MED SURGICAL NURSING ACTUAL EXAM UPDATED 2024 -2025 QUESTIONS &DETAILED SOLUTIONS VERIFIED 100 % GRADED A+ Chapter 49: Endocrine Problems Lewis: 10th Edition 1. Which finding by the nurse when assessing a patient with a large pituitary adenoma is most important to report to the health care provider? a. Changes in visual field b. Milk leaking from breasts c. Blood glucose 150 mg/dL d. Nausea and projectile vomiting ANS: D Nausea and projectile vomiting may indicate increased intracranial pressure, which will require rapid actions for diagnosis and treatment. Changes in the visual field, elevated blood glucose, and galactorrhea are common with pituitary adenoma, but these do not require rapid action to prevent life-threatening complications. 2.Which finding by the nurse when assessing a patient with :ashimoto's thyroiditis and a goiter will require the most immediate action?a. New-onset changes in the patient's voice b. Elevation in the patient's T3 and T4 levels c. Resting apical pulse rate 112 beats/minute d. Bruit audible bilaterally over the thyroid gland 3 A 40-yr-old patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask? a. ":ave you had a recent head injury?" b. "Do you