Question 1

After obtaining the information shown in the accompanying figure regarding a patient with Addison's disease,which prescribed action will the nurse take first?

Accepted Answer

A) Give 4 oz of fruit juice orally. 
B) Recheck the blood glucose level. 
C) Infuse 5% dextrose and 0.9% saline. 
D) Administer O2 therapy as needed. 
A) Give 4 oz of fruit juice orally. 
B) Recheck the blood glucose level. 
C) Infuse 5% dextrose and 0.9% saline. 
D) Administer O2 therapy as needed.

Question 2

The nurse admits a patient to the hospital in Addisonian crisis. Which patient statement supports the need to plan additional teaching?

Accepted Answer

A) "I frequently eat at restaurants, and my food has a lot of added salt." 
B) "I had the flu earlier this week, so I couldn't take the hydrocortisone." 
C) "I always double my dose of hydrocortisone on the days that I go for a long run." 
D) "I take twice as much hydrocortisone in the morning dose as I do in the afternoon." 
A) "I frequently eat at restaurants, and my food has a lot of added salt." 
B) "I had the flu earlier this week, so I couldn't take the hydrocortisone." 
C) "I always double my dose of hydrocortisone on the days that I go for a long run." 
D) "I take twice as much hydrocortisone in the morning dose as I do in the afternoon."

Question 3

Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should contact the health care provider before administering levothyroxine (Synthroid)?

Accepted Answer

A) Increased thyroxine (T4) level 
B) Blood pressure 112/62 mm Hg 
C) Distant and difficult to hear heart sounds 
D) Elevated thyroid stimulating hormone level 
A) Increased thyroxine (T4) level 
B) Blood pressure 112/62 mm Hg 
C) Distant and difficult to hear heart sounds 
D) Elevated thyroid stimulating hormone level

Question 4

Which prescribed medication should the nurse expect will have rapid effects on a patient admitted to the emergency department in thyroid storm?

Accepted Answer

A) Iodine 
B) Methimazole 
C) Propylthiouracil 
D) Propranolol (Inderal) 
A) Iodine 
B) Methimazole 
C) Propylthiouracil 
D) Propranolol (Inderal)

Question 5

Which information obtained by the nurse in the endocrine clinic about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

Accepted Answer

A) Patient's blood pressure is 148/94 mm Hg. 
B) Patient has bilateral 2+ pitting ankle edema. 
C) Patient stopped taking the medication 2 days ago. 
D) Patient has not been taking the prescribed vitamin D. 
A) Patient's blood pressure is 148/94 mm Hg. 
B) Patient has bilateral 2+ pitting ankle edema. 
C) Patient stopped taking the medication 2 days ago. 
D) Patient has not been taking the prescribed vitamin D.

Question 6

A patient is to receive methylprednisolone (Solu-Medrol)100 mg. The label on the medication states: methylprednisolone 125 mg in 2 mL. How many milliliters will the nurse administer?

Accepted Answer

1.6
A concentration

Exam 49: Endocrine Problems

After obtaining the information shown in the accompanying figure regarding a patient with Addison's disease,which prescribed action will the nurse take first?

The nurse admits a patient to the hospital in Addisonian crisis. Which patient statement supports the need to plan additional teaching?

Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should contact the health care provider before administering levothyroxine (Synthroid)?

Which prescribed medication should the nurse expect will have rapid effects on a patient admitted to the emergency department in thyroid storm?

Which information obtained by the nurse in the endocrine clinic about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

A patient is to receive methylprednisolone (Solu-Medrol)100 mg. The label on the medication states: methylprednisolone 125 mg in 2 mL. How many milliliters will the nurse administer?

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