Assessment of the Endocrine System (Concepts for Interprofessional Collaborative Care College Test

Assessment of the Endocrine System (Concepts for Interprofessional Collaborative Care College Test
1. A nurse cares for a client who is prescribed a drug that blocks a hormones receptor site. Which therapeutic
effect should the nurse expect?
a. Greater hormone metabolism
b. Decreased hormone activity
c. Increased hormone activity
d. Unchanged hormone response
ANS: B
Hormones cause activity in the target tissues by binding with their specific cellular receptor sites, thereby
changing the activity of the cell. When receptor sites are occupied by other substances that block hormone
binding, the cells response is the same as when the level of the hormone is decreased.
2. A nurse cares for a client with a deficiency of aldosterone. Which assessment finding should the nurse
correlate with this deficiency?
a. Increased urine output
b. Vasoconstriction
c. Blood glucose of 98 mg/dL
d. Serum sodium of 144 mEq/L
ANS: A
Aldosterone, the major mineralocorticoid, ma i
Nn
Ut a
Ri n
Ss
I Nex
Gtr
Ta
Bc
.
e
Cll
OuMl a r fluid volume. It promotes sodiumand water
reabsorption and potassium excretion in the kidney tubules. A client with an aldosterone deficiency will have
increased urine output. Vasoconstriction is not related. These sodium and glucose levels are normal; in
aldosterone deficiency, the client would have hyponatremia and hyperkalemia.
3. A nurse cares for a client with excessive production of thyrocalcitonin (calcitonin). For which electrolyte
imbalance should the nurse assess?
a. Potassium
b. Sodium
c. Calcium
d. Magnesium
ANS: C
Parafollicular cells produce thyrocalcitonin (calcitonin), which regulates serum calcium levels. Calcitonin has
no impact on potassium, sodium, or magnesium balances.
4. A nurse assesses a client who is prescribed a medication that stimulates beta1 receptors. Which assessment
finding should alert the nurse to urgently contact the health care provider?
a. Heart rate of 50 beats/min
b. Respiratory rate of 18 breaths/min

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