Author Question: While performing an endocrine assessment on a client suspected of having Cushing disease, the nurse ... (Read 29 times)

ghost! · **on:** Jun 25, 2018

While performing an endocrine assessment on a client suspected of having Cushing disease, the nurse asks if the client has experienced recent weight changes. Which portions of the endocrine systems is the nurse assessing?

Select all that apply.
A) Gonads
B) Pituitary gland
C) Thyroid gland
D) Adrenal gland
E) Parathyroid gland

Question 2

A preadolescent client who fell from a balance beam in physical education is diagnosed with an ankle fracture. Which action by the nurse is appropriate?

A) Referring the client to physical therapy
B) Placing an ice pack on the ankle
C) Planning for a corticosteroid injection
D) Assessing the need for a back brace

kbennett34 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, C, D

In adrenal, thyroid, and pituitary disease, the client's weight changes might provide information as to the endocrine disorder the client is experiencing. The client might gain weight with an adrenal disorder such as Cushing disease, or thyroid disease such as hypothyroidism or hyperthyroidism. The pituitary gland controls ADH, which influences water absorption by the renal tubules. The parathyroid gland regulates calcium and phosphorous. The gonads influence estrogen and androgens.

Answer to Question 2

Answer: B

An appropriate intervention for a client who experiences an ankle fracture is placing ice on the ankle to limit swelling. A physical therapy referral and planning for a corticosteroid injection would be more appropriate for a client who is diagnosed with osteoarthritis. Assessing for a back brace is more appropriate for a client diagnosed with scoliosis.