Term
| The nursing instructor teaches the student nurses about the endocrine system. The nursing instructor evaluates that learning has occurred when the student nurses make which statement(s)? Select all that apply. |
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Definition
1."The endocrine system is a major controller of homeostasis."
2."The hypothalamus secretes releasing hormones."
3."Hormones released by the endocrine system influence every organ in the body."
4.The pituitary gland secretes TSH (thyroid stimulating hormone)." |
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Term
| The nursing instructor teaches the student nurses about negative feedback as a feature of calcium homeostasis in the endocrine system. Identify the steps, in order, of this mechanism. |
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Definition
1.The parathyroid glands shut off PTH (parathyroid hormone) secretion.
2.Serum calcium levels fall.
3.PTH (parathyroid hormone) increases serum calcium.
4.PTH (parathyroid hormone) is released. |
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Term
| The client is very distraught that her son is of very short stature. What is the best plan by the nurse? |
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Definition
| Tell the client that treatment with growth hormone might help, and refer her to an endocrinologist. |
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Term
| The client has diabetes insipidus and receives vasopressin (Pitressin).DThe nurse completes medication education and evaluates that learning has occurred when the client makes which statement? |
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Definition
| "This medication increases water reabsorption in my kidneys." |
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Term
The client has been diagnosed with Cushing's syndrome. What will the best
assessment by the nurse reveal? |
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Definition
| Upper body obesity and thinning of the arms and legs. |
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Term
| The client has been diagnosed with diabetes insipidus. What will the best plan of the nurse include? |
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Definition
| Assess for increased urine production. |
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Term
| The client has hypothyroidism and is treated with levothyroxine (Synthroid). The nurse plans to do medication education. What will the best plan of the nurse include? |
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Definition
| Assess for altered sleep patterns |
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Term
| The elderly client has hypothyroidism. Which assessment finding would the nurse report to the physician immediately? |
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Definition
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Term
| The client receives treatment with radioactive iodine (Iodine-131) therapy. What will the best evaluation by the nurse reveal? |
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Definition
| The client will most likely require thyroid replacement therapy. |
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Term
| The client has hyperthyroidism. The nurse teaches the client to avoid which food selections? |
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Definition
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Term
| The client receives hydrocortisone therapy. The nurse will primarily assess for which electrolyte disturbance? |
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Definition
| Hypernatremia and hyperglycemia |
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Term
| The client receives glucocorticoid therapy. What will the best assessment of the nurse reveal? |
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Definition
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Term
The client receives aminogluthethimide (Cytadren) therapy. What evaluation
criteria will the nurse report to the physician? |
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Definition
| The client has been on the therapy for four months. |
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Term
| The nurse teaches the client about glucocorticoid therapy.DThe nurse evaluates that additional teaching is required when the client makes which statement? |
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Definition
| "I can take the medication at any time as long as I don't forget it." |
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Term
The nurse plans to administer intranasal desmopressin (DDAVP) to the client.
What will the best plan of the nurse include? |
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Definition
Rotation of nares must be documented on the medication administration record
(MAR). |
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Term
| Negative feedback loop ensures endocrine homeostasis by: |
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Definition
| Inhibiting secretion from the first hormone. |
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Term
| Vasopressin is used in the treatment of: |
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Definition
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Term
| The function of the thyroid gland is to: |
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Definition
| Control basal metabolism. |
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Term
| Which of the following is a sign or symptom of hypothyroidism? |
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Definition
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Term
| The primary goal of pharmacotherapy in hyperthyroidism (Graves' disease) is to: |
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Definition
| Lower the activity of the thyroid hormone. |
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Term
| Which of the following is a symptom of Cushing's syndrome? |
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Definition
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Term
| In the client taking thyroid agents, the nurse will assess for which adverse effect? |
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Definition
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Term
| The mechanism of action of antithyroid drugs is to: |
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Definition
| Interfere with synthesis of thyroid hormones. |
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Term
| The mechanism of action of anterior pituitary agents, such as vasopressin (Pitressin), is to: |
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Definition
| Cause renal tubules to increase permeability to water. |
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