9/17/21, 12:22 AM SAS #16 NUR 151

SAS #16 NUR 151

LESSON TITLE: PHYSIOLOGICAL CHANGES IN AGING AFFECTING THE ENDOCRINE
SYSTEM

alce.cunanan.au@phinmaed.com Switch account

Draft saved

Your email will be recorded when you submit this form

* Required

1. A 67-year-old male client has been complaining of sleeping more, 1 point

increased urination, anorexia, weakness,irritability, depression, and bone

pain that interferes with her going outdoors. Based on these assessment
findings, nurse Richard would suspect which of the following disorders?

A. Diabetes mellitus

B. Diabetes insipidus

C. Hypoparathyroidism

D. Hyperparathyroidism

Clear selection

Rationale: *

Hyperparathyroidism is most common in older women and is characterized by bone pain

and weakness from excess parathyroid hormone (PTH). Clients also exhibit hypercaliuria-
causing polyuria. While clients with diabetes mellitus and diabetes insipidus also have
polyuria, they don’t have bone pain and increased sleeping. Hypoparathyroidism is
characterized by urinary frequency rather than polyuria.

https://docs.google.com/forms/d/e/1FAIpQLScPrqFlj6sFzuruTG_0EwLJYtNchIMGdSkKPzd3AOmN5IAbuA/viewform?hr_submission=ChkIn4nEhu8KE… 1/7
9/17/21, 12:22 AM SAS #16 NUR 151

2. Nurse Kate is providing dietary instructions to a male client with 1 point

hypoglycemia. To control hypoglycemic episodes, the nurse should
recommend:

A. Increasing saturated fat intake and fasting in the afternoon.

B. Increasing intake of vitamins B and D and taking iron supplements.

C. Eating a candy bar if lightheadedness occurs.

D. Consuming a low-carbohydrate, high protein diet and avoiding fasting.

Clear selection

Rationale: *

To control hypoglycemic episodes, the nurse should instruct the client to consume a low-
carbohydrate, high protein diet, avoid fasting, and avoid simple sugars. Increasing saturated
fat intake and increasing vitamin supplementation wouldn’t help control hypoglycemia

3. What factors can cause premature menopause? 1 point

A. Smoking

B. Autoimmune disorders

C. A woman's mother had early menopause

D. All of the above

Clear selection

https://docs.google.com/forms/d/e/1FAIpQLScPrqFlj6sFzuruTG_0EwLJYtNchIMGdSkKPzd3AOmN5IAbuA/viewform?hr_submission=ChkIn4nEhu8KE… 2/7
9/17/21, 12:22 AM SAS #16 NUR 151

Rationale: *

all of the above

4. What is the serious adverse effect of menopause? 1 point

A. Hot flashes

B. Osteoporosis

C. Heart disease

D. B and C

Clear selection

Rationale: *

bones thin when ovaries stop producing estrogen. Cholesterol levels can rise, which
threatens heart health

5. Hormone therapy eases some of the negative effects of menopause. 1 point

Which of these hormones is used?

A. Estrogen

B. Estrogen and progesterone

C. Testosterone

D. Prostaglandin

Clear selection

https://docs.google.com/forms/d/e/1FAIpQLScPrqFlj6sFzuruTG_0EwLJYtNchIMGdSkKPzd3AOmN5IAbuA/viewform?hr_submission=ChkIn4nEhu8KE… 3/7
9/17/21, 12:22 AM SAS #16 NUR 151

Rationale: *

Used for a short time, hormone therapy can help relieve symptoms of menopause. Long-
term use, though, raises the risk for breast cancer, heart attack, and stroke

6. The nurse recognizes that a client is experiencing insomnia when the 0 points

client reports (select all that apply):

A. Extended time to fall asleep

B. Falling asleep at inappropriate times

C. Difficulty staying asleep

D. Feeling tired after a night’s sleep

Rationale: *

extended time to fall asleep, difficulty staying asleep and feeling tired after a nights sleep.

7. A nursing measure to promote sleep in older adults is to: 1 point

A. Make sure the room is dark and quiet

B. Encourage evening exercise

C. Encourage television watching

D. Encourage quiet activities prior to bed time.

Clear selection

https://docs.google.com/forms/d/e/1FAIpQLScPrqFlj6sFzuruTG_0EwLJYtNchIMGdSkKPzd3AOmN5IAbuA/viewform?hr_submission=ChkIn4nEhu8KE… 4/7
9/17/21, 12:22 AM SAS #16 NUR 151

Rationale: *

Effective behavioral strategies to promote sleep include encouraging a bedtime routine with
a consistent retiring and arising time. Elders with a routine, such as watching television or
reading before going to bed, report fewer sleep complaints than those without one.

8. A female client verbalizes that she has been having trouble sleeping and 0 points
feels wide awake as soon as getting into bed.The nurse recognizes that
there are many interventions the promote sleep. Select all that apply.

A. Eat a heavy snack before bedtime

B. Read in bed before shutting out the light

C. Leave the bedroom if you are unable to sleep

D. Drink a cup of warm tea with milk at bedtime

E. Exercise in the afternoon rather than the evening

F. Count backwards from 100 to 0 when your mind is racing.

Rationale: *

letter c,e and f are the answers

https://docs.google.com/forms/d/e/1FAIpQLScPrqFlj6sFzuruTG_0EwLJYtNchIMGdSkKPzd3AOmN5IAbuA/viewform?hr_submission=ChkIn4nEhu8KE… 5/7
9/17/21, 12:22 AM SAS #16 NUR 151

9. Which of the following substances is a natural hormone produced by the 1 point

pineal gland that induces sleep?

A. Amphetamine

B. Melatonin

C. Methylphenidate

D. Pemoline

Clear selection

Rationale: *

Melatonin is a hormone made by the pineal gland. That's a pea-sized gland found just above
the middle of your brain. It helps your body know when it's time to sleep and wake up.
Normally, your body makes more melatonin at night.

10. Which of the following symptoms would a patient exhibit with 1 point

hyperthyroidism?

A. Intolerance to cold

B. Decreased bowl movements

C. Slow heart rate

D. None of the above

Clear selection

https://docs.google.com/forms/d/e/1FAIpQLScPrqFlj6sFzuruTG_0EwLJYtNchIMGdSkKPzd3AOmN5IAbuA/viewform?hr_submission=ChkIn4nEhu8KE… 6/7
9/17/21, 12:22 AM SAS #16 NUR 151

Rationale: *

Cold intolerance is a well known symptom of hypothyroidism. Hypothyroidism occurs when

the thyroid gland does not produce enough thyroid hormones. These hormones help
regulate metabolism and temperature. When the thyroid is not producing enough thyroid
hormones, the body's processes tend to slow down

AL Strategy: One- Minute Paper What I liked best that helped me learn: *

Your answer

Submit Clear form

Never submit passwords through Google Forms.

This form was created inside of Phinma Education. Report Abuse

 Forms

https://docs.google.com/forms/d/e/1FAIpQLScPrqFlj6sFzuruTG_0EwLJYtNchIMGdSkKPzd3AOmN5IAbuA/viewform?hr_submission=ChkIn4nEhu8KE… 7/7