ATI Med-Surg Endocrine

A nurse is caring for a client who is postop following a bilateral adrenalectomy. The nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects? a. Compensate for decrease in cortisol levels b. Inhibit glucose metabolism c. Act as a diuretic to maintain urine output d. Decrease susceptibility to infection

a

A nurse is caring for a client who is postop following a parathyroidectomy to treat hyperparathyroidism. Which of the following lab values should the nurse expect to decrease as a therapeutic effect of the procedure? a. Calcium b. Sodium c. Potassium d. Phosphorous

a

A nurse is checking lab values to determine if a client who has DM adhering to the treatment plan. Which of the following tests should the nurse use to make this determination? a. Glycosylated hemoglobin levels b. Urine sugar and acetone c. Glucose tolerance test d. Fasting serum glucose

a

A nurse is providing teaching to a client who has type 1 DM about hypoglycemia. Which of the following manifestations should the nurse include in the teaching? a. Shakiness b. Urinary frequency c. Dry mucous membranes d. Excess thirst

a

A nurse is providing teaching to a client who has type 2 diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching? a. "My cells are resistant to the effects of insulin." b. "My body breaks down sugars too efficiently." c. "My pancreas does not produce insulin." d. "My body produces antibodies against pancreatic beta cells."

a

A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? a. Hunger b. Increased urination c. Cold, clammy skin d. Tremors

b

A nurse is planning a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. Which of the following clients should the nurse include in the screening? a. Men who smoke b. Men and women who are obese c. Women who have hepatitis d. Men and women who consume high-protein and low-carbohydrate foods

b

A nurse is planning care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care? a. Check the client's blood glucose for hypoglycemia. b. Check the client's urine specific gravity. c. Weigh the client weekly. d. Insert an indwelling urinary catheter for the client.

b

A nurse is preparing for a 24 hour urine specimen for a client who is suspected to have pheochromocytoma. Which of the following lab tests from the 24 hour urine specimen should the nurse use to determine the client's condition? a. Creatinine clearance b. Vanillylmandelic acid (VMA) c. 17-hydroxycorticosteroids (17-OHCS) d. Protein

b

A nurse is providing teaching to a client who has type 1 DM about exercise. Which of the following statements should the nurse include in the teaching? a. "You should exercise during a peak insulin time." b. "Wear a medical alert identification tag when you exercise." c. "Exercise can decrease the effects of insulin and cause the blood glucose levels to increase." d. "You will get the most benefit from exercise when your glucose levels are higher than normal."

b

A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find? a. Purple striae on the chest and abdomen b. Butterfly rash across the bridge of the nose c. Bronze pigmentation of skin d. Jaundice of the face and sclera

c

A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect to display? a. Constipation b. Cold intolerance c. Difficulty sleeping d. Anorexia

c

A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor? a. Proteinuria b. Oliguria c. Polyuria d. Glycosuria

c

A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect? a. Polyuria b. Dehydration c. Hyponatremia d. Hyperthermia

c

A nurse is providing teaching to a client who has Addison's disease about healthy snack foods. Which of the following choices by the client indicates an understanding of the teaching? a. Sliced bananas b. Baked potato c. Turkey and cheese sandwich d. Plain yogurt with peaches

c

A nurse is monitoring a client who has Graves' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider? a. Constipation b. Headache c. Bradycardia d. Hypertension

d

A nurse is planning care for a client who is experiencing the Somogyi effect and takes intermittent acting insulin. Which of the following actions should the nurse include in the plan? a. Move the evening intermediate-acting insulin dose to 90 min before dinner. b. Increase the client's morning caloric intake. c. Omit the client's evening snack. d. Monitor the client's nighttime blood glucose levels.

d

A nurse is reviewing the lab values of a client who has diabetic ketoacidosis. The nurse should understand that which of the following lab values is consistent with diabetic ketoacidosis? a. Blood glucose 30 mg/dL b. Negative urine ketones c. Blood pH 7.38 d. Bicarbonate level 12 mEq/L

d

A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by adenoma. Which of the following findings should the nurse report to the provider (Select all that apply)? a. Tachycardia and hypertension b. Respiratory rate 16/min c. Negative Chvostek's sign d. Laryngeal stridor and hoarseness e. Positive Trousseau's sign

a, d, e

A nurse is assessing a client who has manifestations of acromegaly. Which of the following findings should the nurse expect? a. Thinning of skeletal bone structure b. Concave chest wall c. High-pitched voice d. Increased head size

d