endocrine system questions

In anticipation of a client returning to their room, following a subtotal thyroidectomy, what intervention would be highest priority for the nurse to perform?

A. Have sterile dressing supplies in the room

B. Place a tracheostomy set at the bedside

C. Lock the client bed in a supine position, surgeon orders a different position

D. Have a pencil and a paper in your room to the client and communicate their needs in writing

Answer is B

Place a tracheostomy at the bedside

Rationale

Thyroid surgery sometimes result in accidental removal of the parathyroid glands. A resultant hypocalcemia may lead to contraction of the glutes, causing area obstruction edema around the operative site also may cause airway obstruction.

2. The nurses educate in the client newly diagnosed with type two diabetes on oral antibiotic medication. What should the nurse include in the teaching plan?

A. The client should obtain a fingerstick blood glucose reading before each meal

B. The client does not need to follow a specific Diet until insulin is required

C. The teaching plan should include science and symptoms of hypoglycemia

D. The teaching plan does not need to include signs and symptoms of hypoglycemia as a client is not on insulin

E. The teaching plan should include sick day rules

Answer A, C,E

Rationale

All diabetic clients regardless of type should check fingerstick blood sugars before each meal and snack. All diabetic clients need to be educated on sick day rules all diabetic clients should follow the American diabetes association that.

3. during a routine examination an enlarged thyroid gland is discovered in a client and hyperthyroidism suspected what clinical findings should The nurse expect to identify when completing a nursing admission, history and physical for this client.

A. Palpitation

B. Tachycardia

C. Thickened skin

D. A pathetic attitude

E. Missed menstrual periods

Answer A,B, E

Rationale

Hyperthyroidism increases the metabolic rate and the need for oxygen this results in an increased heart rate and myocardial irritability menstrual deserts associated with hypothyroidism when can experience lighten periods or periods thick skin and an apathetic attitude are associated with hypothyroidism on myxedema

4. A nurse is caring for an adult client with acromegaly. What clinical manifestation does the nurse expect the client to exhibit?

A, Prominent jaw

B Decreased pulse

C Increased height

D increase sodium

Answer a Prominent Jaw

5. A nurse is caring for a client with a diagnosis of caution syndrome which clinical manifestation does the nurse expect to identify

A. Polyuria

B. Truncal obesity

C. Hypertension

D. Sleep disturbance

E. Thin arms and legs

Answer b,d,e

Rationale

Truncal Obesity is a key feature of cushion syndrome. Sleep disturbance is caused by the altered diurnal secretion of cortisol, thin arms and legs are caused by protein catabolism which causes muscle wasting

7 a nurse is caring for a client who is experiencing an underproduction of thyroxine T4 for which client response is associated with an underproduction of thyroxine

A myxedema

B acromegaly

C Graves’ disease

D .cushings disease

Answer A

Rationale

Myxedema is a severe form of hypothyroidism, decreased thyroid gland activity means reduce production of thyroid hormones, brave disease, results from not a deficiency of thyroid hormones, and cushion disease results from glucocorticoids