Deck 25: Endocrine Function

Question 1

A nurse is preparing to administer metoprolol to an older male patient.What action by the nurse is best regarding endocrine disorders?

A)Administer the medication as ordered.
B)Check the patient's ID using two sources.
C)Say,"Many men experience ED with this drug."
D)Tell the patient to discuss the side effects with his provider.

Answer 1

Say,"Many men experience ED with this drug."

Question 2

A type 2 diabetic patient is admitted to the hospital with a gastrointestinal illness and a blood glucose of 480 mg/dL.After stabilizing the patient,what action by the nurse is best?

A)Educate the patient on safe food handling.
B)Ask if the patient took the diabetic medication.
C)Teach the patient ways to avoid dehydration
D)Delegate frequent blood sugars to the aide.

Answer 2

Ask if the patient took the diabetic medication.

Question 3

The nurse recognizes that an older adult on both antihypertensive and antidepressant drug therapies has a specific need for

A)regular blood pressure monitoring.
B)an effective history focusing on sexual function.
C)an increase in daily fluid intake.
D)frequent assessment of emotional stability.

Answer 3

an effective history focusing on sexual function.

Question 4

When teaching an older patient about diet therapy for diabetes,the nurse plans to assess for barriers to adherence,including which factors? (Select all that apply. )

A)Lifelong habits
B)Cultural influences
C)Finances
D)Dependency
E)Inability to learn

Question 5

The nurse is teaching a newly diagnosed diabetic patient about metformin.What information does the nurse include? (Select all that apply. )

A)Alcohol intake should be limited and taken with food.
B)Overweight patients sometimes poorly tolerate metformin.
C)Oral hypoglycemic agents can increase the risk of hyperglycemia.
D)Metformin has been the cause of anorexia in older patients.
E)Oral hypoglycemic agents affect vitamin D absorption.

Question 6

When teaching an older patient with type 2 diabetes about the importance of regular exercise,what statement is most important?

A)Swim 10 laps in the community center pool three times a week.
B)Enroll in a daily lunch time aerobics class at the senior center.
C)Lift 5-pound weights in a routine of 10 repetitions in each arm.
D)Walk on the treadmill each morning for 30 minutes.

Question 7

The nurse is preparing to provide an older,newly diagnosed diabetic patient with information regarding type 2 diabetes.The nurse initially

A)asks if the patient prefers a video or a pamphlet.
B)invites the patient's spouse to be present during the instruction.
C)selects a quiet,well-lighted space for the class.
D)ensures that the patient is pain-free and comfortably seated.

Question 8

What assessment findings support an older patient's diagnosis of hypothyroidism?

A)A 2-cm wound noted on medial aspect of left foot
B)An apical rate: 98 beats/minute
C)A patient report that "I always wear a sweater"
D)A weight loss of 10 pounds over 6 weeks

Question 9

A patient has been admitted with new atrial fibrillation.What additional diagnostic testing does the nurse anticipate?

A)Thyroid hormones
B)Platelet count
C)Urinalysis
D)Blood glucose

Question 10

The nurse is assessing an older patient with elevated plasma triglyceride levels.What other assessment finding leads the nurse to suspect metabolic syndrome? (Select all that apply. )

A)Blood pressure of 148/90 mmHg
B)A fasting blood glucose of 109 mg/dL
C)Reports of frequent urination
D)Weight measurement of 50 inches
E)HDL level of 32 mg/dL

Question 11

What assessment findings support a diagnosis of hyperthyroidism in the older adult? (Select all that apply. )

A)Tremors
B)Heat intolerance
C)Tachycardia
D)Palpable goiter
E)Atrial fibrillation

Question 12

The nurse observes signs that a patient being assessed may have an underactive thyroid.The data supporting this suspicion includes

A)heat intolerance,low-grade fever,and patchy hair loss.
B)polycythemia,tachycardia,and oral candidiasis.
C)muscle cramps,fatigue,and cold intolerance.
D)increased blood pressure,postural hypotension,and blurred vision.

Question 13

A nurse is reviewing possible first-line medications for a new,older type 2 diabetic.What contraindication does the nurse identify for metformin (Glucophage)?

A)Patient drinks three to four alcoholic drinks/day
B)Patient's parents both took insulin
C)Creatinine 0.9 mg/dL
D)Potassium 3.8 mEq/dL

Question 14

An older patient has been diagnosed with metabolic syndrome.What action by the nurse takes priority?

A)Educate the patient on medications.
B)Teach lifestyle changes the patient can manage.
C)Encourage 60 minutes of aerobic activity daily.
D)Instruct the patient on a low-fat diet.

Question 15

The family of a patient who has type 2 diabetes calls the clinic to report a very small sore on the patient's foot.What action by the nurse is best?

A)Have the patient come to the clinic today.
B)Have the family wash and bandage it.
C)Tell the patient to check for a fever.
D)Have the patient go to the emergency room.

Question 16

An older patient has been diagnosed with osteoporosis and asks why she needs blood work done for endocrine hormones,as she is postmenopausal.What response by the nurse is best?

A)"Too much parathyroid hormone leads to osteoporosis."
B)"Undiagnosed diabetes often causes osteoporosis."
C)"This will show us the optimum drug dose to start with."
D)"Osteoporosis can lead to hypothyroidism."

Question 17

The nurse teaches an older patient safety rules for exercising.What do these rules include? (Select all that apply. )

A)Carry medical identification.
B)Check blood glucose before exercising.
C)Drink plenty of water.
D)Have quick-acting glucose.
E)Knowing signs of hyperglycemia.

Question 18

Which documentation demonstrates that the nurse effectively assessed an older adult diabetic patient's cardiac status?

A)Radial pulse: 88 and regular
B)Carotid pulses equal and strong
C)BP 126/78 recumbent and 122/78 sitting
D)Nail beds pale in color

Question 19

The nurse assessing patients for diabetes looks for the classic signs,including which of the following? (Select all that apply. )

A)Polyuria
B)Polycythemia
C)Polydipsia
D)Polyphagia
E)Polyandrony

Question 20

Aware that older adult patients often present with atypical symptoms of type 2 diabetes mellitus,the nurse is particularly suspicious of a patient reporting

A)bouts of diarrhea alternating with periods of constipation.
B)recent problems reading and an infected sore on the toe that will not heal.
C)periods of depression and severe indigestion after eating.
D)dizziness when getting up too quickly and a red rash on the hands.