front 1 On the first postoperative day following a thyroidectomy, a client tolerates a full-fluid diet. This is changed to a soft diet on the second postoperative day. The client reports a sore throat when swallowing. What should the nurse do first?
| back 1 C. Administer analgesics as prescribed before meals |
front 2 A client is diagnosed with hyperthyroidism and is experiencing exophthalmia. Which measures should the nurse include when teaching this client how to manage the discomfort associated with exophthalmia? Select all the apply
| back 2 A. Use tinted glasses. C. Elevate the head of the bed 45 degrees. D. Tape eyelids shut at night if they do not close. |
front 3 A nurse plans to set up emergency equipment at the bedside of a client in the immediate postoperative period after a thyroidectomy. What should the nurse include in the bedside setup?
| back 3 B. Tracheostomy set and oxygen |
front 4 A nurse is caring for a client with an underactive thyroid gland. Which responses should the nurse expect the client to exhibit as a result of decreased levels of triiodothyronine (T 3) and thyroxine (T 4)? Select all that apply.
| back 4 C. Weight gain D. Cold intolerance |
front 5 A nurse is assessing a client with hypothyroidism. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply.
| back 5 A. Cool skin C. Constipation D. Periorbital edema E. Decreased appetite |
front 6 A client has a history of hypothyroidism. Which skin condition should the nurse expect when performing a physical assessment?
| back 6 A. Dry |
front 7 A nurse is performing an admission health history and physical assessment of a client. The client’s face is pictured below. Which information is most important to obtain?
| back 7 A. Heart rate and rhythm |
front 8 A client is scheduled for an adrenalectomy. What does the nurse expect that the plan of care will include?
| back 8 B. Parenteral corticosteroids |
front 9 After stabilization of an acute adrenal insufficiency (addisonian crisis), intravenous medications are decreased gradually, and the client now is receiving hydrocortisone by mouth. What instruction should the nurse include when performing discharge teaching?
| back 9 B. Take the medication with food. |
front 10 Which does the nurse state is a secondary cause of adrenal insufficiency?
| back 10 C. Pituitary tumors |
front 11 What are the cardiovascular manifestations observed in a client with adrenal insufficiency?
| back 11 D. Hyponatremia |
front 12 What are the primary causes of adrenal insufficiency? Select all that apply.
| back 12 A. Hemorrhage B. Tuberculosis E. Acquired immune deficiency syndrome |
front 13 Fludrocortisone is prescribed for a client with adrenal insufficiency. Which responses to the medication should the nurse teach the client to report? Select all that apply.
| back 13 A. Edema B. Rapid weight gain |
front 14 Which clinical manifestation occurs in a client with adrenal insufficiency?
| back 14 A. Vitiligo |
front 15 What is the cause of this condition in the client?
| back 15 A. Hypofunction of adrenal gland |
front 16 The nurse is reviewing the laboratory reports of four clients. Which client is likely to have hyperfunction of the adrenal gland?
| back 16 C. Client 3 – Na-150 mEq/L; Ca-3.9 mg/dL; BiCarb-20 mEq/L; Cortisol-15 mg/dL |
front 17 The blood reports of a client suggest hyperfunctioning of the adrenal glands. Which finding supports the diagnosis?
| back 17 D. Serum potassium of 2.8 mEq/L (2.8 mmol/L) |
front 18 Which glands secrete hormones that regulate metabolism of carbohydrates, proteins, and fats? Select all that apply.
| back 18 A. Pancreas B. Thyroid gland C. Adrenal cortex |
front 19 Which laboratory value may indicate hyperfunction of the adrenal gland in a client?
| back 19 B. Potassium: 2.9 mEq/L |
front 20 What is the most probable cause for Conn’s syndrome in an adult client?
| back 20 B. Adrenal adenoma |