Endocrine

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about self-care during illness. Which of the following instructions should the nurse include in the teaching?

"Administer your usual daily dose of insulin"

A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?

"I can inject my insulin detemir in the evening before bedtime."

A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"I can keep the current vial of insulin in use stored at room temperature."

nurse is reinforcing teaching with a client who takes prednisone orally to prevent organ rejection following a kidney transplant. Which of the following statements by the client indicates an understanding of the teaching?

"I will plan to come to the clinic for periodic testing of my blood glucose."

A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers insulin. The client reports drinking an occasional glass of wine. Which of the following is an appropriate response by the nurse?

"It is best for you to drink an occasional glass of wine with a meal"

A nurse is reinforcing teaching with a client who has diabetes mellitus type 1 about sick-day management. Which of the following is the priority action for the nurse to recommend to the client?

"Monitor blood glucose levels every 4 hours."

A nurse is reinforcing discharge teaching with the parent of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent requires a clarification of the teaching?

"My son might have nausea and vomiting with hypoglycemia."

A nurse is reinforcing discharge teaching about self-administered peritoneal dialysis with a client. Which of the following statements by the client indicates an understanding of the teaching?

"The amount of the liquid output should be greater than what was put in."

A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?

"Unopened vials of insulin should be kept in my refrigerator." MY ANSWER Prior to opening vials of insulin, they should be stored in the refrigerator. After opening, insulin can be stored in a cool place for up to 4 weeks.

A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

0900

A nurse receives a new prescription from the provider that reads "Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast." How many syringes should the nurse prepare?

1 syringe

A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse plan to offer a snack?

1500

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 Tablets

A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 Tablets

nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?

Phosphate 5.7 mg/dL

A nurse is caring for a client who has type 1 diabetes mellitus and observes mild hand tremors. Which of the following snacks should the nurse offer the client after obtaining a glucometer reading of 60 mg/dL?

4 oz of regular soda

A nurse is preparing to administer a client's daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration ?

4 to 14 hr

A nurse is caring for a client who has Cushing's syndrome . Which of the following dinical manifestations should the nurse expect to observe ? ( Select all that apply . )

A. Buffalo hump B . Purple striations C. Moon face

A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

A: Numbness of hands

A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?

Airway patency

A nurse is reinforcing teaching to a client who has diabetes mellitus and is to start taking chlorpropamide. The nurse should teach the client to avoid consumption of which of the following while taking this medication?

Alcohol

A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?

Apply warm blankets

A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend?

Check for bleeding on the dressing at the back of the client's neck

A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority?

Check the client's blood glucose level.

A nurse is reviewing a client's admission laboratory findings that indicate the client has hyponatremia. Which of the following laboratory findings should the nurse also expect to be below the expected reference range?

Chloride

A nurse is caring for a client who has type I diabetes mellitus and is not adhering to guidelines for therapy. Which of the following factors should the nurse consider as contributing to the nonadherence? (Select all that apply.)

Culture Dexterity Motivation

A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?

Decrease sodium intake.

A nurse is caring for a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Decreased urine specific gravity

A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due its effect on blood glucose levels?

Prednisone

A nurse is assisting with the care of a client who 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?

Determine the clients calcium level

A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?

Discard regular insulin if it appears cloudy

A nurse is reviewing a client's medical record. Which of the following laboratory tests should the nurse examine to determine risk factors for metabolic syndrome?

Fasting glucose and triglycerides

nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Frequent mood changes

nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glipizide. should be taught that glipizide works in which of the following ways?

Glipizide stimulates the pancreas to release adequate insulin.

A nurse is collecting data on a client who is receiving liothyronine for treatment of hypothyroidism. Which of the following findings should the nurse recognize as a therapeutic response to this medication?

Improvement of overall mood

A nurse is collecting data from a client. The provider suspects the client may have syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)

Lung cancer Seizures

A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?

Moon face

A nurse is caring for a client undergoing hemodialysis who will be discharged in the morning. Which of the following client statements most influences the current plan of care?

My neighbor who drives me everywhere wrecked the car this morning

A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?

Rotate the injection site to keep insulin levels consistent

A nurse is reinforcing teaching with a client who is taking metformin XR for type II diabetes mellitus. Which of the following information should the nurse include in the teaching?

Take the medication with a meal

A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves' disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?

Thyroid-stimulating hormone (TSH) level

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?

Tremors, nervousness, and insomnia can indicate that your dose is too high

nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?

Urine output 650 mL/hr

A nurse is monitoring a client who received desmopressin (DDAVP) to treat diabetes insipidus. Which of the following findings indicates effectiveness of the medication?

Urine specific gravity 1.015

A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the findings should the nurse expect?

bradycardia

A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?

check feet daily for bruises and sores

A nurse is collecting data from a client who has been taking methimazole for hyperthyroidism. For which of the following findings should the nurse monitor to identify that the medication is effective?

decreased heart rate

A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?

fasting blood glucose 155 mg per dL

A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?

fiber

A nurse is reinforcing teaching about manifestations of hypoglycemia with an adolescent who has type 1 diabetes mellitus. Which of the following manifestations should the nurse include in the teaching?

headache

.A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?

hypoglycemia

A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor?

hypotension

A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?

maintain stable blood glucose levels

A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7mg/dL. Which of the following client findings should the nurse expect?

muscle tetany

A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?

pathologic fractures

A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?

regular insulin

A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus. The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?

sedentary lifestyle

A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

tachypnea

A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?

tremors

A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?

weight gain