she moves from sitting to standing will
not serve as safety measures when the client is deficient in growth hormone.
DIF: Applying TOP: Integrated Process: Nursing Process: Implementation
KEY: Pituitary disorder, Safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse is caring for a client who has acromegaly. What physical change would the nurse
expect to observe?
a.
Large hands and face
b.
Thin, dry skin
c.
Short height
d.
Truncal obesity
ANS: A
The client who has acromegaly has an excess of growth hormone as an adult and therefore
has a large musculoskeletal structure that is readily observed.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Pituitary disorder, Assessment
