AIIH MED-SURG 1 TEST 7 Answer Key (2022)

AIIH MED-SURG 1 TEST 7 Answer Key (2022) 1.The client has a deficiency of all the following pituitary hormones. Which one should be addressed first? A. Growth hormone B. Luteinizing hormone C. Thyroid-stimulating hormone D. Follicle-stimulating hormone ANS: C A deficiency of thyroid-stimulating hormone (TSH) is the most life-threatening deficiency of the hormones listed in this question. TSH is needed to ensure proper synthesis and secretion of the thyroid hormones, whose functions are essential for life. 3. What safety measure should the nurse use for the adult client who has growth hormone deficiency? A. Avoid intramuscular medications. B. Place the client in protective isolation. C. Use a lift sheet to reposition the client. D. Assist the client to move slowly from a sitting to a standing position. ANS: C In adults, growth hormone is necessary to maintain bone density and strength. Adults with growth hormone deficiency have thin, fragile bones. 2.The male client with hypopituitarism asks the nurse how long he will have to take testosterone hormone replacement therapy. What is the nurse’s best answer? A. “When your blood levels of testosterone are normal, the therapy is no longer needed.” B. “When your beard thickens and your voice deepens, the dose is decreased but must continue forever.” C. “When your sperm count is high enough to demonstrate fertility, you will no longer need this therapy.” D. “When you start to have undesirable side effects, the dose is decreased to the lowest possible level and continued until you are 50 years old.” ANS: B Testosterone therapy is initiated with high-dose testosterone derivatives and continued until virilization is achieved. The dose is then decreased, but therapy continues throughout life. 3.Which clinical manifestations alert the nurse to the possibility of anterior pituitary hyperfunction? A. Enlarged hands and feet, heat intolerance B. Bradycardia, hypotension, and somnolence C. Chronic constipation and darkening of the skin D. Hyponatremia, hyperkalemia, and hypercalcemia ANS: A