Which intervention should be implemented postoperatively for the patient after hypophysectomy?

Monitor for a light yellow color at edge of clear drainage.

Pt DX with DKA, student asks: 'Why are they breathing like that?' Best response?

“His serum pH is low and this is a compensatory mechanism.”

Pt with adrenal insufficiency is being D/C and is to take prednisone 10mg daily. Teaching?

Excessive weight gain or swelling should be reported

Which patient with Cushing’s disease is at greatest risk for developing heart failure?

42-year-old with a serum creatinine level of 3.7 mg/dL

Pt DX with DKA. What should you do first?

Fluid and electrolyte correction

What is the priority concern postoperatively for a transsphenoidal hypophysectomy ?

Monitoring for neurologic changes

Pt with hyperparathyroidism asks why they are receiving NS and furosemide. You say?

"Diuretic and hydration therapy are used to reduce calcium."

Which of the following would cause you to suspect a tension pneumothroax?

tracheal shift from affected side

Pt Dx with adrenocortical insufficiency. Which can be delegated to CNA?

Reminding pt to change positions frequently.

Which of the following is an early SX of ARDS?

Hypoxia not responsive to O2 TX.

When caring for a client with a chest tube you should...

Make sure the drainage apparatus is below pt's chest level

Which pt should you see first?

58 y/o with hypothyroidism and a heart rate of 48.

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NUR 265 Exam 2

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Review the essentials of the #endocrine and #respiratory system!

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Questions 24

Answers

1
Which finding supports possible Grave's disease?
Hoarse voice
Periorbital edema
Exophthalmos
Bradycardia
2
Which intervention should be implemented postoperatively for the patient after hypophysectomy?
Monitor for a light yellow color at edge of clear drainage.
Keep the head of the bed lowered.
Resure the pt that postnasal drip
Instruct patient to take thyroid&glucocorticoid replacement
3
Pt DX with DKA, student asks: 'Why are they breathing like that?' Best response?
“His potassium is high and this is compensatory mechanism.”
“His potassium is low and this is a compensatory mechanism.”
“His serum pH is low and this is a compensatory mechanism.”
“His serum pH is high and this is a compensatory mechanism.”
4
Pt has undergone a thyroidectomy. Which lab should we monitor?
WBC
Calcium
Sodium
Potassium
5
Which order for pt with DI should you question?
Check urine specific gravity
Weigh the patient QAM
Monitor I&O
Restrict fluids for 6 hours
6
Pt with adrenal insufficiency is being D/C and is to take prednisone 10mg daily. Teaching?
Signs of hypoglycemia may occur while on this medication
Changing positions rapidly can cause hypotension
A diet with foods low in Na can help with side effects
Excessive weight gain or swelling should be reported
7
Which patient with Cushing’s disease is at greatest risk for developing heart failure?
59-year-old with a history of hypertension
42-year-old with a serum creatinine level of 3.7 mg/dL
60-year-old with pneumonia
32-year-old with a history of hepatitis B infection
8
ABG as follows: pH: 7.52, O2: 50, CO2: 28, HCO3-: 24. Which of the following can cause?
MI
COPD
DKA with kussmaul's
PE
9
Pt DX with DKA. What should you do first?
Administration of IV potassium
Fluid and electrolyte correction
Assess airway
Administration of insulin
10
What is the priority concern postoperatively for a transsphenoidal hypophysectomy ?
Development of transient diabetes mellitus
Assessing for systemic infection
Airway management
Monitoring for neurologic changes
11
Pt had a partial thyroidectomy yesterday. Which finding needs to be reported immediately?
Temp elevation to 100.2
Respiratory rate decreases from 26 to 16
SpO2 reading of 92%
Heart rate increase from 64 to 76
12
You are caring for a pt with Addison's. Which lab should you be alert for?
Decreased potassium levels
Decreased calcium levels
Increased Na levels
Decreased Hematocrit
13
Pt with hyperparathyroidism asks why they are receiving NS and furosemide. You say?
"This therapy will improve your status to have surgery."
"Diuretic and hydration therapy are used to reduce calcium."
"This therapy is to protect your kidneys."
"You are receiving this therapy to prevent edema."
14
Which of the following would cause you to suspect a tension pneumothroax?
SpO2 of 95% on 2 litters NC.
tracheal shift from affected side
Bilateral rise and fall of chest
tracheal shift to the affected side
15
Which of the following ABG abnormalities would you expect with COPD?
Increased O2
Increased pH
Increased CO2
Increased O2 sat
16
Which of the following are complications associated with being on the vent?
GI hemorrhage
Increased cardiac output
PE
Immunosuppression
17
You are creating a care plan for the patient with Cushing's. Which Dx has the priority?
Fatigue
Potential for infection
Sleep deprivation
Fluid overload
18
Pt presents with stridor and SpO2 89% after thyroidectomy. What is the priority?
Apply O2
Assess for numbness and tingling around the mouth
Call a rapid
Prepare to suction
19
Pt Dx with adrenocortical insufficiency. Which can be delegated to CNA?
Assessing the patient for muscle weakness
Teaching the pt how to collect a 24-hour urine.
Revising the pt's plan of care.
Reminding pt to change positions frequently.
20
Which of the following is an early SX of ARDS?
Metabolic Acidosis
Severe, unexplained electrolyte imbalances
Hypoxia not responsive to O2 TX.
Elevated CO2 level
21
Which of the following should be at the patient's bedside with a chest tube?
Bottle of sterile water
A spirometer
Another sterile chest tube
A tracheotomy set
22
When caring for a client with a chest tube you should...
Clamp the chest tube when moving the patient
Strip the drainage tube Q4H if bleeding excessively
Cap air vent on the water seal when suction is off
Make sure the drainage apparatus is below pt's chest level
23
Which pt should you see first?
63 y/o with DMT2 with FS of 137.
38 y/o with Grave's and heart rate of 94.
49 y/o with Cushing's with dependent edema as +1
58 y/o with hypothyroidism and a heart rate of 48.
24
Which of the following would suggest a pneumothorax in a trauma victim?
Dullness on percussion
Absent breath sounds
Inspiratory wheezing
Pronounced crackles

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