EAQ exam 4

A client has undergone nasal hypophysectomy surgery. During post-operative care, which finding indicates cerebrospinal leakage? Dry mouth Rigidity of neck muscles Fall in blood pressure upon standing A yellow edge around nasal discharge

a yellow edge around nasal discharge

A nurse is caring for a client with Addison disease. Which dietary instruction should the nurse teach the client to follow? Add extra salt to food Consume high-potassium foods Omit protein foods at each meal Restrict the daily intake of fluids to 1 L

add extra salt to food

A client who is receiving peritoneal dialysis reports severe respiratory difficulty. What immediate action should the nurse implement? Auscultate the lungs. Obtain arterial blood gases. Notify the healthcare provider. Apply pressure to the abdomen.

auscultate the lungs

A nurse is caring for a client with end-stage renal disease. Which clinical indicators of end-stage renal disease should the nurse expect? Select all that apply. Select all that apply Polyuria Jaundice Azotemia Hypertension Polycythemia

azotemia hypertension

Which treatment intervention should be provided to a client diagnosed with Cushing's disease? Increase cortisol levels Increase sodium levels Decrease blood glucose levels Decrease serum calcium levels

decreased blood glucose levels

A nurse is caring for a client with a diagnosis of chronic kidney failure who has just been told by the primary healthcare provider that hemodialysis is necessary. Which clinical manifestation indicates the need for hemodialysis? Ascites Acidosis Hypertension Hyperkalemia

hyperkalemia

A nurse is caring for a client after a thyroidectomy. Which symptoms indicating thyroid storm should the nurse monitor the client for? Select all that apply. Select all that apply Increased heart rate Increased temperature Decreased respirations Increased pulse deficit Decreased blood pressure

increased heart rate increased temperature

The health care provider prescribes propylthiouracil (PTU) for a client with hyperthyroidism. What is an action of PTU that the nurse will include in teaching? Increases the uptake of iodine Causes the thyroid gland to atrophy Interferes with the synthesis of thyroid hormone Decreases the secretion of thyroid-stimulating hormone (TSH)

interferes with the synthesis of thyroid hormone

The nurse is teaching a diabetic client about the advantages of using an insulin pump. What information should the nurse include? Select all that apply. Select all that apply It prevents ketoacidosis. It helps cause weight loss. It can improve A1C levels. An insulin pump costs less than subcutaneous injections. Clients may be able to exercise without eating more carbohydrates.

it can improve A1C levels clients may be able to exercise without eating more carbohydrates

A nurse is caring for an older client who had non-insulin dependent diabetes for 15 years that progressed to insulin-dependent diabetes 2 years ago. What common complications of diabetes should the nurse assess for when examining this client? Select all that apply. Select all that apply Leg ulcers Loss of visual acuity Increased creatinine clearance Prolonged capillary refill in the toes Decreased sensation in the lower extremities

leg ulcers loss of visual acuity prolonged capillary refill in the toes decreased sensation in the lower extremities

What should the nurse monitor for when caring for a postoperative client who presents with 180 mL of urine in the urinary drainage bag from the past 8 hours? Renal failure Liver cirrhosis Diabetes mellitus Rheumatoid arthritis

renal failure

The nurse is caring for a client newly diagnosed with diabetes. When preparing the teaching plan about the importance of yearly eye examinations, the nurse should instruct the client on which eye problem most associated with diabetes? Cataracts Glaucoma Retinopathy Astigmatism

retinopathy

The primary healthcare provider prescribed a diagnostic study with contrast medium for an older adult who has an endocrine disorder. Which assessment result should the nurse check before the study? Urinary pH Serum creatinine Urinary creatinine Creatinine clearance

serum creatinine

Daily regular insulin has been prescribed for a client with type 1 diabetes. The nurse administers the insulin at 8 am. When should the nurse monitor the client for a potential hypoglycemic reaction? At breakfast Before lunch Before dinner In the early afternoon

before lunch

The nurse observes a client with kidney failure has increased rate and depth of breathing. Which laboratory parameter does the nurse suspect is associated with this client's condition? Potassium 8 mEq/L Hemoglobin 10 g/dL Phosphorous 7 mg/dL Bicarbonate 15 mEq/L

bicarbonate

The nurse is providing teaching to a client who recently has been diagnosed with type 1 diabetes. The nurse reinforces the importance of monitoring for ketoacidosis. What are the signs and symptoms of ketoacidosis? Select all that apply. Select all that apply Confusion Hyperactivity Excessive thirst Fruity-scented breath Decreased urinary output

confusion excessive thirst fruity-scented breath

Which clinical manifestations in a client indicate hyperfunctional thyroid gland? Select all that apply. Select all that apply Anemia Diarrhea Weight loss Decreased appetite Distant heart sounds

diarrhea weight loss

The nurse is providing care for a client with small-cell carcinoma of the lung who develops the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). What clinical findings correspond with the secretion of antidiuretic hormone (ADH)? Select all that apply. Select all that apply Edema Polyuria Bradycardia Hypotension Hyponatremia

edema hyponatremia

A client with end-stage kidney disease is receiving continuous ambulatory peritoneal dialysis. The nurse should monitor the client for which peritoneal dialysis complications? Select all that apply. Select all that apply Pruritus Oliguria Tachycardia Cloudy outflow Abdominal pain

tachycardia cloudy outflow abdominal pain

A client is admitted to the hospital with the diagnosis of cancer of the thyroid, and a thyroidectomy is scheduled. What is important for the nurse to consider when caring for this client during the postoperative period? Hypercalcemia may result from parathyroid damage. Hypotension and bradycardia may result from thyroid storm. Tetany may result from underdosage of thyroid hormone replacement. Hoarseness and airway obstruction may result from laryngeal nerve damage.

hoarseness and airway obstruction may result from laryngeal nerve damage

A nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication should the nurse expect to be prescribed for this client on the day of surgery and in the immediate postoperative period? Methimazole Regular insulin Pituitary extract Hydrocortisone succinate

hydrocortisone succinate

A client with type 1 diabetes receives 30 units of NPH insulin at 7 am. At 3:30 pm the client becomes diaphoretic, weak, and pale. What does the nurse determine that these physiologic responses are associated with? Diabetic coma Somogyi effect Diabetic ketoacidosis Hypoglycemic reaction

hypoglycemic reaction

A nurse is providing postoperative care for a client one hour after an adrenalectomy. Maintenance steroid therapy has not begun yet. The nurse should monitor the client for which complication? Hypotension Hyperglycemia Sodium retention Potassium excretion

hypotension

The nurse is teaching a client about safe insulin administration. Which statement made by the client indicates the need for further education? "I should see whether the insulin is expired." "I should keep a daily logbook of times of insulin injection." "I should keep my medication in its original labeled container." "I should administer insulin only if there are any symptoms."

i should administer insulin only if there are any symptoms

A 15-year-old adolescent is found to have type 1 diabetes. What should the nurse include when teaching the adolescent about type 1 diabetes? It does not always require insulin. It involves early vascular changes. It occurs more often in obese adolescents. It has a more rapid onset than does type 2 diabetes.

it has a more rapid onset than does type 2 diabetes

A client is admitted to the hospital with a possible diagnosis of Addison disease. What is an important nursing responsibility during a 24-hour urine collection for this client? Keeping the client quiet and reducing stress Assessing the client for signs and symptoms of edema Monitoring the client for an elevation in blood pressure Restricting the client's fluid intake during the day of the test

keeping the client quiet and reducing stress

The nurse is assessing a client experiencing diabetic ketoacidosis (DKA). Which unique response associated with DKA that is not exhibited with hyperglycemic hyperosmolar nonketotic syndrome (HHNS) should the nurse identify when assessing this client? Fluid loss Glycosuria Kussmaul respirations Increased blood glucose level

kussmaul respirations

The nurse is giving discharge teaching to a client with diabetes who has had a hypophysectomy. Which statement made by the client indicates that further teaching is necessary? "There is a risk that I could become permanently sterile." "My insulin dose will need to be increased from now on." "I must have cortisone therapy for the rest of my life." "Life-long thyroxine replacement therapy will be required."

my insulin dose will need to be increased from now on

The nurse is caring for a client in the postanesthesia care unit. The client had a suprapubic prostatectomy for cancer of the prostate and has a continuous bladder irrigation (CBI) in place. Which primary goal is the nurse trying to achieve with the CBI? Stimulate continuous formation of urine. Facilitate the measurement of urinary output. Prevent the development of clots in the bladder. Provide continuous pressure on the prostatic fossa.

prevent the development of clots in the bladder

What interventions should the nurse implement in caring for a client with diabetes insipidus (DI) following a head injury? Select all that apply. Select all that apply Providing adequate fluids within easy reach Reporting an increasing urine specific gravity Administering prescribed erythromycin Assessing for and reporting changes in neurological status Monitoring for constipation, weight loss, hypotension, and tachycardia

providing adequate fluids within easy reach assessing for and reporting changes in neurologic status monitoring for constipation, weight loss, hypotension, tachycardia

What interventions should the nurse implement when caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH)? Select all that apply. Providing frequent oral care Instituting fall risk precautions Restricting fluids to 2 L per day Placing the client in high-Fowler position Monitoring for and reporting neurologic changes

providing frequent oral care instituting fall risk precautions monitoring for and reporting neurologic changes

The nurse is caring for a client with diabetes mellitus who is scheduled to receive an intravenous (IV) administration of 25 units of insulin in 250 mL normal saline. What does the nurse recognize as the only type of insulin that is compatible with intravenous solutions? NPH insulin Insulin lispro Regular insulin Insulin glargine

regular insulin

A 12-year-old child with type 2 diabetes is scheduled for abdominal surgery. Which factors are most important for the nurse to consider during the postoperative period? Select all that apply. Infection will likely occur at the surgical site. Ketoacidosis frequently occurs later in the postoperative period. The blood glucose level will increase because of the stress of surgery. Urine test results are the most useful gauge of diabetic control after surgery. Diabetic control is usually maintained with insulin after surgery.

the blood glucose level will increase because of the stress of surgery diabetic control is usually maintained with insulin after surgery

The nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications. What should the nurse include in the teaching plan? Select all that apply. Select all that apply The client should obtain a finger stick blood glucose reading before each meal. The client does not need to follow a specific diet until insulin is required. The teaching plan should include signs and symptoms of hypoglycemia. The teaching plan does not need to include signs and symptoms of hypoglycemia, as the client is not on insulin. The teaching plan should include sick day rules.

the client should obtain a finger stick blood glucose reading before each meal the teaching plan should include s/s of hypoglycemia the teaching plan should include sick day rules

A nurse plans to set up emergency equipment at the bedside of a client in the immediate postoperative period after a thyroidectomy. What should the nurse include in the bedside setup? Crash cart with bed board Tracheostomy set and oxygen Ampule of sodium bicarbonate Airway and nonrebreather mask

tracheostomy set and oxygen

A client has been taking levothyroxine for hypothyroidism for 3 months. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? Select all that apply. Select all that apply Tremors Bradycardia Somnolence Heat intolerance Decreased blood pressure

tremors heat intolerance

A nurse is caring for a client with a diagnosis of Cushing syndrome. Which clinical manifestations does the nurse expect to identify? Select all that apply. Select all that apply Polyuria Truncal obesity Hypotension Sleep disturbance Thin arms and legs

truncal obesity sleep disturbance thin arms and legs

The nurse provides discharge instructions to a male client who had an ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). For which indicators of a UTI should the nurse instruct the client? Urgency or frequency of urination An increase of ketones in the urine The inability to maintain an erection Pain radiating to the external genitalia

urgency or frequency of urination