Welcome to Endocrine System Questions and Answers. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :
Complete NCLEX Study Materials
61. A client with Cushing's disease is being admitted to the hospital after a stab wound to the abdomen. The nurse places highest priority on which of the following nursing diagnoses developed for this client?
a) risk for infection
b) disturbed body image
c) ineffective health maintenance
d) risk for deficient fluid volume
62. A nurse is caring for a client with a diagnosis of Cushing's syndrome. The nurse plans which of these measures to prevent complications from this medical condition?
a) monitoring glucose level
b) encouraging daily jogging
c) monitoring epinephrine levels
d) encouraging visits form friends
63. A nurse notes on the cardiac monitor that a client with aldosteronism is experiencing a dysrhythmia. The nurse immediately assesses the client's:
a) peripheral pulses
b) intake and output
c) superficial reflexes
d) plasma potassium level
64. A client is admitted to the hospital with a diagnosis of Cushing's syndrome. The nurse monitors the client for which of the following that is most likely to occur in this client?
a) hypovolemia
b) hypoglycemia
c) mood disturbances
d) deficient fluid volume
65. The nurse is caring for a client scheduled for a bilateral adrenalectomy for treatment of an adrenal tumor that is producing excessive aldosterone (primary hyperaldosteronism). The nurse appropriately tells the client which of the following?
a) you will need to wear an abdominal binder after surgery
b) you will most likely need to undergo chemotherapy after surgery
c) you will need to take hormone replacements for the rest of your life
d) you will not require any special long-term treatment after surgery
Endocrine System Questions and Answers and Rationale
61) A
- The client with a stab wound has a break in the body's first line of defense against infection. The client with Cushing's disease is at great risk for infection caused by excess cortisol secretion, subsequent impaired antibody function, and decreased proliferation of lymphocytes. The client may also have an Ineffective health maintenance and Disturbed body image, but these are not the highest priority at this time. The client would be at risk for Excess fluid volume, not Deficient fluid volume, with Cushing's disease.62) A
- In the client with Cushing's syndrome, increased levels of glucocorticoids can result in hyperglycemia and signs and symptoms of diabetes mellitus. Epinephrine levels are not affected. Clients experience activity intolerance related to muscle weakness and fatigue, therefore option B is incorrect. Visitors should be limited because of the client's impaired immune response.63) D
- Aldosteronism can lead to hypokalemia, which in turn can cause life-threatening dysrhythmias. Options A, B, and C are not immediate priorities for this client.64) C
- When Cushing's syndrome develops, the normal function of the glucocorticoids becomes exaggerated and the classic picture of the syndrome emerges. This exaggerated physiological action can cause mood disturbances, including memory loss, poor concentration and cognition, euphoria, and depression. It can also cause persistent hyperglycemia along with sodium and water retention, producing edema and hypertension.65) C
- The major cause of primary hyperaldosteronism is an aldosterone-secreting tumor called an aldosteronoma. Surgery is the treatment of choice. Clients undergoing a bilateral adrenalectomy will need permanent replacement of adrenal hormones. Options A, B, and D are inaccurate.After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:
Endocrine System Questions and Answers (1-7)
Or proceed to the next set of questions:
Endocrine System Questions and Answers (66-70)
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