lOMoARcPSD|3013804
Chapter 56 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 56: Assessment of the Endocrine System
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse assesses an older client. What age-related physiologic changes would the nurse
expect?
a.
Heat intolerance
b.
Rheumatoid arthritis
c.
Dehydration
d.
Increased appetite
ANS: C
As people age, the many of the endocrine glands decrease hormone production, including a
decrease in antidiuretic hormone production. This change, in addition to less body fluid
being present as one ages, can cause dehydration. Older adults usually have cold intolerance
and a decrease in appetite. Rheumatoid arthritis is not an age-related change; osteoarthritis
causes primarily by aging.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Endocrine assessment, Human development
MSC: Client Needs Category: Health Promotion and Maintenance
2. A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the nurse why
she has to have it. How would the nurse respond?
a.
“It measures your average blood glucose level for the past 3 months.”
G R A DE S L A B . C O M
b.
“It determines what type of a ne m i a yo u m a y h av e.”
c.
“It measures the amount of liver glycogen you have.”
d.
“It determines you have some type of leukemia or other blood cancer.”
ANS: A
A1C measures the average blood glucose level to determine if the client is a diabetic or how
controlled a diabetic client is.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Endocrine assessment, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse assesses a client who is scheduled to have a laboratory test to determine if the
client’s adrenal glands are hypoactive. What type of testing would the client likely have?
a.
Catecholamine testing
b.
Suppression testing
c.
Bone marrow testing
d.
Provocative testing
ANS: D
Provocative testing is done to determine if an endocrine gland is capable of producing its
normal level of hormone(s), especially when a client is suspected of having a hypoactive
endocrine gland.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
Chapter 56 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 56: Assessment of the Endocrine System
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse assesses an older client. What age-related physiologic changes would the nurse
expect?
a.
Heat intolerance
b.
Rheumatoid arthritis
c.
Dehydration
d.
Increased appetite
ANS: C
As people age, the many of the endocrine glands decrease hormone production, including a
decrease in antidiuretic hormone production. This change, in addition to less body fluid
being present as one ages, can cause dehydration. Older adults usually have cold intolerance
and a decrease in appetite. Rheumatoid arthritis is not an age-related change; osteoarthritis
causes primarily by aging.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
KEY: Endocrine assessment, Human development
MSC: Client Needs Category: Health Promotion and Maintenance
2. A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the nurse why
she has to have it. How would the nurse respond?
a.
“It measures your average blood glucose level for the past 3 months.”
G R A DE S L A B . C O M
b.
“It determines what type of a ne m i a yo u m a y h av e.”
c.
“It measures the amount of liver glycogen you have.”
d.
“It determines you have some type of leukemia or other blood cancer.”
ANS: A
A1C measures the average blood glucose level to determine if the client is a diabetic or how
controlled a diabetic client is.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Endocrine assessment, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. The nurse assesses a client who is scheduled to have a laboratory test to determine if the
client’s adrenal glands are hypoactive. What type of testing would the client likely have?
a.
Catecholamine testing
b.
Suppression testing
c.
Bone marrow testing
d.
Provocative testing
ANS: D
Provocative testing is done to determine if an endocrine gland is capable of producing its
normal level of hormone(s), especially when a client is suspected of having a hypoactive
endocrine gland.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
