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Community Health (NURS 4521) Chapter 49 Endocrine Problems

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John Marsh
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Chapter 49 Endocrine Problems

University of Houston

Community Health Nursing (NURS 4521 )

Chapter 49: Endocrine Problems
Test Bank
MULTIPLE CHOICE
1. A 45-year-old male patient with suspected acromegaly is seen at the clinic. To assist in making the
diagnosis, which question should the nurse ask?
a. Have you had a recent head injury?
b. Do you have to wear larger shoes now?
c. Is there a family history of acromegaly?
d. Are you experiencing tremors or anxiety?

2. A 42-year-old female patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma.
During preoperative teaching, the nurse instructs the patient about the need to
a. cough and deep breathe every 2 hours postoperatively.
b. remain on bed rest for the first 48 hours after the surgery.
c. avoid brushing teeth for at least 10 days after the surgery.
d. be positioned flat with sandbags at the head postoperatively.

3. The nurse is planning postoperative care for a patient who is being admitted to the surgical unit form the
recovery room after transsphenoidal resection of a pituitary tumor. Which nursing action should be included?a. Palpate extremities for edema.
b. Measure urine volume every hour.
c. Check hematocrit every 2 hours for 8 hours.
d. Monitor continuous pulse oximetry for 24 hours.

4. The nurse is assessing a 41-year-old African American male patient diagnosed with a pituitary tumor
causing panhypopituitarism. Assessment findings consistent with panhypopituitarism include
a. high blood pressure.
b. decreased facial hair.
c. elevated blood glucose.
d. tachycardia and cardiac palpitations.

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 Community Health (NURS 4521) Chapter 49 Endocrine Problems

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