1. 1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Assessment: Endocrine System Chapter 48

2. 2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.A patient has a serum calcium level of 14.8 mg/dL (7.4 mEq/L, 3.7 mmoL/L). The body’s regulatory response to this state is 1.increased secretion of calcitonin. 2.increased secretion of parathyroid hormone. 3.increased phosphate absorption from the bowel. 4.decreased secretion of thyroid-stimulating hormone.

3. 3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.A patient with thyroid nodules is to undergo a thyroid scan with oral radioactive isotopes for diagnosis. The nurse explains to the patient that 1.posttest isolation is required for 24 hours until the radioactive substance is eliminated from the body. 2.an allergy to iodine or shellfish is a contraindication to the test. 3.the radioactive iodine is harmless and does not affect function of the thyroid gland. 4.sedation is necessary to ensure that the patient does not move while the scanner moves over the neck.

4. 4 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 3.A patient is exhibiting signs of hypothyroidism. Which diagnostic test will the nurse expect to be done first? 1.calcitonin 2.thyroglobulin (Tg) 3.free triiodothyronine (FT3) 4.thyroid-stimulating hormone (TSH)