ANSWERS
A client, complaining of weight gain, has thin extremities, a buffalo hump, and a
protruding abdomen. The nurse realizes that this client is most likely to be
diagnosed with which disease process?
1. Addisons disease
2. SIADH
3. Cushings syndrome
4. Diabetes Insipidus
3
A client tells the nurse that he is so thirsty that he has already consumed four
pitchers of water. The clients urine output is 3500 mL in an 8-hour period. The
client is recovering from surgery on the pituitary gland. What endocrine disorder
is the client most likely experiencing?
1. Diabetes insipidus
2. Diabetes mellitus
3. Myxedema
4. Syndrome of inappropriate antidiuretic hormone secretion
1
Which of the following symptoms would suggest to the nurse that a client is
experiencing symptoms of pheochromocytoma? (Select all that apply.)
1. Severe headache
2. Decreased urine output
3. Palpitations
4. Diarrhea
5. Profuse sweating
, 6. Weight gain
1,3,5
The patient in the emergency room with a myocardial infarction (MI) becomes
pale, diaphoretic, and hypotensive and complains of feeling cold. The nurse
recognizes that these signs are which post-MI complication?
1. Cardiogenic shock
2. Pleural effusion
3. Ventricular fibrillation
4. Pulmonary embolus
1
The patient in addisonian crisis is receiving IV fluids for rehydration. The nursing
care is focused on:
1. early assessment of hypotension.
2. monitoring for hyperglycemia.
3 keeping the patient cool with sponge baths.
4. prevention of skin breakdown.
1
The nurse planning care for a patient with diabetes insipidus will include: (Select
all that apply.)
1. maintaining fluid therapy.
2. conserving energy.
3. supporting dietary choices to reduce diarrhea.
4. assessing for bradycardia.
5. encouraging exercise to reduce weight.
1,2,4
A tumor of the pituitary has caused the syndrome of inappropriate secretion of
antidiuretic hormone (SIADH). The nurse plans interventions for: (Select all that
apply.)
1. assisting with activities of daily living because of weakness.
2. recording accurate urine output because of oliguria.