Rationale 2 epidemiology reveals that some endocrine

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: Thyroid disease and diabetes are two examples of endocrine disorders that may have genetic links. Rationale 2 : Epidemiology reveals that some endocrine disorders seem to occur more frequently in some families than in others. Rationale 3 : Telling the patient that it is too late to worry is not therapeutic. Rationale 4 : Current research indicates that environmental influences on a patient with genetic tendency toward some endocrine disorders may result in expression of the disease.
Rationale 5 : Type 1 diabetes and autoimmune thyroid disease are two disorders that may have both genetic and environmental causative factors. Genetic predisposition may exist. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 45-4 Question 19 Type: MCSA A patient presents to the emergency department with reports of suddenly feeling exhausted. The patient reports loss of appetite, inability to sleep, and weight gain of 5 pounds over the last week. Which finding would the nurse evaluate as being least suggestive of an endocrine disorder? 1. Weight gain 2. Inability to sleep. 3. Sudden exhaustion 4. Loss of appetite Correct Answer: 3 Rationale 1 : Endocrine disorders can result in weight loss or gain. Rationale 2 : Endocrine disorders can result in sleep disturbances. Rationale 3 : The sudden onset of symptomology is not common with endocrine disorders. Rationale 4 : Endocrine disorders can cause appetite changes. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 45-4 Question 20 Type: MCSA
During an endocrine assessment, the nurse asks specific questions about the patient’s employment. What rationale would the nurse provide for this line of questioning? 1. Occupational exposure to some toxic chemicals may be implicated in the development of endocrine disorders. 2. People in occupations that require sitting for long periods are at higher risk for endocrine disorders. 3. People who are exposed to environmental tobacco smoke are at high risk for development of thyroid disorders. 4. People working in occupations requiring lifting are at higher risk for development of adrenal disorders. Correct Answer: 1 Rationale 1 : Some toxic chemicals may be implicated in the development of endocrine disorders. Rationale 2 : There is no evidence that sitting for long periods is implicated in the development of endocrine disorders. Rationale 3 : There is no indication that exposure to environmental tobacco smoke increases the risk for thyroid disorders. Rationale 4 : There is no indication that lifting is associated with adrenal disorders. Global Rationale: Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 45-4 Question 21 Type: MCSA A 70-year-old woman comes to the emergency department with a history of confusion and increasing depression over the last week. Auscultation of the heart and lungs reveals fine crackles and an S3 heart sound. Among other

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