Question

please answer the following

1. Which of the following glands are considered the master gland?

1. Thyroid
2. Adrenal
3. Pancreas
4. Pituitary

2. The nurse knows that which statement is true about age related changes in the endocrine system in older adults?

1. all hormone levels increase
2. thyroid hormone levels decrease
3. adrenal glands enlarge
4. the thyroid gland enlarges

3. Which of the following assessment findings is consistent with the diagnosis of diabetes insipidus?

1. Bradycardia
2. Moist skin
3. Polydipsia
4. Hypertension

4. A nurse is caring for a patient who recently underwent a colon resection for colorectal cancer. The patient is post op day two and develops a fever. Vital signs are temperature of 102 degrees Fahrenheit, heart rate 126 BPM, blood pressure 100/50 mm Hg. The patient is complaining of increased abdominal pain. Based on this information, which of the following conditions is the patient exhibiting?

1. Deep vein thrombosis
2. Peritonitis
3. Appendicitis
4. Intestinal obstruction

5. A client with diabetes has a blood glucose of 640 mg/dL and reports always being thirsty and having to void. The nurse knows that which terms describe this subjective finding?

1. Polydipsia and polyphagia
2. Polydipsia and polyuria
3. Polyzoaria and polyuria
4. Polyphagia and polythelia

6. The nurse is caring for a hypoglycemic diabetic client with a blood glucose of 56 mg/dL. The client is awake but not alert. What action would the nurse take?

1. Give a glass of orange juice with three sugar packets mixed in and monitor the client
2. Give a glass of milk and monitor the client
3. Give a complex carbohydrate and monitor the client
4. Administer D50 IV push per orders and monitor the client

7. Gwen is an 89-year-old female who was diagnosed with gastric cancer three months ago. Gwen has undergone chemotherapy and radiation Ann recently had surgery to remove the cancer. During the surgical procedure, the surgeon discovered that the cancer had spread to other organs. Gwen's family is having difficulty deciding treatment options. which of the following interventions are appropriate for Gwen's care?

1. Schedule Patient for additional chemotherapy
2. Schedule patient for additional radiation therapy
3. Consult the palliative care nurse
4. Discharge patient to Hospice

8. The nurse explains to a diabetic client that which lab test is the best indicator of the client’s average blood glucose level over the past three months?

1. Oral glucose tolerance test
2. Random blood glucose test
3. Glycosylated hemoglobin (HbA1c)
4. Preprandial blood glucose test

9. A nurse is caring for a patient who presented to the emergency room s/p motor vehicle accident. The patient is unconscious with a cervical collar in place. The patient has been diagnosed with syndrome of inappropriate anti diuretic hormone secretion. Which of the following lab values validate the diagnosis?

1. Decrease serum sodium
2. Increase serum sodium
3. Decreased urine osmolality
4. Decreased glomerular filtration rate

10. A 40-year-old female presents to the emergency room with upper abdominal pain radiating to her right shoulder and nausea. Upon assessment the patient's temperature is 101.2 degrees Fahrenheit, heart rate 110 BPM and a blood pressure is 140/82 MM HG. Based on the patient’s presentation, which of the following do you anticipate being the patient’s diagnosis?

1. Pancreatitis
2. Cholecystitis
3. Appendicitis
4. Diverticular disease

11. The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 89mg/dL and hemoglobin A1C of 6%. What is the nurse’s interpretation of these findings?

1. The client's glucose control for the past 24 hours has been good, but the overall control is poor.
2. The client's glucose control for the past 24 hours has been poor, but the overall control is good.
3. The values indicate the client has poorly managed his or her disease.

Answer 1

Question 1:

Solution

Answer: d

The pituitary gland is called as “master gland” as the secreted hormones from pituitary controls other parts of the endocrine system including thyroid, adrenal, testes and ovaries.

Thyroid and adrenal glands are dependent on the pituitary gland itself as all the functions of the glands are dependent on the hormones secreted by pituitary gland

Question 2:

Solution

Answer: b

On aging TSH secretion becomes reduced owing to the response to thyrotropin-releasing hormone (TRH) and serum TSH level is lower in older in comparison with the younger people.

Question 3:

Solution

Answer: c

Polydipsia is a condition in which there is surge in the production of diluted urine which is owing to drinking an excessive amount of fluids. Primary polydipsia is caused by damage to the thirst-regulating mechanism in the hypothalamus area in the brain.

Moist skin, hypertension or bradycardia is associated with many other diseases along with the diabetes incipidus

Question 4:

Solution

Answer: d

Mechanical obstructions in the small intestine might be due to adhesions of fibrous tissues which develops after any abdominal or pelvic surgery or might be due to some diseases including colon cancer or any other diseases or cancer in any part of the gastrointentinal system.

Appendicitis, peritonitis or deep vein thrombosis is not much associated with the patients undergoing colorectal surgery further the clinical information relates to the intestinal obstruction as well.