Pearson DSM: The Concept of Metabolism

During a physical assessment of an older adult, the patient asks why weight can be gained so easily at an older age.

Which response by the nurse is accurate?

"With aging, less thyroid activity reduces the basal metabolic rate."

The nurse is teaching an adult male patient on metabolic disease prevention.

Based on the increased risk factors for diseases in the male population, which disease should the nurse prioritize?

Cirrhosis

The nurse is preparing to perform a physical assessment of the thyroid gland on a patient. Standing behind the patient, the nurse asks the patient to tilt the head to the right, and then asks the patient to swallow.

During this procedure, which assessment finding does the nurse anticipate?

A smooth, rubbery gland

An older adult patient is experiencing alterations in sensory and cognitive functioning.

Which interview question should the nurse ask to determine the patient's sensory and cognitive functioning?

"Have you had any heart palpitations?"

The nurse is caring for a patient diagnosed with hypothalamic dysfunction. Tumors have been confirmed as a possible contributing factor to the disease.

The nurse should anticipate preparing the patient for which collaborative treatment?

Surgery

The nurse is reviewing the chart of a patient diagnosed with hypothyroidism.

Which subjective finding should the nurse anticipate when assessing the patient?

Decreased energy

The nurse caring for a patient diagnosed with hypoparathyroidism is concerned about serum calcium levels.

Which assessment will assist the nurse in determining the serum calcium balance?

Trousseau sign

The nurse is caring for a patient with diabetes who is experiencing dehydration and tachycardia.

Which assessment should the nurse implement to ensure that the patient has adequate oxygenation?

Monitoring neurologic functioning

The nurse is caring for a patient diagnosed with type 2 diabetes.

The nurse should anticipate the healthcare provider ordering which medication for oral glucose control?

Biguanide

The nurse is caring for a patient diagnosed with hyperparathyroidism.

Which serum electrolyte does the nurse anticipate to be elevated?

Serum calcium

A patient is prescribed a bisphosphonate for the treatment of osteoporosis.

The nurse should instruct the patient to immediately report which sign or symptom to the healthcare provider?

Calf pain or tenderness

During an annual checkup, the nurse suspects a 5-year-old child is experiencing altered endocrine function.

Which physical assessment finding supports the nurse's suspicion?

The patient's height is the same as at age 4.

The nurse is teaching about metabolic disorders to community members.

Which information should the nurse include that places a patient at risk for a metabolic disorder?

Taking supplemental hormones

The nurse is reviewing laboratory values and suspects that an older adult patient is experiencing age-related changes of the pancreas.

Which result has led the nurse to this suspicion?

Increased blood glucose

The nurse is caring for a patient newly diagnosed with type 2 diabetes mellitus.

Which patient statement reflects a subjective finding of type 2 diabetes?

"I am constantly thirsty and cannot get enough to drink."

The nurse is caring for a patient diagnosed with hyperparathyroidism who is prescribed a bisphosphonate.

Which statement accurately reflects why the patient is prescribed this drug?

It helps reduce bone loss.

The nurse is reviewing the chart of a patient diagnosed with hypoparathyroidism. The laboratory results reveal a decreased serum calcium level.

Which other electrolyte alteration should the nurse expect?

Increased serum phosphate

The nurse is preparing to palpate the thyroid gland of a patient who presents with a new onset of weight gain.

Which activity should the nurse ask the patient to do while conducting this assessment?

Swallow

A patient is diagnosed with hyperglycemia.

For which electrolyte imbalance should the nurse closely monitor?

Hypernatremia

The nurse is teaching a patient about the supplemental thyroid hormone (TH) prescribed by the healthcare provider.

Which patient statement requires further teaching?

"I will need to take the thyroid hormone until my fatigue is better."

An older adult patient states, "My skin always seems to look so pale."

Which response by the nurse is accurate?

"As you age, your body produces less melanin."

The nurse is assessing a patient with hypoparathyroidism for Trousseau sign. The patient asks the nurse, "Why do you have to do this test on me?"

To answer this question, the nurse should understand which statement that reflects the purpose of this test?

The test is for hypocalcemic tetany.

A patient prescribed a bisphosphonate asks the nurse, "How does this medication help my osteoporosis?"

Which statement provides the patient with an accurate response?

"The medication will reduce the risk of fractures."

The nurse caring for a patient with diabetes is monitoring the genitourinary system for complications.

Which assessment is the most effective?

Intake and output

The nurse is preparing to instruct a patient on the newly prescribed antithyroid medication.

Which information should be included for the prescribed medication?

Take the medication at the same time every day.

The nurse is guiding a new nurse who is caring for a patient with hypothyroidism.

Which statement made by the new nurse indicates an understanding of hypothyroidism?

"I will assist the patient in finding ways to incorporate increased activity."

The nurse is caring for an older adult patient who asks, "Are there certain endocrine disorders for which older adults have a higher risk?"

Which response by the nurse addresses the patient's question?

"Older adults have an increased risk of hypothyroidism."

During a physical assessment for a patient with the diagnosis of Hashimoto disease, the nurse notes a palpable nodule on the thyroid.

Which collaborative treatment should the nurse anticipate for this patient?

Removal of the nodule

The nurse is reviewing the chart of a patient suspected of having Graves disease.

Which is the nurse's correct understanding of the disease process?

Graves disease is a causative factor of hyperthyroidism.

The nurse is caring for a patient with diabetes who is experiencing dehydration and hyperglycemia.

Which prescribed intervention should the nurse consider as a priority?

Administering intravenous fluids