Page 366 - Critical Care Nursing Demystified

Chapter 7 CARE OF THE PATIENT WITH ENDOCRINE DISORDERS 351

6. The nurse teaches a preoperative patient that the surgical approach of choice
for an hypophysectomy is accomplished via
A. Laparoscopy
B. Burr holes
C. Stereotactic
D. Transphenoid approach

7. The nurse knows that the purpose of medication therapy in the patient with
acromegaly is to
A. Reduce GH levels of production and secretion.
B. Increase GH levels of production and secretion.
C. Regulate glucose intake.
D. Replace gonadotropin hormones.

8. The nurse should provide what information when teaching the diabetic patient
about hypoglycemia? Select all that apply.
A. Excessive alcohol consumption can create hypoglycemia.
B Skipping meals could lead to hypoglycemia.
C. Thirst and excessive urination are symptoms of hypoglycemia.
D. Strenuous activity can precipitate hypoglycemia. Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
E. Symptoms of hypoglycemia include shakiness, confusion, and headache.
F. Hypoglycemia is a harmless condition.

9. Which of the following electrolytes would the nurse expect to be abnormal in
the patient with a parathyroid hormone (PTH) deficiency? Select all that
apply.
A. Sodium
B. Potassium
C. Calcium
D. Glucose
E. Phosphorous

10. After a recent head injury, a patient develops SIADH. Which findings indicate to
the nurse that the treatment the patient is receiving for this condition is effec-
tive? Select all that apply.
A. Decrease in body weight
B. Increased blood pressure and decreased pulse
C. Moist wheezes
D. Increase in urine output
E. Decrease in urine osmolality