This quiz focuses on the nursing assessment of the endocrine system, examining key factors such as thyroid function, cortisol levels, and sodium balance. It's designed to enhance the diagnostic skills of nurses, making it essential for those in medical and nursing education.
“I notice my breasts are tender lately.”
“I am so thirsty that I drink all day long.”
“I get up several times at night to urinate.”
“I feel a lump in my throat when I swallow.”
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Thyroxine (T4) level
Triiodothyronine (T3) level
Thyroid-stimulating hormone (TSH) level
Thyrotropin-releasing hormone (TRH) level
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Bilateral poor peripheral vision
Allergies to iodine and shellfish
Recent weight loss of 20 pounds
Complaints of ongoing headaches
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Total protein
Blood glucose
Ionized calcium
Serum phosphate
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Glucose levels 2 hours after a meal.
Circulating, nonfasting glucose levels.
Glucose control over the past 3 months.
Hypoglycemic episodes in the past 90 days.
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Urinary 17-ketosteroids
Antidiuretic hormone level
Growth hormone stimulation test
Adrenocorticotropic hormone level
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Palpate the patient’s neck more deeply.
Document that the thyroid was nonpalpable.
Notify the health care provider immediately.
Teach the patient about thyroid hormone testing.
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The RN palpates the neck to check thyroid size.
The RN checks the blood pressure on both arms.
The RN orders nonmedicated eye drops to lubricate the patient’s eyes.
The RN lowers the thermostat to decrease the temperature in the room.
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The patient reports having occasional orthostatic dizziness.
The patient has had a 10-pound weight gain in the last month.
The patient drank several glasses of water an hour previously.
The patient takes oral corticosteroids for rheumatoid arthritis.
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Calcitonin levels.
Catecholamine levels.
Thyroid hormone levels.
Parathyroid hormone levels.
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“Avoid adding any salt to your foods for 24 hours before the test.”
“You will need to lie down for 30 minutes before the blood is drawn.”
“Come to the laboratory to have the blood drawn early in the morning.”
“Do not have anything to eat or drink before the blood test is obtained.”
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A water deprivation test.
Testing for serum T3 and T4 levels.
A 24-hour urine test for free cortisol. .
A radioactive iodine (I-131) uptake test
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Decreased urinary output.
Evidence of fluid overload.
Increased serum sodium levels.
Elevated serum potassium levels.
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Keep the specimen on ice.
Insert a retention catheter.
Have the patient void and save that specimen to start the collection.
Encourage the patient to drink 2 to 3 L of fluid during the 24 hours.
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The patient complains of intense thirst.
The patient has a 5-lb (2.3 kg) weight loss.
The patient feels dizzy when sitting up on the edge of the bed.
The patient’s urine osmolality does not change after antidiuretic hormone (ADH) is given.
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Basin of ice.
Cardiac monitor.
Vial of glargine insulin. .
Vial of 50% dextrose solution
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Decreased serum thyroxine levels.
Elevated serum aldosterone levels.
An increase in urinary free cortisol.
Low urinary excretion of catecholamines.
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Ideal weight
Value system
Activity level
Visual changes
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The blood glucose is elevated.
The phosphate level is normal.
The serum albumin level is low.
The magnesium level is normal.
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