Question 1

A patient is diagnosed with a unilateral pheochromocytoma.For which treatment should the nurse prepare this patient?

Accepted Answer

A)   Adrenalectomy
B)   Smooth muscle relaxants
C)   Beta-adrenergic blocking agents
D)   Alpha-adrenergic blocking agentsE) A) and B)
F) All of the above

Question 2

A patient is prescribed to have a cortisol blood level drawn.At which time should this sample be drawn?

Accepted Answer

A)   Midnight
B)   0700 hours
C)   1200 hours
D)   2200 hoursE) A) and B)
F) A) and C)

Question 3

A patient with adrenal insufficiency asks why the skin looks so tan.What should the nurse respond to this patient?

Accepted Answer

A)   "The darker skin means the hormone from the hypothalamus is low."
B)   "The darker skin is caused by the destruction of the cells of the adrenal glands."
C)   "The darker skin means that you have too much of the hormones cortisol and aldosterone."
D)   "The hormone causing the darker skin shares the same hormone as the one helping to overcome the insufficiency."E) A) and D)
F) A) and C)

Question 4

A patient is being evaluated for hyperaldosteronism.What should the nurse expect to assess in this patient?

Accepted Answer

A)   Headache
B)   Thin,friable skin
C)   Dependent edema
D)   Fat maldistributionE) C) and D)
F) B) and C)

Question 5

A patient recovering from emergency surgery after a motor vehicle crash is demonstrating signs of adrenal insufficiency.What medication should the nurse expect to be prescribed for this patient?

Accepted Answer

A)   Regular insulin 10 units
B)   Potassium chloride 20 mEq
C)   Intravenous infusion 0.9% normal saline
D)   Hydrocortisone sodium succinate (Solu-Cortef) E) None of the above
F) C) and D) D

Question 6

The nurse is reviewing data collected on a patient with adrenal insufficiency.Which finding suggests that the patient is experiencing dehydration?

Accepted Answer

A)   Hematocrit 52%
B)   Serum cortisol 11 mcg/dL
C)   Serum sodium 134 mEq/L
D)   Serum potassium 4.8 mEq/LE) A) and B)
F) A) and C)

Question 7

A patient with hypercortisolism has significant fluid retention.Which nursing action would be most appropriate for this patient?

Accepted Answer

A)   Monitor blood glucose level
B)   Turn and reposition every two hours
C)   Elevate the head of the bed 45 degrees
D)   Administer medications that interfere with production/secretion of cortisolE) A) and B)
F) All of the above

Question 8

A patient being treated for adrenal insufficiency has a serum potassium level of 5.9 mEq/L.What should the nurse expect to be prescribed for this patient?

Accepted Answer

A)   Kayexalate
B)   Hydrocortisone
C)   Dexamethasone
D)   Dextrose 5% and 0.45% normal salineE) All of the above
F) C) and D)

Question 9

The nurse notes that a patient with pheochromocytoma is prescribed sodium nitroprusside (Nipride) .What is the purpose of this medication?

Accepted Answer

A)   Decrease the secretion of catecholamines
B)   Increase chronotropic and inotropic effects
C)   Limit the development of tachyarrhythmias
D)   Reduce blood pressure through vasodilationE) A) and B)
F) A) and C)

Question 10

A patient with no predisposing risk factors develops ventricular fibrillation.For which health problem should the patient be evaluated?

Accepted Answer

A)   Hypercortisolism
B)   Pheochromocytoma
C)   Hyperaldosteronism
D)   Cushing's syndromeE) None of the above
F) All of the above B

Question 11

The nurse is preparing discharge teaching for a patient with hypercortisolism.What should the nurse emphasize to this patient?

Accepted Answer

A)   Increase fluids
B)   Increase activity
C)   Restrict salt intake
D)   Increase salt intakeE) A) and B)
F) C) and D)

Question 12

A patient asks for a definition of adrenal insufficiency.Which response should the nurse make?

Accepted Answer

A)   Increased secretion of hormones from the adrenal cortex
B)   Decreased secretion of hormones from the adrenal medulla
C)   Increased secretion of hormones from the anterior pituitary gland
D)   Decreased secretion of hormones from the anterior pituitary glandE) B) and C)
F) A) and D)

Question 13

A patient is having a vanillylmandelic acid (VMA) urine test.What food should the nurse instruct the patient to avoid before undergoing this test?

Accepted Answer

A)   Red meat
B)   Chocolate
C)   Whole grains
D)   Green vegetablesE) A) and C)
F) None of the above

Question 14

The nurse is providing discharge instructions to a patient with adrenal insufficiency.Which statement indicates that additional teaching is required?

Accepted Answer

A)   "I should obtain a MedicAlert bracelet."
B)   "I should report changes in urine output."
C)   "I should take my medication every day."
D)   "I should expect to gain weight every day."E) All of the above
F) A) and B)

Question 15

The nurse plans to evaluate a patient for hypoglycemia and hypernatremia.Which medication did this patient most likely receive?

Accepted Answer

A)   Dexamethasone
B)   Potassium chloride
C)   Aminoglutethimide
D)   Spironolactone (Aldactone) E) All of the above
F) C) and D)

Question 16

A patient is diagnosed with pheochromocytoma.Which manifestation should the nurse expect as a result of catecholamine secretion?

Accepted Answer

A)   Bradycardia
B)   Hypotension
C)   Hypoglycemia
D)   Widening pulse pressureE) A) and C)
F) None of the above

Question 17

A patient is scheduled for a bilateral adrenalectomy.For which health problem should the nurse prepare this patient?

Accepted Answer

A)   Hypoglycemia
B)   Hypercortisolism
C)   Hyperaldosteronism
D)   Adrenal insufficiencyE) None of the above
F) A) and C) D

Question 18

The results of a patient's MRI show evidence of enlarged adrenal glands.Which health problem is most likely causing this finding?

Accepted Answer

A)   Cancer
B)   Stenosis
C)   Infection
D)   AutoimmunityE) A) and D)
F) None of the above

Question 19

A patient is being evaluated for hypercortisolism.Which laboratory test should the nurse expect to be prescribed initially for this patient?

Accepted Answer

A)   Serum sodium level
B)   Serum potassium level
C)   24-hour urine for cortisol
D)   Fasting blood glucose levelE) B) and D)
F) B) and C)

Question 20

The nurse notes that a patient with adrenal insufficiency has muscular weakness.To what should the nurse attribute this finding?

Accepted Answer

A)   Infection
B)   Inflammation
C)   Hyperkalemia
D)   HypernatremiaE) C) and D)
F) A) and B)

Exam 42: Coordinating Care for Patients With Adrenal Disorders

A patient is diagnosed with a unilateral pheochromocytoma.For which treatment should the nurse prepare this patient?

Correct AnswerverifiedShow Answer

A patient is prescribed to have a cortisol blood level drawn.At which time should this sample be drawn?

Correct AnswerverifiedShow Answer

A patient with adrenal insufficiency asks why the skin looks so tan.What should the nurse respond to this patient?

Correct AnswerverifiedShow Answer

A patient is being evaluated for hyperaldosteronism.What should the nurse expect to assess in this patient?

Correct AnswerverifiedShow Answer

A patient recovering from emergency surgery after a motor vehicle crash is demonstrating signs of adrenal insufficiency.What medication should the nurse expect to be prescribed for this patient?

Correct AnswerverifiedD

The nurse is reviewing data collected on a patient with adrenal insufficiency.Which finding suggests that the patient is experiencing dehydration?

Correct AnswerverifiedShow Answer

A patient with hypercortisolism has significant fluid retention.Which nursing action would be most appropriate for this patient?

Correct AnswerverifiedShow Answer

A patient being treated for adrenal insufficiency has a serum potassium level of 5.9 mEq/L.What should the nurse expect to be prescribed for this patient?

Correct AnswerverifiedShow Answer

The nurse notes that a patient with pheochromocytoma is prescribed sodium nitroprusside (Nipride) .What is the purpose of this medication?

Correct AnswerverifiedShow Answer

A patient with no predisposing risk factors develops ventricular fibrillation.For which health problem should the patient be evaluated?

Correct AnswerverifiedB

The nurse is preparing discharge teaching for a patient with hypercortisolism.What should the nurse emphasize to this patient?

Correct AnswerverifiedShow Answer

A patient asks for a definition of adrenal insufficiency.Which response should the nurse make?

Correct AnswerverifiedShow Answer

A patient is having a vanillylmandelic acid (VMA) urine test.What food should the nurse instruct the patient to avoid before undergoing this test?

Correct AnswerverifiedShow Answer

The nurse is providing discharge instructions to a patient with adrenal insufficiency.Which statement indicates that additional teaching is required?

Correct AnswerverifiedShow Answer

The nurse plans to evaluate a patient for hypoglycemia and hypernatremia.Which medication did this patient most likely receive?

Correct AnswerverifiedShow Answer

A patient is diagnosed with pheochromocytoma.Which manifestation should the nurse expect as a result of catecholamine secretion?

Correct AnswerverifiedShow Answer

A patient is scheduled for a bilateral adrenalectomy.For which health problem should the nurse prepare this patient?

Correct AnswerverifiedD

The results of a patient's MRI show evidence of enlarged adrenal glands.Which health problem is most likely causing this finding?

Correct AnswerverifiedShow Answer

A patient is being evaluated for hypercortisolism.Which laboratory test should the nurse expect to be prescribed initially for this patient?

Correct AnswerverifiedShow Answer

The nurse notes that a patient with adrenal insufficiency has muscular weakness.To what should the nurse attribute this finding?

Correct AnswerverifiedShow Answer

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D

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B

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D

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