Nokea
A nurse teaches an older adult with a decreased production of estrogen. Which statement should the nurse include in this clients teaching to decrease injury?
- A. Drink at least 2 liters of fluids each day.
- B. Walk daily as a weight-bearing exercise.
- C. Bathe your perineal area twice a day.
- D. You should check your blood glucose before meals.
Correct Answer: B
Rationale: Decreased estrogen in older adults increases the risk of osteoporosis and fractures. Weight-bearing exercises like walking help maintain bone density and reduce injury risk.
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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.
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.
A nurse cares for a client who has excessive catecholamine release. Which assessment finding should the nurse correlate with this condition?
- A. Decreased blood pressure
- B. Increased pulse
- C. Decreased respiratory rate
- D. Increased urine output
Correct Answer: B
Rationale: Catecholamines activate the sympathetic nervous system, leading to tachycardia (increased pulse) as part of the fight-or-flight response.
A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte imbalance should the nurse assess?
- A. Potassium
- B. Sodium
- C. Calcium
- D. Magnesium
Correct Answer: C
Rationale: Parafollicular cells produce thyrocalcitonin (calcitonin), which regulates serum calcium levels. Excessive calcitonin can lead to hypocalcemia by inhibiting bone resorption and increasing calcium excretion.
A nurse plans care for an older adult who is admitted to the hospital for pneumonia. The client has no known drug allergic status nor a significant medical history. Which action should the nurse include in this clients plan of care?
- A. Initiate Airborne Precautions.
- B. Offer fluids every hour or two.
- C. Administer broad-spectrum antibiotics.
- D. Palpate the clients thyroid gland.
Correct Answer: B
Rationale: Decreased antidiuretic hormone (ADH) production is a normal age-related change, leading to increased urine output and risk of dehydration. Offering fluids regularly helps prevent dehydration in older adults.