Health Care: A patient who had a hypophysectomy 3 days
Subject: Health Care / General Health Care Question
24. A patient who had a hypophysectomy 3 days ago begins to have 3000 mL of urine output every shift and complains of thirst and dry mouth. The nurse interprets these signs as possible:
a. overreaction to diuretics
b. diabetes insipidus
c. diabetes mellitus
d. glucose intolerance
27. The nurse recognizes a need instruction when the patient with a simple goiter says:
a. “The lump on my throat is my enlarged thyroid”
b. “Treatment will stop the enlargement of the goiter”
c. “I am aware this goiter could develop into cancer”
d. “I’m glad my treatment will make this thing go away”
28. The nurse administering potassium iodide for the treatment of goiter will:
a. pour the solution over ice to make it more palatable
b. give the well-diluted solution through a straw
c. give the solution on an empty stomach
d. mix the solution with an antacid to reduce gastric irritation.
31. The physician has prescribed methimazole (Tapazole). When providing education to the patient, which instruction should be included in the teaching?
a. “The medication can be doubled if the previous dose was missed.”
b. “The medication should be taken on a strict schedule.
c. “The medication could be replaced by a less expensive generic substitute.”
d. “The medication can be safely taken pregnant women.”
36. The nurse is caring for a patient who reports abruptly discontinuing his prescribed levothyroxine. With clinical finding is most consistent with this behavior?
b. Extreme diarrhea
c. Sudden Hypertension
d. Respiratory distress
38. The patient in addisonian crisis is receiving IV fluids for re-hydration. The nursing care is focused on:
a. early assessment of hypotension.
b. monitoring of hyperglycemia
c. keeping the patient cool with sponge baths.
d. prevention of skin breakdown
39. The nurse is preparing a patient to undergo a dexamethasone suppression test. Which action is most appropriate?
a. Instruct the patient to be NPO 6 hours before the test.
b. Instruct the patient that urine levels will be assessed after a 24-hour collection period.
c. Administer a steroid the morning of the test.
d. Instruct the patient that a blood specimen will be collected in the morning.
40. The nurse is caring for a patient scheduled for a thyroidectomy. Which instruction should be included in the preoperative care?
a. Salt should be avoided during the 2 weeks before surgery.
b. Medications will be administered to increase the vascularity of the gland before surgery.
c. iodine will be administered in the 2 weeks before surgery to increase the level of thyroid hormone being released into the bloodstream.
d. Medications will be administered in the 2 weeks before surgery to reduce the vascularity of the gland.
44. A patient ask the nurse if stress can be a potential cause of the type 2 diabetes. What should be included in the response provided by the nurse?
A. stress decreases the number of alpha cells in the pancreas, thus increasing the workload on the beta cells.
b. Periods of stress cause increases in glycogen production by the adrenal cortex.
C. Stress is directly associated with decreased insulin tolerance.
D. The inhibition of beta cells to glucose is increased in periods of stress.
48. A patient recently diagnosed with type 1 diabetes mellitus questions the nurse about her increased thirst level. What should be included in the response by the nurse?
a. Diabetes results in a lack of protein absorption causing reduced amino acids, resulting in thirst.
b. Elevated levels of blood glucose pull cellular water into circulating volume.
c. Thirst results from the body’s increased loss of fluids through polyuria.
d. Appetites of both food and water signal the changes of diabetes.
49. The nurse is caring for a patient who was hospitalized with ketosis. The nurse recognizes that the patient correctly understands the phenomenon when she reports what about the condition?
a. I had taken too much insulin to decrease my body’s level of glucose.
b. The condition resulted when my body tried to break down and use my stores of fats.
c. When my blood glucose goes over 150 mg/dL, I am at risk for this condition.
d. I was exercising too much and had too sharp reductions in my blood glucose level.