Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 8 Endocrine System^371



  1. Addison’s disease frequently causes skin pigment changes. When teaching
    the patient about medications used for Addison’s disease, it is important
    that he or she understands:
    (a) medication for hypertension.
    (b) cholesterol medication.
    (c) that they continue for life.
    (d) that they can be stopped when symptoms abate.

  2. Addie has recently been diagnosed with Cushing’s syndrome. The symptoms
    for which the primary care provider most likely tested the patient include:
    (a) buffalo hump, moon facies, and central obesity.
    (b) diarrhea, confusion, and exophthalmos.
    (c) weight loss, low blood pressure, and tachycardia.
    (d) nausea, low hemoglobin, and shortness of breath.

  3. Alison is being treated for hyperthyroidism. In reviewing her lab results,
    you would expect to see:
    (a) diminished thyroid hormone.
    (b) elevated thyroid hormone.
    (c) diminished parathyroid hormone.
    (d) elevated parathyroid hormone.

  4. Adam has just been diagnosed with diabetes insipidus. The most common
    presenting sign is:
    (a) body wasting.
    (b) hyperglycemia.
    (c) hypoglycemia.
    (d) increase in urination.

  5. Alexa, a 32-year-old female, has been diagnosed with metabolic syndrome.
    Your nursing interventions would include teaching her about the typical
    accompanying signs and symptoms, such as:
    (a) weight loss, malar rash, and pharyngitis.
    (b) hypothyroidism, podagra, and elevated fasting glucose.
    (c) violaceous rash, pittting peripheral edema, and palpitation.
    (d) hypertension, low HDL, and elevated triglycerides.

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