Test Bank Porth's Essentials Of Pathophysiology 5th Edition By Tommie L Norris.pdf, Exams of Nursing

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Test Bank Porth's Essentials Of

Pathophysiology 5th Edition By Tommie

L Norris

While discussing the regulation of hormone levels, the instructor gives an example of hormones regulated by feedback mechanisms. Which example of this regulation is best? - ANSWER ✔️ Paracrine

A client has developed a tumor of the posterior pituitary gland. The client is at risk for problems with secretions of: - ANSWER ✔️ Antidiuretic hormone (ADH) and oxytocin

A client who is referred to the endocrinologist's office for an evaluation of his hormone levels asks what regulates the hormone levels. The best response would be that hormone levels in the body are primarily regulated by: - ANSWER ✔️ The hypothalamic-pituitary-target cell system

Select the statement that best explains the function of hormone receptors. - ANSWER ✔️ Hormone receptors recognize a specific hormone and translate the signal into a cellular response.

The physician is assessing a client with a preliminary diagnosis of endocrine disorder. Further assessment findings identify abnormalities with emotion, pain, body temperature, and neural input. The physician determines the need to further assess the: - ANSWER ✔️ Hypothalamus

Which of the following hormones are derivatives of cholesterol? - ANSWER ✔️ Aldosterone and testosterone

Neurotransmitters like catecholamines (ex. dopamine and epinephrine) have a reaction time of: - ANSWER ✔️ Milliseconds.

A 21 year-old female is suspected of having inadequate function of her hypothalamic-pituitary-thyroid system. Her care provider is planning to inject thyrotropin-releasing hormone (TRH) and then measure her levels of TSH. Which of the following diagnostic tests is being performed? - ANSWER ✔️ Stimulation test

A patient exhibiting problems with their thyroid has been scheduled for a radioactive scan. From the following list of patients, which would the nurse question as to whether this would be a safe procedure for this patient? - ANSWER ✔️ A young female patient who has been trying to get pregnant.

Which gland is often referred to as the master gland because it secretes many hormones? - ANSWER ✔️ Pituitary

What is the most common mechanism of hormone control? - ANSWER ✔️ Negative feedback

A patient experiences an increase in thyroid hormone as a result of a thyroid tumor. Which of the following hormonal responses demonstrates the negative feedback mechanism? - ANSWER ✔️ Decreased thyroid-stimulating hormone (TSH)

An adult patient is scheduled for testing of a suspected growth hormone (GH)- secreting tumor. Which of the following results from the glucose suppression test would confirm the condition? - ANSWER ✔️ Increased GH secretion

The nurse administers a glucocorticoid medication to a client with pneumonia. Which of these does the nurse teach the client is the purpose of the medication? - ANSWER ✔️ To decrease airway inflammation

The nurse is teaching a client who has been newly diagnosed with hypothyroidism about the function of the thyroid. Which of these does the nurse explain to the client is the role of the thyroid gland? - ANSWER ✔️ The thyroid gland is responsible for increasing the metabolic rate.

The nurse is caring for a client who is receiving exogenous corticosteroids for rheumatoid arthritis. Recognizing that hormone levels are regulated by negative feedback, which of these laboratory test results does the nurse anticipate uncovering when reviewing the medical record? - ANSWER ✔️ Reduction in ACTH

The physician suspects a client may be experiencing hypofunction of an endocrine organ. Select the most appropriate test to determine organ function. - ANSWER ✔️ Stimulation tests

The hormone levels in the body need to be kept within an appropriate range. How is this accomplished for many of the hormones in the body? - ANSWER ✔️ Negative feedback loop

While reviewing the concept of nuclear receptors with a group of pathophysiology students, the instructor uses the example of clients with type 2 diabetes mellitus taking pioglitazone, a thiazolidinedione medication. Because of the peroxisome proliferator-activated receptors (PPARs), the drug has which effect on the clients' diabetes? Select the best ANSWER ✔️. - ANSWER ✔️ Promote glucose uptake and increase the synthesis of certain proteins involved in fat metabolism, which reduces levels of certain types of lipids.

While discussing the regulation of hormone levels, the instructor gives an example of hormones regulated by feedback mechanisms. Which example of this regulation is best? - ANSWER ✔️ Following a meal that was high in carbohydrates, a person's blood glucose elevates, which stimulates the release of insulin from the pancreas.

Select the hormone that requires protein as a transport carrier. - ANSWER ✔️ Cortisol

Which of the following best describes the half-life of a highly protein bound drug such as thyroxine (99% protein bound)? The half-life would be: - ANSWER ✔️ Much longer to reduce the concentration of the hormone by one half.

A 51 year-old woman has been experiencing signs and symptoms of perimenopause and has sought help from her family physician. A deficiency in estrogen levels has been determined to be a contributing factor. Which of the following phenomena could potentially underlie the woman's health problem? - ANSWER ✔️ Insufficient estrogen production within the smooth endoplasmic reticulum of the relevant cells.

Which of the following statements best captures the relationship between the hypothalamus and the pituitary gland as it relates to endocrine function? - ANSWER ✔️ The hypothalamus receives input from numerous sources throughout the body and directs the pituitary to then control many target glands and cells.

Following a meal, a woman's blood glucose level has increased. In addition, her pancreas has increased the amount of insulin produced and released. Which of the following phenomena has occurred? - ANSWER ✔️ Adjustment according to the level of the substance a hormone regulates

A middle-aged woman has acromegaly as a result of a pituitary adenoma that was found and removed when she was a teenager. The physician is suspecting that the tumor has returned and has ordered a diagnostic work-up. A glucose load is ordered. If the tumor has returned, the nurse would expect which of the following results? - ANSWER ✔️ The growth hormone level will not be suppressed following glucose load.

Which of the following is an advantage of assessing hormone levels through collection of a 24-hour urine? - ANSWER ✔️ It does not require serum collection for an accurate reading.

Which gland acts as a signal relaying bridge between multiple body systems and the pituitary gland? - ANSWER ✔️ Hypothalamus

Which of the following are examples of amines? Select all that apply. - ANSWER ✔️ Epinephrine Norepinephrine

Which events are involved in the negative feedback mechanism that keeps the serum thyroid hormone level within appropriate range? Select all that apply. - ANSWER ✔️ Decrease in secretion of thyroid stimulating hormone (TSH) Increased levels of thyroid hormone Stimulation of sensors in the anterior pituitary gland Stimulation of sensors in the hypothalamus

Which of the following hormones will elicit a more rapid response than the others? - ANSWER ✔️ Norepinephrine

A nurse examines the laboratory values of a patient in heart failure. Which of the following values indicates a compensatory hormone mechanism? - ANSWER ✔️ Elevated atrial natriuretic hormone

Which of the following body functions is regulated by several hormones? - ANSWER ✔️ Lipolysis

A male patient has been diagnosed with a low sperm count. Which of the following endocrine imbalances could contribute to this condition? Select all that apply. - ANSWER ✔️ Lack of follicle-stimulating hormone (FSH) Insufficient androgens

Which of the following statements is accurate regarding how hormones are metabolized and excreted? - ANSWER ✔️ Peptides are degraded by enzymes in cells.

The nurse is caring for a client with decreased serum protein levels secondary to liver failure. When administering medications that are highly protein bound, the nurse anticipates the resulting drug level will respond in which of these ways? - ANSWER ✔️ The drug level will be elevated as lack of protein allows more free drug to circulate.

A nurse has just completed an explanation of how hormones are normally regulated by feedback mechanisms to a client. The client asks if anything can alter the regulation. The best response by the nurse would be: Select all that apply. - ANSWER ✔️ Temperature Nutritional status Stress

Which type of hormone is released as soon as they are synthesized? - ANSWER ✔️ Lipid-soluble steroid hormones

The kidney produces 1,2 5 - dihydroxyvitamin D. This form of vitamin D is responsible for which action in the body? - ANSWER ✔️ Stimulates calcium absorption from the intestine

Select the process that allows hormones to exert influence upon some cells and not others. - ANSWER ✔️ Receptor binding

A client asks the nurse what causes the secretion of growth hormone (GH) and adrenocorticotrophic hormone (ACTH) to fluctuate. The best response by the nurse would be: - ANSWER ✔️ Sleep-wake cycles

An instructor is teaching the class about positive feedback mechanism. The best example would be: - ANSWER ✔️ Increased estradiol production causes increased gonadotropin (FSH) production.

Since steroid hormones are bound to protein carriers for transport, this means: - ANSWER ✔️ They are inactive in the bound state.

A client with a new diagnosis of an endocrine disorder is unclear how the body can control the levels of different hormones over time. Which of the following statements most accurately underlies the dominant regulation process of hormone levels in the body? - ANSWER ✔️ With input from various sensors, hormone production and release are adjusted based on existing hormone levels.

A 38-year-old woman takes clomiphene, an infertility drug that works by competing with, and thereby blocking, cellular receptors for estrogen. Which of the following statements is most likely to be true of this client? - ANSWER ✔️ Estrogen will continue to pass freely through the cellular membranes.

Which hormone triggers the positive feedback mechanism that controls the secretion of luteinizing hormone (LH) levels? - ANSWER ✔️ Estrogen

A patient with osteoporosis is prescribed calcitonin (Miacalcin). Which of the following actions by the patient requires further instruction? - ANSWER ✔️ Drinks carbonated sodas daily

A patientreceives steroids for several months to treat an inflammatory condition. Which of the following actions by the primary healthcare provider indicates an understanding of the negative feedback mechanism when the patient no longer needs the medication? - ANSWER ✔️ Prescribing a tapering dose of the medication over weeks

A patient experiences an increase in cortisol as a result of Cushing's disease. Which of the following hormonal responses demonstrates the negative feedback mechanism? - ANSWER ✔️ Decreased adrenocorticotropic hormone (ACTH)

Select the most accurate statement regarding measurements of urinary hormone: - ANSWER ✔️ Provide a better measure of hormone levels during a designated period.

The endocrine system is closely linked with the nervous system. What neurotransmitter can also act as a hormone? - ANSWER ✔️ Epinephrine

When hormones act locally rather than being secreted into the bloodstream, their actions are termed what? - ANSWER ✔️ Autocrine and paracrine

To prevent the accumulation of hormones in our bodies, the hormones are constantly being metabolized and excreted. Where are adrenal and gonadal steroid hormones excreted? - ANSWER ✔️ Bile and urine

Many hormones are measured for diagnostic reasons by using the plasma levels of the hormones. What is used today to measure plasma hormone levels? - ANSWER ✔️ Radioimmunoassay methods

Imaging has proven useful in both the diagnosis and follow-up of endocrine disorders. Two types of imaging studies are useful when dealing with endocrine disorders: Isotopic imaging and nonisotopic imaging. What is an example of isotopic imaging? - ANSWER ✔️ Thyroid scan

In an adult with acromegaly, a growth hormone (GH)-secreting tumor is suspected. What diagnostic test would be used for this client? - ANSWER ✔️ A GH suppression test

A middle-aged female client has been diagnosed with thyroid condition. The nurse educates the client about the prescription and needed follow-up lab work, which will help regulate the dosage. The client asks, "Why do I not return to the clinic for weeks, since I am starting the medication tomorrow morning?" The nurse bases the ANSWER ✔️ on the knowledge that thyroid hormones: - ANSWER ✔️ may take days for the full effect to occur, based on the mechanism of action.

During a near-miss accident while cycling, a client marvels at how fast he was able to react. He attributes this to his fight/flight response but then wonders why it lasts for only a short period. The client had a short burst of catecholamine activity because catecholamines are: - ANSWER ✔️ rapidly degraded by enzymes in circulation and at the tissue.

A nurse who works in the office of an endocrinologist is orienting a new staff member. Which teaching point should the nurse include in the orientation? - ANSWER ✔️ "A single hormone can act on not only one process or organ but often on several different locations or processes."

Select the category of hormones that include norepinephrine and epinephrine. - ANSWER ✔️ Amines and amino acids

An example of a single hormone that can exert effects in different tissues, erythropoietin, made in the kidney stimulates the bone marrow to produce: - ANSWER ✔️ Red blood cells.

When explaining about structural classifications to a group of students, the instructor discusses the peptides and proteins. They talk about small hormones and hormones as large and complex as growth hormone (GH) which has approximately how many amino acids involved? - ANSWER ✔️ 200 amino acids.

A nurse who works in the office of an endocrinologist is orientating a new staff member. Which of the following teaching points is the nurse justified in including in the orientation? Select all that apply. - ANSWER ✔️ "It's common for production of hormones to be far removed from the tissue where they ultimately exert their effect." "Sometimes hormones act locally on the area where they were produced, like in the case of paracrine and autocrine actions." "A single hormone can act on not only one process or organ, but often on several different locations or processes." "A bodily process can be the result of the combined effect of several different hormones from different sources."

Which of the following statements best captures the essence of a second messenger in the mechanisms of the endocrine system? - ANSWER ✔️ Second messengers act as the intracellular signal that responds to the presence of a hormone.

Which hormone is secreted based on a cyclic rather than a diurnal manner? - ANSWER ✔️ Follicle-stimulating hormone (FSH)

Which of the following types of imaging is preferred to evaluate the bone density of a patient with hyperparathyroidism? - ANSWER ✔️ Dual energy x-ray absorptiometry (DEXA) scan

Which of the following statements is correct about hormone transport? Select all that apply. - ANSWER ✔️ Prolactin is unbound. Insulin is unbound. Glucocorticoids are bound

A patient develops hypocalcemia after thyroid surgery. Which of the following hormonal imbalances caused this complication? - ANSWER ✔️ Lack of parathyroid hormone

When caring for a client who is being screened for osteoporosis, the nurse plans to evaluate the results of which of theses diagnostic tests? - ANSWER ✔️ Dual-energy x-ray absorptiometry (DEXA)

For which of the following endocrine disorders would autoimmune antibody testing be appropriate? Select all that apply. - ANSWER ✔️ Graves' disease Type 1 diabetes mellitus Hypoparathyroidism Addison's disease

How long is the half-life of the hormone aldosterone, which is only 15% protein bound? - ANSWER ✔️ 25 minutes

A homeless individual is brought to the emergency department (ED) after the police could not wake the person. The client's breath is fruity and others state that the client has been acting "different." Initial blood work identifies a blood glucose level of

642. The client is admitted to the ICU in ketoacidosis. The client is prescribed an insulin drip (IV infusion). The rationale for this is related to: - ANSWER ✔️ the fact that a lower pH of the body fluids (ketoacidosis) reduces insulin binding.

While reviewing the major actions of follicle-stimulating hormone (FSH), the faculty points out that in males, this hormone is responsible for the: - ANSWER ✔️ sperm production.

After having a very stressful day in pathophysiology class, the student knows that which hormone (secreted by the adrenal cortex) will help decrease the effects of stress? - ANSWER ✔️ Cortisol, a glucocorticoid

A client comes to a scheduled appointment in the endocrine clinic. The primary care physician referred the client, suspecting acromegaly. Knowing the usual testing involved, the nurse should educate the client about which lab/diagnostic procedure? - ANSWER ✔️ A suppression test

Prior to running the marathon, an athlete is tested for the use of performance-enhancing agents. Which type of lab/diagnostic testing should the nurse review with this athlete? - ANSWER ✔️ Mass spectrometry with liquid chromatography

The nurse is assessing a client with thyrotoxicosis and the nurse is explaining how the thyroid gland is stimulated to release thyroid hormones. The nurse should describe what process? - ANSWER ✔️ Action of releasing hormones from hypothalamus

A client with hyperthyroidism is being treated with medication that blocks the activity of thyroid-stimulating hormone. Her care team has determined that she has been overproducing TSH. This client will have lost her ability to: - ANSWER ✔️ have negative feedback regulation.

A client is scheduled for a suppression test as part of the diagnostic testing for his suspected endocrine disorder. The results of this test will help the care team determine: - ANSWER ✔️ whether the client is producing excessive hormone levels.

The anatomy instructor is presenting a lecture on hormone synthesis. The instructor determines that instruction was effective when students identify the site of prohormone to hormone conversion as the: - ANSWER ✔️ Golgi complex

A nursing instructor is teaching a group of students about the action of hormones. The instructor determined that teaching was

effective when the students' recognize the local action of hormones as: - ANSWER ✔️ Paracrine

A client who is referred to the endocrinologist's office for an evaluation of his hormone levels asks what regulates the hormone levels. The best response would be that hormone levels in the body are primarily regulated by: - ANSWER ✔️ The hypothalamic-pituitary-target cell system

The nurse is caring for a client who has been diagnosed with severe chronic obstructive pulmonary disease and has been taking oral steroids for several years. The nurse is aware that the client is at risk for: - ANSWER ✔️ Suppression of the client's hypothalamic-pituitary-target cell system

The vesicle-mediated pathway has a role in synthesis and release of which of the following hormones? Select all that apply. - ANSWER ✔️ Follicle-stimulating hormone Antidiuretic hormone Dopamine

A client with a history of an endocrine disorder exhibits signs and symptoms of hormone deficiency. Which of the following processes would the client's care team most likely rule out first as a contributing factor? - ANSWER ✔️ Up-regulation has increased the sensitivity of the body to particular hormone levels.

A patient with hyperthyroidism took aspirin for a headache. Which of the following complications could develop? Select all that apply.

• ANSWER ✔️ Diarrhea Tachycardia Hyperthermia

How will cell receptors change in the absence of a particular hormone? - ANSWER ✔️ Receptors in each cell will increase.

Which of the following organ systems is matched with the preferred type of imaging? - ANSWER ✔️ Magnetic resonance imaging (MRI) of the pituitary gland

Which of the following is an example of a positive feedback system? - ANSWER ✔️ Estradiol and follicle-stimulating hormone (FSH)

Which of the following describes how water-soluble peptides such as parathyroid hormone, or glucagon, exert their effect on cells? - ANSWER ✔️ They bind to receptors.

When caring for a client with anemia and a decrease in red blood cells (RBCs), the nurse recognizes which of these hormones will stimulate the bone marrow to produce additional RBCs? - ANSWER ✔️ Erythropoietin

The nurse is caring for a client with a tentative diagnosis of Hashimoto thyroiditis. Which of these test results does the nurse

anticipate will be present in autoimmune thyroiditis? - ANSWER ✔️ Positive anti-thyroid peroxidase antibodies

The hypophysis is a unit formed by the pituitary and the hypothalamus. These two glands are connected by the blood flow in what system? - ANSWER ✔️ Hypophyseal portal system

Hormones can be synthesized by both vesicle-mediated pathways and non-vesicle-mediated pathways. What hormones are synthesized by non-vesicle-mediated pathways? - ANSWER ✔️ Androgens and estrogens

Select the most appropriate statement that describes the function of hormones. - ANSWER ✔️ Hormones function as modulators of cellular and systematic responses.

The non-vesicle-mediated pathway has a role in synthesis and release of which of the following hormones? Select all that apply.

• ANSWER ✔️ Testosterone Aldosterone

Which of the following is an example of a negative feedback system? Select all that apply. - ANSWER ✔️ Somatostatin and thyroid-stimulating hormone Insulin and glucagon Calcium and parathyroid hormone Cortisol and adrenocorticotropic hormone

An adult patient with suspected hypothyroidism is scheduled for a thyrotropin-releasing hormone (TRH) stimulation test to evaluate pituitary response. Which of the following test results would confirm secondary hypothyroidism? - ANSWER ✔️ No increase in TSH

The nurse explains to a client in labor who has demonstrated ineffective contractions impeding progression of labor that the health care provider has added oxytocin infusion to the orders. Which of these does the nurse teach the client is the purpose of oxytocin? - ANSWER ✔️ To stimulate contraction of the uterus

A client has developed a tumor of the anterior pituitary gland. The nurse is aware that the client is at risk for alterations of: Select all that apply. - ANSWER ✔️ Function of the thyroid gland Function of the gonads Growth and metabolism Glucocorticoid hormone levels

A client who has just undergone a thyroidectomy is experiencing high fever, tachycardia, and extreme restlessness. The nurse would interpret these manifestations as: - ANSWER ✔️ Thyroid crisis

The nurse is teaching a client diagnosed with Addison disease about the importance of lifetime oral replacement therapy. Select the pharmacologic agent that would be prescribed. - ANSWER ✔️ Hydrocortisone

The nurse is caring for a 42-year-old male client who is admitted for treatment of heart failure. He has abnormally large hands and feet and a broad face with a protruding jaw. Based on these signs and symptoms, the nurse identifies which of the following endocrine disturbances as the most likely cause for these physical changes? - ANSWER ✔️ Acromegaly

Testing for short statue growth hormone (GH) problems can be done by pharmacologic means. Which of the following medications can be utilized to test for a rise in GH? Select all that apply. - ANSWER ✔️ Insulin Levodopa

A client is diagnosed with adrenocorticotropic hormone deficiency (ACTH) and is to begin replacement therapy. Regarding which type of replacement will the nurse educate the client? - ANSWER ✔️ Cortisol replacement therapy.

A parent arrives in the endocrinology clinic with her 8-year-old son, concerned about his rapid development and tall stature. What significant assessment finding does the nurse recognize is important to report to the physician related to the development of precocious puberty? - ANSWER ✔️ Significant genital enlargement

The nurse is performing an assessment for a client who has hyperthyroidism that is untreated. When obtaining vital signs, what is the expected finding? - ANSWER ✔️ Heart rate 110 and bounding

When the nurse is performing a health history for a client who is being admitted for hyperthyroidism, what symptoms does the client report that the nurse would find associated with this disorder? - ANSWER ✔️ Increase in appetite

The newborn-nursery nurse is obtaining a blood sample to determine if a newborn has congenital hypothyroidism. What long-term complication is the nurse aware can occur if this test is not performed and the infant has congenital hypothyroidism? - ANSWER ✔️ Cretinism

A client with severe hypothyroidism is presently experiencing hypothermia. What nursing intervention is a priority in the care of this client? - ANSWER ✔️ Slow rewarming of the client to prevent vasodilation and vascular collapse

The nurse is educating a newly diagnosed client with Hashimoto thyroiditis who is to be discharged from the acute care facility. What should the nurse be sure to include in the education to prevent complications? - ANSWER ✔️ The client should be informed about the signs and symptoms of severe hypothyroidism and the need for early intervention.

A client is diagnosed with hyperthyroidism and is exhibiting weight loss, diarrhea, and tachycardia. What does the nurse understand that these clinical manifestations are related to? - ANSWER ✔️ A hypermetabolic state

A client with Graves' disease has opthalmopathy and asks the nurse if the eyes will stay like this forever. What is the best response by the nurse? - ANSWER ✔️ "With treatment of the hyperthyroid state, the opthalmopathy usually tends to stabilize."

The nurse is providing discharge instructions for a client with Graves' disease who has ophthalmopathy. What should the nurse be sure to include in the instructions to decrease exacerbation of this clinical manifestation? - ANSWER ✔️ The client should be strongly urged not to smoke.

A client comes to the clinic with fatigue and muscle weakness. The client also states she has been having diarrhea. The nurse observes the skin of the client has a bronze tone and when asked, the client says she has not had any sun exposure. The mucous membranes of the gums are bluish-black. When reviewing laboratory results from this client, what does the nurse anticipate seeing? - ANSWER ✔️ Increased levels of ACTH

A client is diagnosed with Addison's disease. What statement by the client indicates an understanding of the discharge instructions by the nurse? - ANSWER ✔️ "I will have to take my medication for the rest of my life."

The nurse is performing an assessment for a client with Cushing syndrome and observes a "buffalo hump" on the back, a moon face, and a protruding abdomen. What does the nurse understand contributes to the distribution of fat in these areas? - ANSWER ✔️ Altered fat metabolism

Which test can the nurse prepare the client for to determine the differentiation between a benign and a malignant thyroid disease?

• ANSWER ✔️ Fine-needle aspiration biopsy

Hyperthyroidism that is inadequately treated can cause a life- threatening condition known as a thyroid storm. What are the manifestations of a thyroid storm? (Select all that apply.) - ANSWER ✔️ Delirium Tachycardia Very high fever

A nurse on a medical unit is providing care for a 37-year-old female client who has a diagnosis of Graves' disease. Which assessments should the nurse prioritize? - ANSWER ✔️ Eye health and visual acuity

Which of the following best describes a secondary disorder of endocrine function? - ANSWER ✔️ The disorder occurs when the target organ is normal, but stimulating hormones alter its function.

A client with a suspected diagnosis of primary hypothyroidism would most likely demonstrate which of the following serum laboratory values? - ANSWER ✔️ Elevated thyroid-stimulating hormone (TSH) and decreased thyroxine (T4)

Following destruction of the pituitary gland, ACTH stimulation stops. Without ACTH to stimulate the adrenal glands, the

adrenals' production of cortisol drops. This is an example of which type of endocrine disorder? - ANSWER ✔️ Secondary

The mother of 6-year-old male and female fraternal twins has brought her son to see a pediatrician because he is nearly 4 inches shorter than his sister. Which of the following phenomena would the physician most likely suspect as contributing factor to the boy's short stature? - ANSWER ✔️ A shortage of hypothalamic GHRH production

Following the identification of low blood levels of cortisol and low 24 - hour urinary free cortisol, a 51-year-old female client has been diagnosed with a primary adrenal cortical insufficiency. Which of the following health consequences would be attributable to her low levels of cortisol? - ANSWER ✔️ Impaired immunological and inflammatory response

The nurse is caring for an infant in the neonatal intensive care unit who has growth hormone deficiency. What critical issues should the nurse carefully monitor for in this infant? - ANSWER ✔️ Hypoglycemia and seizures

The nurse is working in a pediatric clinic. Which of the following children would the nurse recognize as having isosexual precocious puberty? - ANSWER ✔️ A 5-year-old African- American female with developing breasts and pubic hair

The nurse is receiving physician orders when admitting a client to the inpatient facility with cirrhosis of the liver. Which medications

ordered by the physician should the nurse question since they may affect the binding of thyroid hormone to normal concentrations of binding proteins? Select all that apply. - ANSWER ✔️ Diazepam (Valium) Phenytoin (Dilantin) Aspirin

The newborn-nursery nurse is preparing to perform a required neonatal screening for congenital hypothyroidism. What should the nurse do to obtain the necessary sample? - ANSWER ✔️ Perform a heel stick to obtain a drop of blood for a T4 and TSH.

A newborn is screened for congenital hypothyroidism and is found to have the disorder. When educating the mother about the importance of the infant's taking thyroid hormone supplement, what should be included in the education? - ANSWER ✔️ The infant will have dosage levels adjusted as he grows.

Which client does the nurse recognize is at the most risk for the development of subacute thyroiditis? - ANSWER ✔️ A 32-year- old postpartum client

The nurse is caring for an older adult client who is being treated for primary hypothyroidism. The medication therapy includes a "go low and go slow" regimen. What is the importance of this medication regimen for this client? - ANSWER ✔️ There is a risk of inducing acute coronary syndromes in the older adult client if a more rapid correction of thyroid levels is used.