Deck 47: Endocrine System Introduction

Question 1

What are the common age-related changes in the endocrine system? (Select all that apply.)

A) Diminished response to antidiuretic hormone (ADH).
B) Decline in growth hormone (GH)production.
C) Reduction in protein synthesis.
D) Decreased risk for hypothyroidism.
E) Decline in cortisol secretion.

Answer 1

Diminished response to antidiuretic hormone (ADH).
Decline in growth hormone (GH)production.
Reduction in protein synthesis.
Decline in cortisol secretion.

Question 2

A patient asks about his laboratory test, which showed a high level of thyroid-stimulating hormone (TSH)and a low level of T₄.What is the most accurate explanation?

A) "It means that you have an inconsistency in your thyroid tests, and you will need more testing."
B) "I am sorry.You will have to ask your physician about your laboratory results.We are not allowed to discuss them."
C) "The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn't producing enough hormone."
D) "That means that you will have to go on hormone therapy for the rest of your life."

Answer 2

"The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn't producing enough hormone."

Question 3

A patient has been given an antithyroid drug called methimazole.What appropriate nursing implementations should be included?

A) Using special radioactive precautions for her urine for the first 24 hours
B) Monitoring her vital signs and withholding the medications if her pulse is greater than 100 beats/min
C) Teaching her to watch for and report any signs and symptoms of hypothyroidism or infections
D) Keeping her on a low-calorie, low-protein diet

Answer 3

Teaching her to watch for and report any signs and symptoms of hypothyroidism or infections

Question 4

A patient is receiving the medication octreotide (Sandostatin)as a treatment for acromegaly.What should the nurse explain regarding this medication?

A) It reverses the effects of acromegaly.
B) It should be given on a daily basis by injection.
C) It increases insulin secretion causing hypoglycemia.
D) It suppresses the growth hormone.

Question 5

Which significant need should be included in instructions to a patient scheduled for a thyroid scan (¹²³I)?

A) Provide a special container to collect urine for the next 24 hours.
B) Wear a protective apron to shield him or her from radiation for the next 24 hours.
C) Request that visitors keep a distance of at least 6 feet away for the next 24 hours.
D) Do not consume iodine for one week before the test..

Question 6

A nurse makes a list of symptoms that a patient who is taking methimazole (Tapazole), a thionamide drug, should report.What should this list include? (Select all that apply.)

A) Becoming pregnant
B) Jaundice
C) Blood in the stool
D) Rash
E) Urine retention

Question 7

An older patient with hypothyroidism asks why her daily dose of thyroid hormone, which she has taken for 15 years, has been reduced.What is nurse's best rationale when explaining what the decreased dose is related to?

A) Improved efficacy of the thyroid preparation
B) Age-related reduction in metabolic rate
C) Drug-related hypertrophy of the thyroid
D) Changes in your diet and activity level

Question 8

Which instruction should a nurse provide when a patient starts taking a saturated solution of potassium iodide (SSKI)?

A) Sip medication through a straw to prevent tooth staining.
B) Double the dose if a dose is missed.
C) Expect excessive salivation.
D) Take before meals.