NURSING 101 Chapter 39. Nursing Care of Patients With Endocrine Disorders

Chapter 39. Nursing Care of Patients With Endocrine Disorders Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. Which of the following symptoms would the nurse expect to observe in a patient diagnosed with hypothyroidism? a. Anxiety and tachycardia b. Dry skin and slowed heart rate c. Increase in appetite and diarrhea d. Tremor and oily skin ____ 2. A patient is prescribed levothyroxine (Synthroid) for hypothyroidism. Which of the following statements should the nurse include when teaching the patient? a. “Worsening hypothyroidism can result in a condition called myxedema coma, so it is important to take this medication.” b. “If you do not take your medication, you will retain water and begin to see swelling in your feet and legs.” c. “Thyrotoxicosis results from too little thyroid hormone, so you should monitor your temperature every day.” d. “Cushing’s syndrome is a complication of severe hypothyroidism, so you need to take this medication regularly.” ____ 3. The nurse is caring for a patient with a history of asthma who is newly diagnosed with hyperthyroidism. What assessment finding should the LPN report to the RN immediately? a. Heart rate 112 beats/min b. Respiratory rate 20 breaths/min c. Blood pressure 112/73 mm Hg d. Temperature 97.2°F (36.2°C) ____ 4. The nurse is caring for a patient with exophthalmos secondary to Graves’ disease. What nursing interventions are appropriate for this patient? a. Myotic eyedrops and privacy b. Television and other diversionary activities c. Reassurance that the symptoms will resolve when the Graves’ disease is under control d. An accepting attitude and lubricating eyedrops ____ 5. The nurse is preparing a patient for a thyroidectomy to treat hyperthyroidism. What statement by the patient indicates to the nurse that the patient understands the preoperative instructions? a. “I know that I should avoid turning my head after surgery.” b. “I will need to increase my calorie intake after surgery to avoid weight loss.” c. “I will probably need thyroid replacement medication after surgery.” d. “I will avoid taking any thyroid or antithyroid drugs before surgery.” ____ 6. What is the most likely cause of tetany after thyroidectomy? a. Excess circulating thyroid hormone released during manipulation of the gland during surgery b. Swelling of the incisional area c. Overdose of preoperative antithyroid medication d. Accidental removal of the parathyroids during surgery ____ 7. The nurse is caring for a patient who underwent thyroid surgery the day before. The patient reports feeling numb around the mouth and experiencing random muscle twitches. The nurse anticipates the physician will order which of the following intravenous medications? a. Sodium bicarbonate b. Potassium chloride c. Iodine d. Calcium gluconate ____ 8. The nurse is caring for a patient following a thyroidectomy. Which postoperative assessment activity is most important in detecting thyrotoxic crisis? a. Monitor the surgical dressing. b. Monitor vital signs. c. Assess hand grips and foot presses. d. Assess for confusion and delirium. ____ 9. The nurse is caring for a patient 6 hours after a thyroidectomy and notes the patient’s temperature is 104°F, pulse is 144 beats per minute, respirations are 24 per minute, and blood pressure is 184/108 mm Hg. Which of the following orders does the nurse anticipate? a. Beta blockers and a cooling blanket b. Epinephrine and compression dressings c. Aspirin and bedrest d. Diphenhydramine (Benadryl) and Fowler’s position ____ 10. The nurse is caring for a patient following a thyroidectomy. What item is most important to have at the bedside? a. Hemostats b. Tracheostomy set c. Gauze dressings d. Suture removal kit