NCLEX Review Questions Endocrine (26-30)
Welcome to NCLEX Review Questions Endocrine. 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 :
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26. The nurse is assessing a client with Addison’s disease for signs if hyperkalemia. The nurse expects to note which of the following if hyperkalemia is present?
b) cardiac dysrhythmias
c) dry mucous membranes
d) prolong bleeding time
27. The nurse is admitting a client to the hospital who recently had a bilateral adrenalectomy. Which intervention is essential for the nurse to include in the client’s plan of care?
a) prevent social isolation
b) consider occupational therapy
c) discuss changes in body image
d) avoid stress-producing situations and procedures
28. The nurse who is caring for a client with Grave’s disease notes a nursing diagnosis of “imbalanced nutrition: less than body requirements related to the effects of the hypercatabolic state” in the care plan. Which of the following indicates a successful outcome for this diagnosis?
a) the client verbalizes the need to avoid snacking between meals
b) the client discusses the relationship between mealtime and the blood glucose level
c) the client maintains the normal weight or gradually gains weight if it is below normal
d) the client demonstrates knowledge regarding the need to consume a diet that is high in fat and low in protein
29. The nurse assesses the client with a diagnosis of thyroid storm. Which classic signs and symptoms associated with thyroid storm indicate the priority need for immediate nursing intervention?
a) polyuria, nausea, and severe headache
b) hypotension, translucent skin, and obesity
c) fever, tachycardia, and systolic hypertension
d) profuse diaphoresis, flushing, and constipation
30. A client is admitted to the hospital for a thyroidectomy. While preparing the client for surgery, the nurse assesses the client for psychosocial problems that may cause preoperative anxiety, knowing that a realistic source of anxiety is fear of:
a) sexual dysfunction and infertility
b) imposed dietary restrictions after discharge
c) developing gynecomastia and hirsutism postoperatively
d) changes in body image secondary to the location of the incision
NCLEX Review Questions Endocrine
Answers and Rationale
- The inadequate production of aldosterone in clients with Addison’s disease causes the inadequate excretion of potassium and results in hyperkalemia. The clinical manifestations of hyperkalemia are the result of altered nerve transmission. The most harmful consequence of hyperkalemia is its effect on cardiac function. Options A, C, and D are not manifestations that are associated with Addison’s disease or hyperkalemia.
- Adrenalectomy can lead to adrenal insufficiency. Adrenal hormones are essential to maintaining homeostasis in response to stressors. Options A, B, and C are not essential interventions specific to this client’s problem.
- Graves’ disease causes a state of chronic nutritional and caloric deficiency caused by the metabolic effects of excessive T3 and T4. Clinical manifestations are weight loss and increased appetite. Therefore, it is a nutritional goal that the client will not lose additional weight and that he or she will gradually return to the ideal body weight, if necessary. To accomplish this, the client must be encouraged to eat frequent high-calorie, high-protein, and high-carbohydrate meals and snacks.
- The excessive amounts of thyroid hormone cause a rapid increase in the metabolic rate, thereby causing the classic signs and symptoms of thyroid storm such as fever, tachycardia, and hypertension. When these signs present themselves, the nurse must take quick action to prevent deterioration of the client’s health because death can ensue. Priority interventions include maintaining a patent airway and stabilizing the hemodynamic status. Options A, B, and D do not indicate the need for immediate nursing intervention.
- Because the incision is in the neck area, the client may be fearful of having a large scar postoperatively. Sexual dysfunction and infertility could possibly occur if the entire thyroid gland was removed and if the client was not placed on thyroid replacement medications. The client will not have specific dietary restrictions after discharge. Having all or part of the thyroid gland removed will not cause the client to experience gynecomastia or hirsutism.
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