UTA NURS3366 2021 October Module 11 Quiz Latest

NURS3366 Pathophysiologic Processes: Implications for Nursing

Module 11 Quiz

Question 1Following an illness, a patient becomes hypocalcemic.  Which of the following mechanisms will increase the calcium in her blood?

   the pituitary will decrease its secretion of T4.

  the thyroid will increase secretion of calcitonin.

   The pituitary will decrease its secretion of parathyroid hormone (PTH).

  The parathyroid will increase its secretion of PTH.

 Question 2Which statement, by a patient, would cause a registered nurse (RN) to suspect the patient is experiencing hyperthyroidism?

  “I just don’t seem to have an appetite anymore.”

  “My hair is falling out and my skin is always moist.”

  “My skin is really dry and course.”

  “I have not had a bowel movement in 4 days.”

 Question 3Lab work is done on a patient with untreated Grave’s disease.  The expected findings would be a _____TSH and a ___T4.                                

   low; high

   high; low

  normal; high

  high; normal.

 Question 4While examining a patient diagnosed with the extreme state of hyperthyroidism, a nurse notes ___________, which is associated with a(n) _______________.

  hypoventilation; myxedema coma.

  tetany; Addisonian crisis.

  a temperature of 105; thyrotoxic crisis.

  cretinism; adrenal crisis.

 Question 5Osteopenia is likely associated with all the following EXCEPT:

   low dietary calcium.

  hyperparathyroidism.

  high levels of calcitonin.

  increased osteoclastic activity.

 Question 6Drugs that _____________________ should be prescribed for the patient with osteoporosis.

   increase osteoclastic activity.

  increase calcium resorption.

  decrease osteoclastic activity.

   increase osteopenia.

 Question 7A patient is diagnosed with hypothyroidism. Which S&S (signs and symptoms) are expected?

  Complaints of fatigue and hair loss.

  Complaints of nervousness and exophthalmos.

  Tachycardia, increased appetite and diarrhea.

  A goiter and complaints of stiffness of the hands.

 Question 8A patient, diagnosed with hypothyroidism is prescribed a synthetic thyroid hormone (levothyroxine). Which assessment data indicate the medication has been effective?

  A measured heart rate of 48 beats/minute.

  A measured temperature of 98.6°.

  A 3-pound weight gain.

  Hypotension and hypoventilation.

 Question 9A patient who just came out of general anesthesia has lab work done.  The serum osmolality is 165.   The nurse taking care of this patient suspects that his _____ is due to _________.

Normal serum osmolality: 280 to 295

  hyperosmolality: diabetes insipidus (DI).

  hypoosmolality: syndrome of inappropriate ADH (SIADH).

   dry mucus membranes: SIADH.

   shift of calcium into blood: a state of hypopolarization inside the cells.

 Question 10A nurse, caring for a patient who has been diagnosed with diabetes insipidus (DI), would expect to find which sign and symptom (S&S)?   

   signs of cerebral edema such as decreased LOC.

  signs of cerebral cell dehydration such as headache.

   generalized edema

  crackles in the lungs upon auscultation.

 Question 11A patient diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1C) of 9%. Which interpretation should the nurse make based on this result? This result indicates ___________________

Hgb A1C: ≤ 7%

  that there are fewer than normal blood glucose molecules.

  the patient has achieved acceptable glycemic control over the past few weeks.

  the patient has poorly managed their blood glucose levels over the past few months.

  the patient has maintained a therapeutic level of blood glucose in the last few days.

 Question 12A diabetic educator is instructing a patient to inspect the bottom of her feet every night. The nursing student understands the purpose for this education is to prevent _________________ because the patient with diabetes may have ____________.

  infection; neuropathy

  hyperglycemia; sweaty feet

  hypoglycemia; over dosed on insulin

  macroangiopathy; a fungal infection

 Question 13A patient with Type I diabetes has a pH of 7.32.  This is most likely caused from the byproducts of increased:

  insulin resistance.

  hyperinsulinism.

  gluconeogenesis.

  glucagon.

 Question 14A patient with type 1 diabetes has a pH of 7.32. Which additional S&S would the nurse expect to find?

  Shakiness and hunger pains.

  Slow shallow respirations.

  Kussmaul respirations.

  Oliguria.

 Question 15A patient is admitted to the hospital with a diagnosis of hyperglycemic-hyperosmolar-nonketotic syndrome (HHNS/HHNKS). Which signs and symptoms (S&S) would the nurse expect to find?

  Polyuria.

  Acetone breath.

  Blood pH < 7.35

  Peripheral edema.

 Question 16A nurse is caring for a patient with type 1 diabetes mellitus. Which assessment finding indicates the patient is developing a complication after the administration of their morning insulin?

  Unresponsiveness with warm and dry skin.

  Nausea and constipation.

  Glucosuria with polydipsia.

  Tachycardia, sweating and irritability.

 Question 17Which assessment finding is NOT expected in a patient diagnosed with Cushing’s disease?

  exophthalmos.

   hirsutism.

   truncal obesity.

  high blood pressure.

 Question 18A patient presents with S&S of a fluid volume deficit, weakness, fatigue and a blood glucose of 50.  A likely diagnosis is:

  Cushing’s disease.

  hyperpituitarism.

  hypothyroidism.

  Addison’s disease.

 Question 19A patient is diagnosed with Addison’s disease. Which intervention, by the nurse, would be supportive for this illness?

  Restrict the fluids that the patient is allowed to drink.

  Administer their prescribed steroid medication.

  Place them on a low salt diet.

  Suggest they enroll in a weight loss program.

 Question 20Complaints of polydipsia and polyuria could be linked to all the following disease  processes EXCEPT:

  Diabetes mellitus (DM).

   Addison’s disease.

  Diabetes insipidus (DI).

   syndrome of inappropriate ADH (SIADH).

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