AMA Computer University College of Nursing COMPETENCY APPRAISAL Care of Clients with Endocrine Disorders

Prepared by: Carlo Paul C. Sana, BSN, RN, MAN, REDTI, LLB(c) Warning: This material is protected by Copyright Laws. No part of this material may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage retrieval system, without permission from the owner. Unlawful exploitation shall be arraigned in the full scope of the Philippine Laws. This is restricted for AMA students only.

5. Czarina is prescribed with Lugols solution. The patient needs further instructions if she did which of the following: A. I will mix the solution with fruit juice with ice B. I will drink this using a straw C. I will notify my doctor if develop abdominal pain, rashes, and other allergic reactions D. I will use a wide-mouthed glass in drinking

6. The nurse knows that this is the best indicator of

the effectiveness of Solution): A. Sweating B. Weight gain C. Tachycardia D. None of the above the medication (Lugols

7. A patient with SIADH will manifest which of the

following signs and symptoms: A. Weight gain B. Polyuria C. Dehydration D. Constipation

Name: _______________________________

DIRECTION: Choose the letter of the BEST answer by encircling the corresponding letter of your choice.
1. Which among the following is not secreted by the anterior pituitary gland? A. Growth hormone B. Prolactin C. Oxytocin D. Thyroid stimulating hormone

8. The nurse is conducting a water deprivation test to

a diabetes insipidus suspect patient. What component of the patients urinalysis should be reviewed in relation to this test? A. Pus cells B. Red Blood Cells C. Specific Gravity D. None of the above

2. The nurse is encouraging breastfeeding to her

post-NSD patient. She knows that this hormone is responsible for breast development and lactation: A. Prolactin B. Melanocyte-stimulating hormone C. Adrenocorticotropic hormone D. Oxytocin

9. A client has a large goiter and is scheduled for

surgery. Subtotal thyroidectomy was indicated to treat thyrotoxicosis. The physician prescribed saturated solution of potassium iodide (SSKI) as the clients pre-operative medication. The drugs effect would be: A. It will dawdles the progression of exopthalmos B. It decreases the vascularity of the thyroid gland C. It decreases the bodys ability to store thyroxine D. It increases the bodys ability to excrete thyroxine

3. The nurse is encouraging breastfeeding to her

post-NSD patient. She knows that this hormone is responsible for milk let-down in a lactating breast. A. Prolactin B. Melanocyte-stimulating hormone C. Adrenocorticotropic hormone D. Oxytocin 4. Marlon is diagnosed with Graves disease. He is prescribed with Propylthiouracil (PTU) to decrease the secretion of his thyroid hormones. The nurse must teach Marlon to report immediately which of the following signs and symptoms? A. Constipation B. Frequency in urination C. Oliguria D. Sore throat SITUATION for #5, 6, and 7: Czarina is experiencing restlessness, irritability and fine tremors. She then sought consult to the hospital. Series of examinations were done, and found out that she has hyperthyroidism.

10. The nurse monitors the client who has undergone

thyroidectomy for signs of tetany. Which among the following choices isnt a sign of tetany? A. Dysphagia B. Abdominal cramps C. Dyspnea D. Sluggish muscle tone Felix who has undergone a subtotal thyroidectomy was monitored for post-operative complications for the first 48 hours after surgery. The nurse should keep what equipment(s) at the bedside? A. Infusion pump for total parenteral nutrition B. Feeding tube C. Tracheostomy set D. None of the above

11.

12. Which of the following is true with calcitonin?

A. It promotes calcium absorption in the bones

B. It increases serum calcium levels C. It promotes osteoclastic activity D. It aides in excreting calcium from the bones

13. A person is being chased by an angry dog. The

person ran as fast as he can, and sought for a place to hide. The swift adjustments made by the body are associated with increased activity of the: A. Thyroid gland B. Adrenal gland C. Pituitary gland D. Pancreatic gland

include the instruction that postoperatively, the patient should: A. Avoid sneezing B. Drink through a straw C. Cough forcefully D. Wash mouth using peroxide solution

-ENDAlways aim for the STARS and not for the trees, so that when you fall, youd fall into the trees, and not into the ground. /kaloy2013

14. The client who has Cushings syndrome is being

assessed by the nurse. The nurse is right that Cushings syndrome is commonly caused by: A. Hypoplasia of the pituitary gland B. Inadequate adrenocorticotropic hormone production C. Hyperplasia of the adrenal gland D. Deprivation of adrenocorticotropic hormone

15. A nurse is caring for a client with Addisons

disease. She is anticipating for the client to: A. Hypokalemia B. Hypernatremia C. Hypoglycemia D. Decreased blood urea nitrogen (BUN) What is the primary feature of pheochromocytomas effect on blood pressure? A. Systolic hypertension B. Diastolic hypertension C. Hypertension that is resistant to treatment with drugs D. Widening pulse pressure

16.

A nurse is assessing for a client with hyperthyroidism. She would be expecting which among the following manifestations? A. Weight loss B. Bradycardia C. Listlelessness D. Decreased appetite

17.

A nurse is assessing for a client with hypothyroidism. She would be expecting which among the following manifestations? A. Dry skin B. Weight loss C. Resting tremors D. Heat-resistant

18.

19. A client is being assessed for laryngeal nerve

damage following thyroidectomy. The nurse noted for mild hoarseness. What should the nurse do? A. Notify the physician B. Document this as an essential finding C. Ask the client to cough forcefully D. None of the above

20. The preoperative teaching for a patient scheduled

for a transsphenoidal hypophysectomy should