Drugs
Nursing Interventions
Lagniappe
Nursing Interventions II
Lagniappe II
100

Which precaution(s) will the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?

 

Wait 3 days after dose before assigning a pregnant nurse to care for this patient

100

The nurse will place the patient who has had a thyroidectomy in which position postoperatively?


Semi-Fowler

100

A condition caused by growth hormone deficiency is called _______________.


Dwarfism

100

Which extra equipment will the nurse provide at the bedside of a patient who has returned to the nursing unit after a thyroidectomy three hours ago?

   

Tracheotomy tray

100

A _________ is a specialized organ devised from a group of epithelial cells that form tissues that work together to produce and secrete hormones, enzymes and other components that help regulate the body.

Gland

200

A patient has returned to his room after a thyroidectomy with signs of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of which potentially lethal complication?

 

Heart failure

200

_____________ are physical, mental and behavioral changes that follow a daily cycle, responding primarily to levels of light and darkness.


Circadian rhythm

200

A patient has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. These symptoms most likely indicate problems with which endocrine gland?  

Pituitary gland

200

The patient being treated for hypothyroidism has been instructed to eat well-balanced meals including intake of iodine. The nurse will reinforce instructions to eat which food containing iodine?

Eggs

200

Which gland is the master gland of the endocrine system?

Pituitary

300

When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm, this is a _________________ sign of hypocalcemia.

  Trousseau

300

The nurse explains that the negative feedback inhibition controls hormone release. This occurs when a gland releases a primary hormone, which stimulates target cells to release a secondary hormone; the gland slows the release of the primary hormone as it senses the rise of the secondary hormone. This information is constantly being exchanged via the bloodstream between which two anatomical areas

The pituitary and the target organ

300

Patients experiencing endocrine gland disturbances are often faced with distorted body image due to physical manifestations of the condition. With the patient problem of Distorted Body Image, the nursing interventions will include:

Convey respect    

Nonjudgmental acceptance

300

The nurse would instruct a patient with hypocalcemia from hypoparathyroidism about a diet that should include which item? 

Canned fish with the bones    

Tofu

Dark green vegetables

300

A patient with a history of Graves’ disease is admitted to the unit with shortness of breath. The nurse notes the patient’s vital signs: T 103°F, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. Which disorder does the patient most likely have?

 

Thyroid storm

400

A sign of hypocalcemia is when the nerve cells become excited and stimulate the muscles with too many impulses, resulting is spasms which are called _____________.

   Tetany

400

A patient experiencing acromegaly, is experiencing symptoms related to enlargement of the heart and other organs. These symptoms include:

 Hypertension    

 Heart Failure    

 Cardiomyopathy

400

The principal clinical manifestation of thyroid cancer is:

 A firm, fixed, small, rounded nodule palpated during examination of the gland    

400

The nurse expects to see which intervention in the plan of care for a patient who has recently been diagnosed with acromegaly? 

Assist with activities of daily living

400

A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. The nurse will inform the patient of which potential complication?

Laryngeal spasms

500

The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany. Which assessment would indicate an adverse reaction to the drug?

Drop in blood pressure

500

Decreased parathyroid hormone (PTH) results in a decreased level of _________.

Serum Calcium

500

The use of radioactive iodine in the treatment of hyperthyroidism is for which purpose?

   

Destroy some of the thyroid tissue

500

In diabetes insipidus, a deficiency of which hormone causes clinical manifestations?

Antidiuretic hormone (ADH)

500

The condition of diabetes insupidus may be the result of a secondary diagnosis such as:

Head injury    

Intracranial tumor    

Infectious process