A client is diagnosed with a hypothalamic disorder affecting the production of vasopressin. Which of the following manifestations is the nurse least likely to assess in this client?
Hypoglycemia
✓
Polyphagia
Polydipsia
Polyuria
Correct Answer
Hypoglycemia
A decrease in vasopressin production leads to normal glucose levels, an increased loss of water in the urine resulting in polyuria, an increased thirst (polydipsia), and an increased hunger (polyphagia).
Question 2
A client is prescribed a drug that inhibits the action of CRH. After administration of this drug, what should the nurse monitor?
Cortisol
✓
Estrogen
TSH
Testosterone
Correct Answer
Cortisol
CRH stimulates the release of adrenocorticotropic hormone from the anterior pituitary gland, which stimulates the release of cortisol from the adrenal cortex, decreasing cortisol production and leading to a decrease in the body's stress response.
Question 3
A client is prescribed octreotide 150 mcg subcutaneously daily in three divided doses. The available drug comes in a concentration of 100 mcg/mL. How many milliliters should the nurse administer for each dose?
0.5 mL
✓
1.0 mL
2.0 mL
1.5 mL
Correct Answer
0.5 mL
(desired dose) (supply on hand)
Question 4
A client with adrenal insufficiency is prescribed hydrocortisone. Which action should the nurse take to detect potential adverse effects of this drug?
Assess for weight loss and hypertension
Check for hypoglycemia and weight loss
Monitor for hypoglycemia and hypertension
Assess for hyperglycemia and hypertension
✓
Correct Answer
Assess for hyperglycemia and hypertension
Hydrocortisone is a steroid drug that can cause hyperglycemia and increase blood pressure. Monitoring for these potential adverse effects is essential to ensure client safety.
Question 5
A nurse is caring for a client with acromegaly. Which explanation of this disorder will the nurse give to the client?
"Elevated growth hormone leads to increased muscle mass and strength."
"Excess growth hormone causes increased bone density."
"Increased growth hormone results in decreased insulin resistance."
"Too much growth hormone causes abnormal growth of bones and soft tissues."
✓
Correct Answer
"Too much growth hormone causes abnormal growth of bones and soft tissues."
Acromegaly is a disorder caused by excessive growth hormone secretion from the pituitary, which results in abnormal growth of bones and soft tissues.
Question 6
A client is prescribed fludrocortisone. Which findings indicate to the nurse that the client is having adverse effects from this medication?
Hyperglycemia and hypotension
Hypokalemia and hypertension
✓
Hypoglycemia and hypertension
Hypokalemia and hypotension
Correct Answer
Hypokalemia and hypertension
Fludrocortisone is a mineralocorticoid that can cause hypokalemia and hypertension. Monitoring for these adverse effects is essential to ensure client safety.
Question 7
A client requires 120 mg of methylprednisolone. The available medication comes in a 125 mg/2 mL vial. How many milliliters should the nurse administer if rounded to the nearest tenth?
2.1 mL
1.9 mL
✓
2.0 mL
1.8 mL
Correct Answer
1.9 mL
(desired dose) (supply on hand) therefore, the nurse should administer 1.9 mL per dose.
Question 8
A client is being discharged on a glucocorticosteroid drug for a flare-up of rheumatoid arthritis. Which instruction should the nurse give to the client?
Take the medication, as needed, for joint pain.
Stop the medication when symptoms subside.
Taper the medication as directed.
✓
Increase the dose each day until pain is relieved.
Correct Answer
Taper the medication as directed.
Glucocorticoid medications require a tapering dose to allow the adrenal glands to resume their normal function.
Question 9
A client with Parkinson's disease has an order for bromocriptine. Which assessment finding would cause the nurse to not administer the drug and notify the provider?
Heart rate 90 beats/minute
Blood pressure 196/108 mm Hg
✓
Hypervigilance
Diarrhea
Correct Answer
Blood pressure 196/108 mm Hg
Bromocriptine is contraindicated in clients with uncontrolled hypertension.
Question 10
A client presents with hyperaldosteronism. What assessment findings should the nurse expect?
In hyperaldosteronism, the kidneys reabsorb too much sodium and excrete too much potassium, leading to an increased blood volume and blood pressure and decreased potassium levels.