The nurse is caring for a client who has adrenal insufficiency and is experiencing an exacerbation. Which of the following nursing actions should the nurse incorporate into the client's plan of care?
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Question 2 of 78
Insulin functions to __________.
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Question 3 of 78
The secretion of aldosterone follows a circadian rhythm and helps to regulate the way glucose is used by the body | The effects of adrenaline include increased respiration rate, increased heart rate and dilation of pupils
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Question 4 of 78
The nurse is preparing the room for the client returning from a thyroidectomy. Which items are important for the nurse to have available for this client? (Select ONE that does not apply.)
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Question 5 of 78
A 7-year-old boy is recovering from impetigo. Physical examination shows five honey-colored crusts on his face. The crusts are removed, and a culture of the lesions grows Streptococcus pyogenes. He is treated with antibiotics. One week later, he develops malaise with nausea and a slight fever and passes dark brown urine. Laboratory studies show a serum anti-streptolysin O titer of 1:1024. Which of the following is the most likely outcome of his renal disease?
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Question 6 of 78
The greatest reabsorption of calcium in the kidneys occurs in the:
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Question 7 of 78
If the thyroid fails to develop properly from childhood, a condition called ______ results.
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Question 8 of 78
Which of the following drugs can cause ulceration:
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Question 9 of 78
Adrenal crisis is characterized by: (Select one that does not apply)
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Question 10 of 78
does not increase growth hormone secretion.
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Question 11 of 78
Hashimoto's thyroiditis is felt to be due to:
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Question 12 of 78
The nurse is caring for a client with a closed traumatic brain injury and suspects that the client is developing diabetes insipidus (DI). Which of the following findings would be consistent with this diagnosis?
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Question 13 of 78
Which should the nurse monitor a client for who has been on long-term steroid therapy?
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Question 14 of 78
Exemplify hormones secreted by the anterior pituitary.
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Question 15 of 78
Which of the following is TRUE regarding salivary glands?
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Question 16 of 78
Those with primary aldosteronism usually have:
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Question 17 of 78
The treatment of hyperthyroidism in a pregnant patient is:
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Question 18 of 78
What effect can starting a dose of levothyroxine too high or increasing a dose too rapidly have on a client?
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Question 19 of 78
A patient undergoes a total thyroidectomy, leaving one lobe of the parathyroid gland intact. Which laboratory value would provide the nurse the most accurate assessment of parathyroid function?
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Question 20 of 78
In mucoviscidosis, what organ usually dominates the clinical picture:
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Question 21 of 78
When nursing a diabetic patient it is paramount that the nurse understands that glucagon
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Question 22 of 78
The nurse has provided education for a client prescribed glucocorticoid therapy. Which statement made by the client indicates further teaching is required?
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Question 23 of 78
Fat soluble vitamins include all EXCEPT:
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Question 24 of 78
is not a characteristic of oxytocin.
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Question 25 of 78
Hormones
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Question 26 of 78
Which of the following statements is false regarding the hypothalamus?
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Question 27 of 78
A hospitalized patient is diagnosed with a pheochromocytoma, a tumor of the adrenal medulla. Which clinical manifestation should the nurse expect to observe?
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Question 28 of 78
Blood flow to a tissue will decrease if:
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Question 29 of 78
The endrocrine system works together with the system to maintain the body's equilibrium?
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Question 30 of 78
Identify an endocrine gland within the brain.
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Question 31 of 78
kwashiorkor
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Question 32 of 78
Which form of epithelial tissue may be found in the upper respiratory system (URS)?
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Question 33 of 78
Which patient is MOST likely to develop Diabetic Ketoacidosis?
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Question 34 of 78
Of the following, the most accurate description of what occurs in well-defined hyperpituitarism is:
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Question 35 of 78
Hypothalamic releasing and release-inhibiting hormones are transported from the hypothalamus to the anterior pituitary by way of __________.
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Question 36 of 78
The nurse is caring for a client who has hyperglycemic-hyperosmolar state (HHS) and is receiving a continuous IV infusion of regular insulin. It would require immediate follow up if the client has a
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Question 37 of 78
Congenital heart disease
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Question 38 of 78
An exophthalmic goiter is a symptom of ______.
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Question 39 of 78
The nurse is providing care to a client who has hypoparathyroidism and has developed a positive Trousseau's sign and reports tingling of the hands and lips. Which of the following actions should the nurse be prepared to take?
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Question 40 of 78
Estrogens, testosterone, cortisol, and aldosterone are all derived from
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Question 41 of 78
Cortisol is produced by the:
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Question 42 of 78
How many trophic hormones does the anterior pituitary produce?
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Question 43 of 78
is not an effect of GH.
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Question 44 of 78
Blood relatives of individuals diagnosed with type 1 or type 2 diabetes mellitus are studied for 10 years. Laboratory testing for glucose and insulin levels and autoantibody formation is performed on a periodic basis. The HLA types of the subjects are determined. A cohort of the subjects who are 8 to 22 years old has no overt clinical illnesses and no hyperglycemia; however, autoantibodies to glutamic acid decarboxylase are present. Many subjects in this cohort have the HLA-DR3 and HLA-DR4 alleles. Which of the following pancreatic abnormalities is most likely to be found in this cohort of study subjects?
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Question 45 of 78
Wilson's disease
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Question 46 of 78
Glycogen storage disease
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Question 47 of 78
The nurse is caring for a patient who is scheduled to have a thyroid panel drawn next week. After confirming with physician, which information is most important for the nurse to include in the patient instructions?
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Question 48 of 78
The nurse is assessing a client who has suspected hypothyroidism. Which of the following findings is consistent with this diagnosis?
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Question 49 of 78
Hormones are substances that fall into two basic categories:___________.
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Question 50 of 78
Which statement accurately describes endocrine glands?
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Question 51 of 78
Which laboratory result indicates that fluid restrictions have been effective in treating SIADH?
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Question 52 of 78
Which of the following is NOT a possible effect of anabolic steroid use?
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Question 53 of 78
The family of chemical messengers that causes the pain and discomfort of menstruation are ___________.
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Question 54 of 78
Which of the following inhibits the secretion of growth hormone by the anterior pituitary?
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Question 55 of 78
Which of the above will increase cardiac output?
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Question 56 of 78
All of the following tissues are dependent on insulin for its glucose entry EXCEPT:
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Question 57 of 78
How does the drug desmopressin (DDAVP) decrease urine output in a client with diabetes insipidus (DI)?
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Question 58 of 78
A 56-year-old woman is found on health screening to have a blood pressure of 168/109 mm Hg. No other physical examination findings are noted. Urinalysis shows a pH of 7.0; specific gravity, 1.020; 1+ proteinuria; and no blood, glucose, or ketones. The ANA and ANCA test results are negative. The serum urea nitrogen level is 51 mg/dL, and the creatinine level is 4.7 mg/dL. The hemoglobin A1c concentration is within the reference range. An abdominal ultrasound scan shows bilaterally and symmetrically small kidneys with no masses. What is her most likely diagnosis?
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Question 59 of 78
Melatonin is produced in the
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Question 60 of 78
The nurse is evaluating care provided to a patient with hypothyroidism. Which finding indicates that additional care is needed?
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Question 61 of 78
What inhibits gastrin secretion?
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Question 62 of 78
The nurse reviews a patient's lab results, noting a blood glucose level of 895 mg/dl. The patient is most likely experiencing which acid-base imbalance?
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Question 63 of 78
G-proteins (guanine nucleotide-binding proteins) are molecules involved in the transmission of hormonal signals from outside a cell to the interior by means of a process called:
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Question 64 of 78
Nephrocalcinosis is most characteristic of :
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Question 65 of 78
Which of the following activities is not related to kidney function?
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Question 66 of 78
The outstanding clinical feature of methemoglobinemia is:
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Question 67 of 78
Characteristically, exophthalmos is found in:
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Question 68 of 78
The adrenal gland makes the hormone ___, whose function is stimulating sodium and water reabsorption in the distal tubules of nephrons in the kidney.
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Question 69 of 78
The female gonad is called a(n)
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Question 70 of 78
Low voltage electric shock usually causes death by:
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Question 71 of 78
Stupor or coma can be seen in:
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Question 72 of 78
Diurnal rhythms are
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Question 73 of 78
is/are synthesized by the endoplasmic reticulum-Golgi complex mechanism.
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Question 74 of 78
Chronic active hepatitis has been associated with which of the following findings: (Select one that does not apply)
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Question 75 of 78
Which of the following statements regarding tuberculosis is true:
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Question 76 of 78
Since Adonis was unable lift the dumbbell, he decided to use the exercise bike for a cardiovascular workout. During maximum exertion on the exercise bike, Adonis began to breathe heavily and felt 'the burn' in his legs. The skeletal muscles of his legs were using primarily which form of respiration at maximum exertion?
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Question 77 of 78
A 43-year-old woman has had absent menstrual cycles along with increasing weakness and weight gain over the past 5 months. She notes low back pain for the past week. On physical examination, vital signs include blood pressure of 155/95 mm Hg. She has a prominent fat pad in the posterior neck and back. Facial plethora, hirsutism, and abdominal cutaneous striae are present. Laboratory findings include Na+, 139 mmol/L; K+, 4.1 mmol/L; Cl-, 96 mmol/L; CO2, 23 mmol/L; glucose, 163 mg/dL; creatinine, 1.3 mg/dL; calcium, 8.9 mg/dL; and phosphorus, 4.1 mg/dL. Her serum ACTH level is low. A radiograph of the spine shows decreased bone density with a compression fracture at T9. Which of the following radiographic findings is most likely to be present in this patient?
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Question 78 of 78
Epidural hemorrhage:
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