1.The nurse is reviewing a client's history which reveals that the client has had an

oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets

this as which of the following?

A) Gigantism

B) Dwarfism

C) Acromegaly

D) Simmonds' disease

Ans: A

Feedback:

When oversecretion of GH occurs before puberty, gigantism results. Dwarfism occurs

when secretion of GH is insufficient during childhood. Oversecretion of GH during

adulthood results in acromegaly. An absence of pituitary hormonal activity causes

Simmonds' disease.

2.Which of the following precautions would be most appropriate when caring for a client

being treated with radioactive iodine (RAI) for a thyroid tumor?

A) Administer prescribed corticosteroids carefully.

B) Handle body fluids carefully.

C) Monitor the respiratory status.

D) Administer the prescribed medications at the same time each day.

Ans: B

Feedback:

The nurse handles body fluids carefully to prevent spread of contamination.

Corticosteroids are not prescribed for thyroid tumor. Monitoring the respiratory status and

administering prescribed medicines at the same time each day are unrelated to the care of

a client receiving RAI.

3.Which group of clients should not receive potassium iodide?

A) Those who are allergic to corticosteroids

B) Those who are pregnant

C) Those taking medications such as cough medicines

D) Those who are allergic to seafood

Ans: D

Feedback:

Potassium iodide should not be administered to anyone who is allergic to seafood, which

is also high in iodine. Clients who take corticosteroids or cough medicines and those who

are pregnant would be appropriate candidates for potassium iodide therapy.

4.A client with Addison's disease has a blood glucose level above 80 mg/dL 30 minutes

after receiving 15 g of carbohydrates for symptoms of hypoglycemia. Which of the

following would the nurse do now?

A) Inform the physician immediately.

B) Give the client milk and graham crackers.