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A 35-year-old female patient with Addison's disease is prescribed hydrocortisone. The patient asks the nurse about the purpose of the medication. What is the nurse's best response?
A 40-year-old male patient with Addison's disease presents to the emergency department with symptoms of an adrenal crisis. The nurse should prioritize:
A 25-year-old female patient is diagnosed with pheochromocytoma, a tumor of the adrenal medulla. The nurse is preparing the patient for surgery to remove the tumor. What preoperative intervention is essential for managing pheochromocytoma?
A 35-year-old male patient with hyperthyroidism is started on propylthiouracil (PTU). During a follow-up visit, the patient reports jaundice and fatigue. Which action should the nurse prioritize?
A 32-year-old female patient is admitted with a diagnosis of diabetes insipidus (DI) due to posterior pituitary dysfunction. The nurse is developing a care plan for the patient. What intervention is a priority for managing DI?
A 30-year-old female patient presents to the clinic with symptoms suggestive of Addison's disease. The healthcare provider orders diagnostic tests to confirm the diagnosis. Which laboratory test is most indicative of Addison's disease?
A 45-year-old male patient is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH), a disorder of the posterior pituitary. The nurse is caring for the patient and anticipates which symptom of SIADH?
A 45-year-old female patient undergoes an adrenocorticotropic hormone (ACTH) stimulation test to assess adrenal cortex function. The results show an exaggerated cortisol response. What condition is most likely indicated by these findings?
A 45-year-old female patient with known Addison's disease is admitted to the hospital. The nurse is assessing the patient and notes the following laboratory results: sodium (Na+) 130 mEq/L and potassium (K+) 5.8 mEq/L. What is the nurse's priority action based on these findings?
A 50-year-old male patient has undergone an adrenalectomy. The nurse is providing postoperative care. What assessment finding would warrant immediate intervention in the postoperative period?
A 55-year-old male patient with myxedema coma is admitted to the intensive care unit. The patient is experiencing respiratory failure. What is the nurse's priority action?
A 60-year-old female patient with a history of untreated hypothyroidism presents to the emergency department with altered mental status, hypothermia, and respiratory depression. The nurse suspects myxedema coma. What is the priority nursing intervention for this patient?
A 30-year-old female patient presents with symptoms suggestive of hypothyroidism. The healthcare provider orders laboratory tests to assess thyroid function. The results show an elevated thyroid-stimulating hormone (TSH) level and a low free thyroxine (FT4) level. How would the nurse interpret these findings?
A 40-year-old male patient is diagnosed with Addison's disease, a disorder of the adrenal cortex. The healthcare provider prescribes glucocorticoid replacement therapy. The patient asks the nurse about the purpose of the medication. What is the nurse's best response?
A 50-year-old male patient with Addison's disease is admitted to the hospital. The nurse is assessing the patient's electrolyte status. Which electrolyte imbalance is most commonly associated with Addison's disease?
A 55-year-old female patient receiving long-term corticosteroid therapy is scheduled for a bone mineral density (BMD) test. The patient asks the nurse about the purpose of the test. What is the nurse's best response?
A 28-year-old female patient presents to the clinic with symptoms of hyperthyroidism. During the assessment, the nurse notes an elevated heart rate (110 beats/minute), weight loss, and fine tremors. The patient reports increased appetite and heat intolerance. What additional finding is consistent with hyperthyroidism?
A 45-year-old female patient with hyperthyroidism is scheduled to receive radioactive iodine therapy. The nurse is providing pre-procedure education. Which statement by the patient indicates a need for further clarification?
A 55-year-old male patient with hyperthyroidism is prescribed a beta-adrenergic blocker. The nurse is providing education about potential side effects. What side effect is the nurse most concerned about in a patient taking a beta blocker?
A 28-year-old female patient with hyperthyroidism is prescribed propylthiouracil (PTU). The nurse is providing education about the medication. Which statement by the patient indicates a need for further clarification?
A 45-year-old female patient is scheduled for an adrenalectomy due to a tumor affecting the adrenal cortex. The nurse is preparing the patient for the procedure. What preoperative teaching should the nurse provide to the patient?
A 45-year-old female patient with type 1 diabetes presents to the emergency department with symptoms of diabetic ketoacidosis (DKA). The nurse is preparing to administer intravenous fluids and insulin. What is the primary goal of insulin therapy in the treatment of DKA?
A 30-year-old female patient with Addison's disease is admitted to the medical-surgical unit. The nurse is reviewing the patient's medication history. Which medication is essential for the management of Addison's disease, and the nurse should ensure its administration as prescribed?
A 50-year-old male patient is prescribed levothyroxine for hypothyroidism. The nurse is providing education about the medication. What information is essential for the patient to understand about taking levothyroxine?
A 50-year-old male patient is diagnosed with hyperthyroidism, and laboratory tests reveal low levels of thyroid-stimulating hormone (TSH). What is the expected response of the anterior pituitary gland in a patient with hyperthyroidism?
A 35-year-old male patient presents to the clinic with complaints of fatigue, weight loss, and increased pigmentation of the skin. The nurse suspects Addison's disease and conducts an assessment. Which assessment finding is most indicative of Addison's disease?
A 45-year-old male patient with Addison's disease has been on long-term hydrocortisone therapy. The patient reports increased fatigue and weight loss. The nurse reviews the medication regimen and notes that the hydrocortisone dosage has not been adjusted for several years. What is the nurse's priority action?
A 50-year-old female patient is diagnosed with Cushing's disease. The nurse is developing a plan of care for the patient. Which nursing intervention is a priority in the care of a patient with Cushing's disease?
A 40-year-old male patient with Addison's disease is prescribed fludrocortisone as part of the treatment plan. The nurse is providing education about the medication. What information is essential for the patient to understand about taking fludrocortisone?
A 30-year-old female patient with Addison's disease presents to the emergency department with symptoms of fatigue, weight loss, and hypotension. The nurse suspects an adrenal crisis. What additional clinical manifestations would the nurse expect to find in a patient experiencing an adrenal crisis?
A 35-year-old female patient presents to the clinic with symptoms such as central obesity, moon face, and muscle weakness. The healthcare provider suspects Cushing's syndrome and orders diagnostic tests. Which test is most commonly used to confirm the diagnosis of Cushing's syndrome?
A 55-year-old male patient is diagnosed with Addison's disease, a disorder of the adrenal cortex. The nurse is developing a plan of care for the patient. Which intervention is a priority in managing Addison's disease?
A 35-year-old female patient is prescribed levothyroxine for hypothyroidism. The nurse is providing education about the medication. What information is essential for the patient to understand about taking levothyroxine?
A 40-year-old female patient presents to the clinic with complaints of fatigue, weight gain, and cold intolerance. The nurse suspects hypothyroidism and performs an assessment. What assessment finding is most indicative of hypothyroidism?
A 40-year-old male patient is undergoing diagnostic testing for suspected Addison's disease. The healthcare provider orders an adrenocorticotropic hormone (ACTH) stimulation test. What result is consistent with a diagnosis of Addison's disease?
A 40-year-old female patient is prescribed long-term corticosteroid therapy for the management of a chronic inflammatory condition. The nurse is providing education about potential side effects. Which statement by the patient indicates a need for further teaching?
A 50-year-old male patient has just received radioactive iodine therapy for thyroid cancer. The patient is being discharged home. Which instruction should the nurse prioritize to ensure radiation safety for the patient and others?
A 42-year-old female patient with hyperthyroidism is prescribed a beta-adrenergic blocker as part of the treatment plan. The patient asks the nurse about the purpose of the medication. What is the nurse's best response?
A 55-year-old male patient with Cushing's disease is scheduled for adrenalectomy. In the preoperative phase, the nurse should prioritize:
A 35-year-old female patient presents with symptoms of hypothyroidism, and further evaluation reveals elevated thyroid-stimulating hormone (TSH) levels. The healthcare provider suspects primary hypothyroidism. What is the most likely cause of elevated TSH in this scenario?
A 40-year-old male patient with Addison's disease is admitted to the hospital. The nurse is planning care to prevent adrenal crises. What nursing intervention is essential for preventing adrenal crises in this patient?
A 45-year-old male patient with hypothyroidism has been on levothyroxine replacement therapy. The nurse is reviewing the laboratory test results, which show a low TSH level and a normal FT4 level. What is the nurse's interpretation of these results?
A 45-year-old male patient with hypothyroidism has been on levothyroxine replacement therapy. The nurse is assessing the patient and reviews the laboratory test results, which show a low thyroid-stimulating hormone (TSH) level. What is the nurse's interpretation of these results?
A 35-year-old female patient is prescribed long-term corticosteroid therapy for the management of a chronic inflammatory condition. The nurse is providing education about potential side effects. What statement by the patient indicates a need for further teaching?
A 50-year-old male patient is suspected of having Cushing's syndrome. The healthcare provider orders a diagnostic procedure to assess adrenal cortex function. Which diagnostic test is most appropriate for evaluating adrenal cortex hormones in this patient?
A 60-year-old male patient with a history of long-term corticosteroid use is admitted to the hospital for a fractured hip after a fall. The nurse is aware that prolonged corticosteroid therapy is associated with an increased risk of fractures. What nursing intervention is essential to promote bone health in this patient?
A 35-year-old female patient is admitted to the medical-surgical unit with symptoms of hyperthyroidism. The nurse is assessing the patient's vital signs and notes a heart rate of 110 beats per minute, blood pressure of 140/80 mmHg, and a temperature of 99.8°F (37.7°C). The patient complains of palpitations, weight loss, and excessive sweating. Which intervention should the nurse prioritize?
A 30-year-old female patient with a history of Addison's disease presents to the emergency department with symptoms of weakness, severe fatigue, and hypotension. The nurse suspects an adrenal crisis. What is the nurse's priority action?
A 60-year-old male patient with type 2 diabetes mellitus is admitted to the medical-surgical unit. The nurse is providing education about the management of blood glucose levels. The patient asks about the role of insulin in carbohydrate metabolism. Which statement by the nurse is accurate?
A 35-year-old male patient is diagnosed with hyperthyroidism, and the healthcare provider prescribes methimazole. What information is essential for the nurse to include in the patient's education regarding methimazole?
A 45-year-old female patient with Addison's disease is admitted with severe hypokalemia. The nurse is planning care and identifies a potassium supplement order. What nursing intervention is essential when administering potassium to a patient with Addison's disease?
A 30-year-old male patient is admitted to the emergency department with severe hypertension, headache, and palpitations. The healthcare provider suspects a disorder of the adrenal medulla. Which laboratory finding would support this suspicion?
A 55-year-old male patient with Cushing's syndrome is prescribed ketoconazole as part of the treatment plan. The patient asks the nurse about the purpose of ketoconazole in managing Cushing's syndrome. What is the nurse's best response?
A 50-year-old male patient is diagnosed with Cushing's syndrome and is scheduled for adrenalectomy. The nurse is preparing the patient for surgery. What is the nurse's priority action in the preoperative care of this patient?
A 40-year-old female patient with Cushing's syndrome is prescribed ketoconazole. The nurse provides education about potential side effects. What statement by the patient indicates a need for further teaching?
A 45-year-old male patient is scheduled for a thyroidectomy due to a diagnosis of thyroid cancer. The patient expresses anxiety about potential complications, including the risk of hypocalcemia postoperatively. What action should the nurse take to minimize the risk of hypocalcemia in the immediate postoperative period?
