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endocrine med surg

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 25 pages. Originally published on StudyMerit.

Pages
25
Academic year
2025/2026
Language
English

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Name: Score: 20 Multiple choice questions Term A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect? Polyuria Dehydration Hyponatremia Hyperthermia C Difficulty sleeping The client who has Graves' disease can have difficulty sleeping and anxiety due to overproduction of thyroid hormone D Fever The client who is experiencing a thyroid storm will have an exaggerated condition of hyperthyroidism associated with the development of a sudden extreme elevation in body temperature, hypertension, abdominal pain, and tachycardia C Hyponatremia The client who has SIADH will have hyponatremia caused by the excessive release of an antidiuretic hormone (ADH). As a result of the excess ADH, the client retains water that causes dilutional hyponatremia B Men and Women who are obese There is a high correlation between obesity and type 2 diabetes mellitus. Obesity plays a major role in the development of type 2 diabetes mellitus by decreasing the number of available insulin receptors in skeletal muscles and fat cells. This is referred to as peripheral insulin resistance. A reduced-calorie diet for obese clients tends to reverse the phenomenon of peripheral insulin resistance 1 of 20

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Term A nurse is checking a client who has Graves' disease for a development of thyroid storm. The nurse should report which of the following findings to the provider? Constipation Headache Bradycardia Fever C Hyponatremia The client who has SIADH will have hyponatremia caused by the excessive release of an antidiuretic hormone (ADH). As a result of the excess ADH, the client retains water that causes dilutional hyponatremia C Difficulty sleeping The client who has Graves' disease can have difficulty sleeping and anxiety due to overproduction of thyroid hormone D Fever The client who is experiencing a thyroid storm will have an exaggerated condition of hyperthyroidism associated with the development of a sudden extreme elevation in body temperature, hypertension, abdominal pain, and tachycardia B Catecholamine metabolites The nurse should expect 24-hr urine specimen to test for Catecholamine metabolites. The test is used to determine if the client has pheochromocytoma, which measures the level of catecholamines (epinephrine and norepinephrine) secretion in a 24-hr urine sample. Pheochromocytoma is a tumor of the adrenal gland that causes excess release of the catecholamines ( epinephrine and norepinephrine), which are hormones that regulate blood pressure and heart rate. 2 of 20

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Term A nurse is assisting with the plan of care for a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. Which of the following clients should the nurse include in the screening? Men who smoke Men and Women who are obese Women who have hepatitis Men and women who consume high-protein and low-carbohydrate foods B Men and Women who are obese There is a high correlation between obesity and type 2 diabetes mellitus. Obesity plays a major role in the development of type 2 diabetes mellitus by decreasing the number of available insulin receptors in skeletal muscles and fat cells. This is referred to as peripheral insulin resistance. A reduced-calorie diet for obese clients tends to reverse the phenomenon of peripheral insulin resistance B. Check for hypertension The nurse should check the client for hypertension, which can indicate fluid volume overload B Catecholamine metabolites The nurse should expect 24-hr urine specimen to test for Catecholamine metabolites. The test is used to determine if the client has pheochromocytoma, which measures the level of catecholamines (epinephrine and norepinephrine) secretion in a 24-hr urine sample. Pheochromocytoma is a tumor of the adrenal gland that causes excess release of the catecholamines ( epinephrine and norepinephrine), which are hormones that regulate blood pressure and heart rate. C Hyponatremia The client who has SIADH will have hyponatremia caused by the excessive release of an antidiuretic hormone (ADH). As a result of the excess ADH, the client retains water that causes dilutional hyponatremia 3 of 20

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