A nurse cares for a client with a hypofunctioning anterior pituitary gland. Which hormones should the nurse expect to be affected by this condition? (Select all that apply.)
- A. Thyroid-stimulating hormone
- B. Vasopressin
- C. Follicle-stimulating hormone
- D. Calcitonin
- E. Growth hormone
Correct Answer: A,C,E
Rationale: The anterior pituitary gland secretes thyroid-stimulating hormone, follicle-stimulating hormone, and growth hormone, which would be affected by hypofunction. Vasopressin and calcitonin are secreted by the posterior pituitary and thyroid gland, respectively.
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A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is prescribed a 24-hour urine specimen collection. Which statement should the nurse include when delegating this activity to the UAP?
- A. Void the clients first void and collect urine for 24 hours.
- B. Add the preservative to the container at the end of the test.
- C. Start the collection by saving the first urine of the morning.
- D. Ensure the client drinks plenty of water during collection.
Correct Answer: A
Rationale: The 24-hour urine collection begins after discarding the first void to ensure a full 24-hour period of collection. This ensures accurate measurement of excreted substances.
A nurse assesses a client diagnosed with adrenal hypofunction. Which client statement should the nurse correlate with this diagnosis?
- A. I have a terrible craving for potato chips.
- B. I cannot seem to get enough water.
- C. I no longer have an appetite for anything.
- D. I get hungry even after eating a meal.
Correct Answer: A
Rationale: Adrenal hypofunction can lead to hyponatremia, causing salt cravings, as seen in the clients desire for potato chips.
A nurse assesses a female client who presents with hirsutism. Which question should the nurse ask when assessing this client?
- A. How do you plan to pay for your treatments?
- B. How do you feel about yourself?
- C. What medications are you prescribed?
- D. What are you doing to prevent this from happening?
Correct Answer: B
Rationale: Hirsutism, or excessive hair growth, can result from endocrine disorders and may cause a disruption in body image, especially for female clients. Asking about self-perception addresses the psychosocial impact of the condition.
A nurse cares for a client who is prescribed a 24-hour urine collection. The unlicensed assistive personnel (UAP) reports that, while pouring urine into the collection container, some urine splashed his hand. Which action should the nurse take next?
- A. Ask the UAP if he washed his hands afterward.
- B. Have the UAP fill out an incident report.
- C. Ask the laboratory if the container has preservative in it.
- D. Send the UAP to Employee Health right away.
Correct Answer: A
Rationale: The nurse should ensure the UAP washed their hands to follow Standard Precautions and remove any potential preservative, which may be caustic. This is the immediate safety priority.
A nurse assesses clients who have endocrine disorders. Which assessment findings are paired correctly with the endocrine disorder? (Select all that apply.)
- A. Thyroid-stimulating hormone: Increase bone formation
- B. Melanocyte-stimulating hormone: Increase bone formation
- C. Parathyroid hormone: Synthesis and release of corticosteroids
- D. Antidiuretic hormone: Increase urinary output
- E. Parathyroid hormone: Increase bone resorption
Correct Answer: A,E
Rationale: Thyroid-stimulating hormone promotes bone formation, and parathyroid hormone increases bone resorption. Melanocyte-stimulating hormone affects pigmentation, not bone formation. Antidiuretic hormone decreases urinary output, and parathyroid hormone does not directly stimulate corticosteroid release.
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