When performing an endocrine assessment on a client, the nurse asks the client if she has experienced weight changes. Evaluating weight changes might provide the nurse with data about which endocrine systems? (Select all that apply.)
1. Adrenal gland
2. Thyroid gland
3. Parathyroid gland
4. Pituitary gland
5. Gonads
1. Adrenal gland
2. Thyroid gland
4. Pituitary gland
Rationale:
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's 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.
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