Question 1 of 6
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Which question would the nurse ask when collecting initial data from a patient with a suspected endocrine disorder? Select all that apply. One, some, or all responses may be correct.
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- “Has your skin become rough or dry?”The endocrine system is complex and has an effect on every system in the body. The nurse would use critical thinking to narrow the focus of daily questioning and data collection. Asking about skin would be included in initial data collection.
- Correct
- “Have you had more abdominal gas or bloating?”The endocrine system is complex and has an effect on every system in the body. The nurse would use critical thinking to narrow the focus of daily questioning and data collection. Asking about gas or bloating would be included in initial data collection.
- Correct
- “Have you noticed any facial or ankle swelling?”The endocrine system is complex and has an effect on every system in the body. The nurse would use critical thinking to narrow the focus of daily questioning and data collection. Asking about facial or ankle swelling would be included in initial data collection.
- Correct
- “Have you gained or lost weight over the past 6 months?”The endocrine system is complex and has an effect on every system in the body. The nurse would use critical thinking to narrow the focus of daily questioning and data collection. Asking about weight gain or loss would be included in initial data collection.
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- “Have you noticed a change in your appetite?”The endocrine system is complex and has an effect on every system in the body. The nurse would use critical thinking to narrow the focus of daily questioning and data collection. Asking about appetite would be included in initial data collection.
- Correct
- “Has your sleep pattern changed?”The endocrine system is complex and has an effect on every system in the body. The nurse would use critical thinking to narrow the focus of daily questioning and data collection; asking about sleep patterns would be included in initial data collection.
Question 2 of 6
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Which question would the nurse ask the patient before a thyroid function test? Select all that apply. One, some, or all responses may be correct.
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- “Have you recently drunk any alcohol?”Recent alcohol consumption should not interfere with thyroid function tests.
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- “Do you take aspirin on a regular basis?”Exposure to aspirin may interfere with accurate thyroid function testing.
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- “Have you recently been exposed to x-ray radiation?”Recent x-ray radiation exposure should not interfere with thyroid function tests.
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- “Have you recently had x-rays with intravenous contrast dye?”Exposure to intravenous contrast dye may interfere with accurate thyroid function testing.
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- “Have you taken any antibiotics during the last 14 days?”Antibiotics should not interfere with thyroid function tests.
Question 3 of 6
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Which hormonal action will occur when the negative feedback system is initiated in a patient being treated for hypothyroidism?
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- Thyroid panel values will indicate hyposecretion.Hyposecretion is not expected because the negative feedback system is the normal process that regulates and balances hormone production.
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- Thyroid gland activity becomes abnormally high.Abnormally high gland activity is not expected because the negative feedback system is the normal process that regulates and balances hormone production.
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- Thyroid-stimulating hormone production ceases.A negative feedback system regulates the production of thyroid hormones. Production of thyroid-stimulating hormone prompts the release of thyroid hormones, which in turn decreases thyroid-stimulating hormone production because circulating levels of thyroid hormones have reached a functional level.
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- Circulating level of thyroid hormones increases abnormally.Increases in circulating hormones beyond normal are not expected because the negative feedback system is the normal process that regulates and balances hormone production.
Question 4 of 6
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Which action describes the function of glucagon in the body?
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- Stimulates tissue growthTissue growth is stimulated by growth hormone, not glucagon.
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- Oversees immune system functionThe thymus gland produces thymosin, which acts on the immune system and oversees its development and function.
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- Increases the metabolic rate of the bodyThyroid hormones, not glucagon, increase the body’s metabolic rate.
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- Breaks down glycogen in the liverGlucagon causes breakdown of glycogen in the liver to increase blood glucose levels.
Question 5 of 6
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Which diagnostic test would the nurse anticipate for the patient with suspected parathyroid dysfunction?
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- Glucose levelsGlucose levels are checked when diabetes mellitus is suspected.
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- Serum electrolytesSerum electrolytes, specifically calcium, and phosphorus are one of the main diagnostic tests used with suspected problems with the parathyroid gland.
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- 12-lead electrocardiogramA 12-lead electrocardiogram (ECG) is performed if cardiac dysrhythmias are suspected.
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- Fluid deprivation testA fluid deprivation test is used for the diagnosis of diabetes insipidus.
Question 6 of 6
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Which laboratory value would indicate a diagnosis of diabetes mellitus?
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- Hemoglobin A1c level 6%A hemoglobin A1c level of greater than 6.5% would indicate a diagnosis of diabetes mellitus.
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- Fasting glucose level 139 mg/dLA fasting blood glucose level greater than or equal to 126 mg/dL indicates a diagnosis of diabetes mellitus.
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- Random glucose level 156 mg/dLA random blood glucose level of greater than or equal to 200 mg/dL indicates a diagnosis of diabetes mellitus.
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- 2-hour glucose tolerance test 185 mg/dLGreater than or equal to 200 mg/dL after a 2-hour glucose tolerance test indicates a diagnosis of diabetes mellitus.
