Endocrine Exam

a nurse is providing medication teaching for a client who has addisons disease and is taking hydrocortisone. which of the following instructions should the nurse include (select all that apply) a. take the medication on an empty stomach b. notify the provider of any illness or stress c. report any manifestations of weakness or dizziness d. do not discontinue the medication suddenly e. eat a low sodium diet

BCD

a nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. which of the following information should the nurse include in the teaching a. weight gain is expected while taking this med b. med should not be discontinued without the advice of the provider c. follow up serum TSH levels should be obtained d. take this medication on an empty stomach e. use fiber laxatives for constipation

BCD

a nurse is assessing a client who has DKA and the ketones in urine. the nurse should expect which of the following findings? a. weight gain b. fruity odor c. abdominal pain d. kussmaul respirations e. metabolic acidosis.

BCDE

a nurse is collecting an admission history from a female client who has hypothyroidism. which of the following findings should the nurse expect. (select all that apply) a. diarrhea b. menorrhagia c. dry skin d. increased libido e. hoarseness

BCE

a nurse is reviewing the manifestations of hyperthyroidism with a client. which of the following findings should the nurse include (select all that apply) a. anorexia b. heat intolerance c. constipation d. palpitations e. weight loss f. bradycardia

BDE

important nursing interventions when caring for a patient with cushing syndrome include (select all that apply) a. restricting protein intake. b. monitoring blood glucose levels c. observing for signs of hypotension d. administering medication in equal doses e. protecting patient from exposure to infection

BE

the nurse is completing an assessment on a client who is being admitted for a diagnosed workup for primary hyperparathyroidism. which client complaint would be characteristic of this disorder. (select all that apply) a. polyuria b. headache c. bone pain d. nervousness e. weight gain

a polyuria c. bone pain

client with hyperthyroidism has been given methimazole. which nursing considerations are associated with this medication (select all that apply) a. administer methimazole with food b. place the client on a low calorie, low protein diet c. assess the client for unexplained bruising or bleeding d. instruct the client to report side and adverse effects such as sore throat, fever or headaches e. use special radioactive precautions when handling the client's urine for the first 24 hours following initial admin

a. administer methimazole with food c. assess the client for unexplained bruising or bleeding d. instruct the client to report side and adverse effects such as sore throat, fever or headaches

a nurse is caring for a client who has SIADH. which of teh following findings should the nurse expect a. decreased serum sodium b. urine specific gravity 1.001 c. serum osmolarity 230 d. polyuria e. increased thirst

a. decreased serum sodium c. serum osmolarity 230

home health care nurse is visiting a client who was recently diagnosed with type 2 diabetes. the client is prescribed repaglinide and metformin. the nurse should provide what instructions to the patient. (select all that apply) a. diarrhea may occur secondary to metformin b. repalinide is not taken if meal is skipped c. repaglinide is taken 30 minutes before eating d. simple sugar food item is carried and used to treat mild hypoglycemia e. metformin increases hepatic glucose production to prevent hypoglycemia associated with repaglinide

a. diarrhea may occur secondary to metformin b. repalinide is not taken if meal is skipped c. repaglinide is taken 30 minutes before eating d. simple sugar food item is carried and used to treat mild hypoglycemia

a client has been diagnosed with hyperthyroidism. the nurse monitors for which signs and symptoms indicating a complication for this disorder (select all that apply) a. fever b. nausea c. lethargy d. tremors e. confusion f. bradycardia

a. fever b. nausea d. tremors e. confusion

after a hypophysectomy for acromegaly, immediate postoperative nursing care should focus on a. frequent monitoring of serum and urine osmolarity b. parenteral administration of GH receptor antagonist c. keeping the patient in a recumbent position at all times d. patient teaching regarding the need for lifelong hormone therapy

a. frequent monitoring of serum and urine osmolarity

a client is taking humulin NPH and regular insulin every morning. nurse should provide what info to the client. select all that apply a. hypoglycemia may be experienced before dinner b. the insulin dose should be decreased if ill c. the insulin should be administered at room temp d. the insulin vial needs to be shaken vigorously e. the NPH insulin should be drawn into the syringe first, then the regular insulin.

a. hypoglycemia may be experienced before dinner c. the insulin should be administered at room temp

a client with a diagnosis of addisonian crisis is being admitted to the ICU. which findings will the interprofessional health care team focus on (select all that apply) a. hypotension b. leukocytosis c. hyperkalemia d. hypercalcemia e. hypernatremia

a. hypotension c. hyperkalemia

the nurse is teaching the client about his prescribed prednisone. which statement if made by the client indicates that further teaching is necessary a. i can take aspirin or my antihistamine if I need it b. i need to take the medication every day at the same time c. i need to avoid coffee, tea, cola or chocolate d. if i gain more than 5 pounds, i will call

a. i can take aspirin or my antihistamine if I need it

the home health nurse visits a client with diagnosis of type 1 DM. the client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. which additional statement by the client indicated a need for further teaching a. i need to stop my insulin b. i need to increase my fluid intake c. i need to monitor my blood glucose every 3-4 hours d. i need to call the health care provider because of these symptoms

a. i need to stop my insulin

the nurse is teaching a client with hyperparathyroidism how to manage the condition at home. which response by the client indicates the need for additional teaching a. i should limit my fluids to 1 liter per day b. i should use my treadmill or go for walks every day c. i should follow a moderate calcium, high fiber diet d. my alendronate helps to keep calcium from coming out of bones

a. i should limit my fluids to 1 liter per day

to control the side effects of corticosteroid therapy, the nurse teaches the patient who is taking corticosteroids to a. increase calcium intake to 1500 b. perform glucose monitoring for hypoglycemia c. obtain immunizations due to high risk of infections d. avoid abrupt position changes because of orthostatic hypotension

a. increase calcium intake to 1500

the nurse is admitting a client who is diagnosed with SIADH and has serum sodium of 118. which health care provider prescriptions should the nurse anticipate receiving. (select all that apply) a. initiate an infusion of 3% NaCl b. administer IV furosemide c. restrict fluids to 800 mL over 24 hours d. elevate the HOB to high fowlers e. administer a vasopressin antagonist

a. initiate an infusion of 3% NaCl c. restrict fluids to 800 mL over 24 hours e. administer a vasopressin antagonist

the nurse is teaching a client how to mix regular insulin and NPH insulin in the same syringe. Which action performed by the client indicates the need for further teaching a. withdraws the NPH insulin first b. withdraws the regular insulin first c. injects air into the NPH insulin vial first d. injects an amount of air equal to the desired dose of insulin into each vial

a. withdraws the NPH insulin first

the healthcare provider prescribes exenatide for a client with type 1 diabetes who takes insulin. the nurse should plan to take which most appropriate intervention a. withhold the medication and call the HCP, questioning the prescription for the client b. administer the medication within 60 minutes before the morning and evening meal c. monitor the client for GI side effects d. withdraw the insulin from the prefilled pen into a syringe to prepare.

a. withhold the medication and call the HCP, questioning the prescription for the client

a nurse is reviewing labs for a client who has Addison's disease. which of the following lab results should the nurse expect (select all that apply) a. sodium 130 b. potassium 6.1 c. calcium 11.6 d. BUN 28 e. fasting blood glucose 148

abcd

a nurse is reviewing the lab findings of a client who has Cushing's. Which of the following findings should the nurse expect for this client. (select all that apply) a. sodium 150 b. potassium 3.3 c. calcium 8.0 d. lymphocyte count 35% e. fasting glucose 145

abce

the nurse is providing discharge teaching for a client newly diagnosed with type 2 diabetes mellitus who has been prescribed metformin. which client statement indicated the need for further teaching a. it is okay if I skip meals now and then b. I need to constantly watch for signs of low blood sugar c. I need to let my healthcare provider know if I get unusually tired d. I will be sure to not drink alcohol excessively while on this medication

b. I need to constantly watch for signs of low blood sugar

a nurse in a provider's office is reviewing the health record of a client who is being evaluated for Grave's Disease. the nurse should identify that which of the following lab results is an expected finding a. decreased thyrotropin receptor antibodies b. decreased TSH c. decreased free thyroxine index d. decreased triiodothyronine

b. decreased TSH

a nurse in a provider's office is reviewing lab results of a client who is being evaluated for secondary hypothyroidism. which of the following lab findings is expected for a client who has this condition a. elevated serum t4 b. decreased serum t3 c. elevated serum thyroid stimulating hormone d. decreased serum cholesterol

b. decreased serum t3

polydipsia and polyuria related to diabetes mellitus are primarily due to a. the release of ketones from cells during fat metabolism b. fluid shifts resulting from the osmotic effect of hyperglycemia c. damage to the kidneys from exposure to high levels of glucose d. changes in RBCs resulting from attachment of excessive glucose to hemoglobin

b. fluid shifts resulting from the osmotic effect of hyperglycemia

the health care provider prescribes levothyroxine for a patient with hypothyroidism. after teaching regarding this drug, the nurse determines that further instruction is needed when the patient says a. i can expect the medication dose may need to be adjusted b. i only need to take this drug until my symptoms are improved c. i can expect to return to normal function with the use of this drug d. i will report any chest pain or difficulty breathing to the doctor right away

b. i only need to take this drug until my symptoms are improved

the nurse teaches the client, who is newly diagnosed with DM about the prescribed intranasal desmopressin. which statements indicate understanding? select all that apply a. this medication will turn my urine orange b. i should decrease my oral fluids when I start this medication c. the amount of urine I make should increase if this medicine is working d. i need to follow a low fat diet to avoid pancreatitis when taking this med e. i should report headache and drowsiness to my healthcare provider since these symptoms could be related to my desmopressin

b. i should decrease my oral fluids when I start this medication e. i should report headache and drowsiness to my healthcare provider since these symptoms could be related to my desmopressin

a nurse is caring for a client who asks why the provider bases his medication regimen on his HbA1C instead of his log of morning fasty blood glucose results. which of the following responses should the nurse make a. it measures how well insulin is regulating your blood glucose between meals b. it indicates how well you have regulated your glucose over the past 120 days c. it is the first test your doctor prescribed to determine that you have diabetes d. it determines if the doctors should adjust your insulin dose

b. it indicates how well you have regulated your glucose over the past 120 days

the nurse is monitoring a client diagnosed with acromegaly who was treated with transsphenoidal hypophysectomy and is recovering in the ICU. which findings should alert the nurse to the presence of possible post op complications (select all that apply) a. anxiety b. leukocytosis c. chvosteks sign d. urinary output of 800mL/hour e. clear drainage on nasal dripper pad

b. leukocytosis d. urinary output of 800mL/hour e. clear drainage on nasal dripper pad

a client is admitted to the ED with myxedema coma. which action should the nurse prepare to carry out initially a. warm the client b. maintain a patent airway c. administer thyroid hormone d. administer fluid replacement

b. maintain a patent airway

glimepiride is prescribed for a client with diabetes mellitus. the nurse instructs the client that which food items are most acceptable to consume while taking this medication (select all that apply) a. alcohol b. red meats c. whole grains d. low calorie desserts e. carbonated beverages

b. red meats c. whole grains e. carbonated beverages

the home care nurse visits a client recently diagnosed with DM who is taking humulin NPH insulin daily. the client asks the nurse how to store the unopened vials of insulin. the nurse should tell the client to take which action? a. freeze the insulin b. refrigerate the insulin c. store it in a dark, dry place d. keep the insulin at room temperature

b. refrigerate the insulin

a nurse is reviewing lab reports of a client who has HHS. the nurse should expect what a. pH 7.2 b. serum osmolarity 350 c. serum potassium 3.8 d. serum creatinine 0.8

b. serum osmolarity 350

the nurse teaches a client with DM about differentiating between hypoglycemia and ketoacidosis. the client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptom or symptoms develop (select all that apply) a. polyuria b. shakiness c. palpitations d. blurred vision e. lightheadedness f. fruity breath odor

b. shakiness c. palpitations e. lightheadedness

the nurse is providing instructions to the client newly diagnosed with diabetes mellitus who has been prescribed pramlintide. which instruction should the nurse include in the discharge teaching. a. inject the pramlintide at the same time you take your other medications b. take your prescribed pills 1 hour before or 2 hours after injection c. be sure to take the pramlintide with food so you don't upset your stomach d. make sure you take your pramlintide immediately after you eat so you don't experience a low blood sugar.

b. take your prescribed pills 1 hour before or 2 hours after injection

a nurse is providing instructions to a client who has grave's disease and has a new prescription for propranolol. which of the following information should the nurse include a. an adverse effect of this med is jaundice b. take your pulse before each dose c. the purpose of this med is to decrease production of thyroid hormone d. you should stop taking this if you have a sore throat

b. take your pulse before each dose

a client with type 1 diabetes calls the nurse to report recurrent episodes of hypoglycemia with exercising. which statement by the client indicates an adequate understanding of the peak action of NPH insulin and exercise a. i should not exercise since I am taking insulin b. the best time for me to exercise is after breakfast c. the best time is mid to late afternoon d. NPH is a basal insulin so I should exercise in the evening

b. the best time for me to exercise is after breakfast

a nurse in an acute care facility is admitting a client who has acute adrenal insufficiency. which of the following prescriptions should the nurse anticipate (select all that apply) a. IV therapy with 0.45% NaCl b. regular insulin c. hydrocortisone sodium succinate d. sodium polystyrene sulfonate e. furosemide

bcde

a client with a diagnosis of diabetic ketoacidosis is being treated in the ER. which findings support the diagnosis (select all that apply) a. increase in pH b. comatose state c. deep, rapid breathing d. decreased urine output e. elevated blood glucose level

b. comatose state c. deep, rapid breathing e. elevated blood glucose level

a client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. what is the appropriate intervention to decrease the client's anxiety a. administer a sedative b. convey empathy, trust, and respect toward the client c. ignore the signs and symptoms of anxiety, anticipating that they will soon disappear. d. make sure the the client is familiar with the correct medical terms to promote understanding

b. convey empathy, trust, and respect toward the client

the nurse is caring for a client admitted to the ED with DKA. in the acute phase the nurse plans for which priority intervention. a. correct the acidosis b. administer 5% dextrose intravenously c. apply a monitor for an ECG d. administer short duration insulin IV

d. administer short duration insulin IV

a client is admitted to a hospital with a diagnosis of diabetic ketoacidosis . the initial blood glucose level is 950 . a continuous intravenous infusion of short acting insulin is initiated, along with IV rehydration with normal saline. the serum glucose level is now decreased to 240 mg/dL. the nurse would next prepare to administer which medication. a. ampule of 50% dextrose. b. NPH insulin subQ c. IV fluids containing dextrose d. phenytoin for the prevention of seizures

c. IV fluids containing dextrose

the nurse provides instructions to a client newly diagnosed with type 1 DM. the nurse recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client makes which statement a. i will stop taking my insulin if I am too sick to eat b. i will decrease my insulin dose during times of illness c. i will adjust my insulin dose according to the level of glucose in my urine d. i will notify my provider if my blood glucose level is higher than 250

d. i will notify my provider if my blood glucose level is higher than 250

a nurse is preparing to administer morning doses of insulin glargine and regular insulin to a client who has a blood glucose of 278 mg/dL. which of the following actions should the nurse take? a. draw up the regular insulin and then the glargine insulin in the same syringe b. draw up glargine then regular in same c. draw up in different d. administer regular, wait 1 hour then administer other.

c. draw up in different

the nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. the nurse determines that the client understands discharge instructions if the client states that which signs and symptoms are associated with this diagnosis. (select all that apply) a. tremors b. weight loss c. feeling cold d. loss of body hair e. persistent lethargy f. puffiness of face

c. feeling cold d. loss of body hair e. persistent lethargy f. puffiness of face

the nurse is performing an assessment on a client with pheochromocytoma. which assessment data would indicate a potential complication associated with this disorder a. urinary output of 50 mL/hour b. coagulation time of 5 minutes c. heart rate that is 90 beats/minute and irregular d. a blood urea nitrogen level of 20 mg/dL

c. heart rate that is 90 beats/minute and irregular

the client with hyperparathyroidism is taking alendronate. which statements by the client indicate understanding of the proper way to take this medication (select all that apply) a. i should take this med with food b. i should take this med at bedtime c. i should sit up for atleast 30 min after taking this med d. i should take this med first thing in the morning on an empty stomach e. i can pick a time to take this med that best fits my lifestyle as longa s i take it at the same time every day

c. i should sit up for atleast 30 min after taking this med d. i should take this med first thing in the morning on an empty stomach

a client is brought to the emergency department in an unresponsive state and a diagnosis of hyperosmolar hyperglycemic syndrome is made. the nurse would immediately prepare to initiate which anticipated health care provider's prescription a. endotracheal intubation b. 100 units of NPH insulin c. intravenous infusion of NS d. IV infusion of sodium bicarbonate

c. intravenous infusion of NS

a patient with a head injury develops SIADH. manifestations the nurse would expect to find include a. hypernatremia and edema b. muscle spasms and hypertension c. low urine output and hyponatremia d. weight gain and decreased GFR

c. low urine output and hyponatremia

a nurse is caring for a client who has blood glucose 52. the client is lethargic but arousable. which of the following actions should the nurse perform first. a. recheck blood glucose in 15 b. provide a carbohydrate and protein food. c. provide 4 oz grapefruit juice d. report findings to the provider

c. provide 4 oz grapefruit juice

nurse is preparing to administer IV fluids to a client who has DKA. which of the following actions should the nurse take a. administer IV infusion of regular insulin at 0.3 b. administer IV 0.45% NaCl c. rapidly administer IV 0.9% NaCl d. add glucose to the IV infusion when serum glucose is 350

c. rapidly administer IV 0.9% NaCl

the nurse performs a physical assessment on a client with type 2 diabetes. findings include a fasting blood glucose level of 120, temp of 101, pulse of 102, respirations of 22 and bp of 142/72. which finding would be the priority concern a. pulse b. respiration c. temperature d. blood pressure

c. temperature

what is the priority action for the nurse to take if the patient with type 2 diabetes complains of blurred vision and irritability a. call the physician b. administer insulin as ordered c. check the patient's blood glucose level d. assess for other neurologic symptoms

check the patient's blood glucose level

an external insulin pump is prescribed for a client with DM. when the client asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump. a. it is timed to release programmed doses of either short duration or NPH insulin into the blood stream at specific intervals b. it continuously infuses small amount of NPH insulin into the bloodstream while regularly monitoring blood glucose levels c. it is surgically attached to the pancreas and infuses regular insulin into the pancreas. this releases insulin into the bloodstream d. it administers a small continuous dose of short duration insulin subQ. the client can self administer an addition bolus dose from the pump before each meal

d. it administers a small continuous dose of short duration insulin subQ. the client can self administer an addition bolus dose from the pump before each meal

which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia a. the patient must receive insulin therapy to prevent ketoacidosis b. the patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin c. the patient has minimal or absent endogenous insulin secretion and requires daily insulin injections d. the patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome.

d. the patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome.

A patient note that his blood sugars are well-controlled throughout the day and are consistently elevated in the morning? What does the nurse suspect with this patient? a. smoygi effect b. dawn phenomenon c. diabetic ketoacidosis d. hypoglycemia

dawn phenomenon

a daily dose of prednisone is prescribed for a client. the nurse provides instruction to the client regarding administration of the medication and should instruct the client that which time is best to take this medication. a. noon b. bedtime c. early morning d. any time at the same time every day

early morning

A diabetic patient come to the emergency department by the family, who states that the patient is not acting himself and is more tired than usual. What nursing action is a priority with this patient? a. give insulin b. establish IV access c. check a blood glucose d. ensure a patent airway

ensure a patent airway

a nurse is caring for a client who is 6 hour postop following a transspenoidal hypophysectomy. the nurse should test the client's nasal drainage for the presence of which of the following a. RBCs b. Ketones c. Glucose d. Streptococci

glucose

a nurse in a provider's office is assessing a client who has hypothyroidism and recently began treatment with thyroid hormone replacement therapy. which of the following findings should indicate to the nurse that the client might need a decrease in the dosage a. hand tremors b. bradycardia c. pallor d. slow speech

hand tremors

What lab diagnostic test is used to diagnosis diabetes? Hemoglobin A1CFasting blood glucose (FBS)Glucometer checkElectrolyte panel a. hemoglobin A1C b. fasting blood glucose c. glucometer check d. electrolyte panel

hemoglobin A1C

which statement by the patient with type 2 diabetes is accurate a. i will limit my alcohol intake to one drink b. i am not allowed to eat any sweets because of my diabetes c. i cannot exercise because i take a blood glucose lowering medication d. the amount of fat in my diet is not important. only carbohydrates raise my blood sugar

i will limit my alcohol intake to one drink

the nurse is preparing a plan of care for a client with DM who has hyperglycemia. the nurse places priority on which client problem a. lack of knowledge b. inadequate fluid volume c. compromised family coping d. inadequate consumption of nutrients

inadequate fluid volume

the nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. which findings indicate the prescence of a side effect associated with this medication. (select all that apply) a. insomnia b. weight loss c. bradycardia d. constipation e. mild heat intolerance

insomnia weight loss mild heat intolerance

a nurse is caring for a client who has primary adrenal insufficiency and is preparing to undergo an ACTH stimulation test. which of the following findings should the nurse expect after an IV injection of cosyntropin a. no change in cortisol b. elevated fasting blood glucose c. decreased in sodium d. increase in urinary output

no change in cortisol

the nurse provides instructions to a client who is taking levothyroxine. the nurse should tell the client to take the medication in which way a. with food b. at lunchtime c. on an empty stomach d. at bedtime with a snack

on an empty stomach

the nurse teaches the patient that the best time to take corticosteroids for replacement purposes is a. once a day at bedtime b. every other day at awakening c. on arising and in the late afternoon d. at consistent intervals every 6-8 hours

on arising and in the late afternoon

a nurse is assessing a client during a water deprivation test. for which of the following complications should the nurse monitor the patient a. bradycardia b. orthostatic hypotension c. neck vein distention d. crackles in lungs

orthostatic hypotension

the nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. what sign or symptom if exhibited in the client indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed a. polyuria b. diaphoresis c. pedal edema d. decreased respiratory rate

polyuria

a client with DM visits a healthcare clinic. the client's DM previously had been well controlled with glyburide daily, but recently the fasting level has been 180-200. which med if added may contribute to hyperglycemia a. prednisone b. atenolol c. phenelzine d. allopurinol

prednisone

a patient with diabetes has a serum glucose level of 824 and is unresponsive. after assessing the patient, the nurse suspects diabetic ketoacidosis rather than hyperosmolar hyperglycemic syndrome based on the findings of a. polyuria b. severe dehydration c. rapid deep respirations d. decreased serum potassium

rapid deep respirations

A patient has a serum glucose of 850 mg/dl and is unresponsive. After assessing the patient, the nurse suspects diabetic ketoacidosis rather than hyperosmolar hyperglycemic syndrome based on the finding of a. polyuria b. severe dehydration c. rapid, deep respirations d. decreased serum potassium

rapid, deep respirations

a client has just been admitted to the nursing unit following a thyroidectomy. which assessment is the priority for this client a. hypoglycemia b. level of hoarseness c. respiratory distress d. edema at surgical site

respiratory distress

the nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. the nurse should take which initial action a. lower the head of the bed b. test the drainage for glucose c. obtain a culture of the drainage d. continue to observe the drainage

test the drainage for glucose

A 65 year old patient is diagnosed with hyperosmolar hyperglycemic syndrome. All of the following are precipitating factor to this condition except for: a. patient not drinking enough fluids b. sepsis c. too much insulin d. newly undiagnosed diabetes

too much insulin

the nurse should tell the client who is taking levothyroxine to notify the health care provider if which problem occurs a. fatigue b. tremors c. cold intolerance d. excessively dry skin

tremors

the nurse is monitoring a client who was diagnosed with type 1 DM and is being treated with NPH and regular insulin. which manifestations would alert the nurse to the presence of possible hypoglycemic reaction (select all that apply) a. tremors b. anorexia c. irritability d. nervousness e. hot dry skin f. muscle cramps

tremors irritability nervousness

a nurse is reviewing the lab findings for a client who might have hyperthyroidism. the nurse should identify an elevation in which of the following substances as an indication that the client has this disorder a. triiodothyronine b. plasma-free metanephrine c. urine cortisol d. urine osmolarity

triiodothyronine

at the beginning of a shift, a nurse is assessing a client who has Cushing's Disease. Which of the following findings is a priority a. weight gain b. fatigue c. fragile skin d. joint pain

weight gain

analyze the following diagnostic findings for your patient with type 2 diabetes. which result will need further assessment a. A1C 9% b. BP 126/80 c. FBG 130 d. LDL cholesterol 100 mg/dL

A1C 9%

a nurse in an ICU is planning care for a client who has myxedema coma. which of the following actions should the nurse include (select all that apply) a. observe cardiac monitor for dysrhythmias b. observe for evidence of urinary tract infection c. initiate IV fluids using 0.9% sodium chloride d. administer a levothyroxine IV bolus e. provide warmth using heating pad

ABCD

a nurse is reviewing the health record of a client who has hyperglycemic hyperosmolar state. the nurse should identify that which of the following data confirm this diagnosis a. evidence of recent MI b. BUN 35 c. takes calcium channel blocker d. age 77 e. no insulin production

ABCD

a nurse is presenting info to a group of clients about nutrition habits that prevent type 2 diabetes mellitus. which of the following should the nurse include in the teaching (select all that apply) a. eat less meat and processed foods b. decrease intake of saturated fats c. increase daily fiber intake d. limit saturate fat intake to 15% of caloric intake e. include omega-3 fatty acids in the diet

ABCE

a nurse is providing discharge teaching to a client who has experienced diabetic ketoacidosis. which of the following should nurse include (select all that apply) a. drink 2L fluids b. monitor blood glucose every 4 hours when ill c. administer insulin as prescribed when ill d. notify the provider when glucose is 200 e. report ketones in urine after 24 hours of illness

ABCE

a nurse in a provider's office is planning care for a client who has a new diagnosis of Grave's disease and a new prescription for methimazole. which of the following interventions should the nurse include in the plan of care (select all that apply) a. monitor CBC b. monitor T3 c. instruct the client to increase shellfish d. advise the client to take the med at the same time every day e. inform the client that an adverse effect is iodine toxicity

ABD

a nurse is planning care for a client who has Cushing's. the nurse should recognize that clients who have this disease are at increased risk for which of the following (select all that apply) a. infection b. gastric ulcer c. renal calculi d. bone fractures e. dysphagia

ABD

a nurse is preparing to receive a client from PACU who is post op following thyroidectomy. the nurse should ensure that which of the following equipment is available (select all that apply) a. suction b. humidified oxygen c. flashlight d. tracheostomy tray e. chest tube tray

ABD

a nurse is reviewing the health record of a client who has syndrome of inappropriate ADH. which of the following lab findings should the nurse expect (select all that apply) a. low sodium b. high potassium c. increased urine osmolality d. high urine sodium e. increased urine specific gravity

ACDE

which are appropriate therapies for patients with DM a. use of statins to reduce CVD b. use of diuretics to treat nephropathy c. use of ACE to treat nephropathy d. use of serotonin agonists to decrease appetite e. use of laser photocoagulation to treat retinopathy

ACE

you are caring for a patient with newly diagnosed type 1 diabetes. what information is essential to include in your patient teaching before discharge from the hospital (select all that apply) a. insulin admin b. elimination of sugar from diet c. need to reduce physical activity d. use of a portable blood glucose monitor e. hypoglycemia prevention, symptoms, and treatment

ADE

a nurse is providing discharge researching for a client who had a transspenoidal hypophysectomy. which of the following instructions should the nurse include (select all that apply) a. brush your teeth after every meal or snack b. avoid bending at the knees c. eat a high fiber diet d. notify the provider of any sweet tasting drainage e. notify the provider of a diminished sense of smell

CD

a nurse is assessing a client who is 12 hour post op following thyroidectomy. the nurse should identify which of the following findings as indicative of thyroid crisis (select all that apply) a. bradycardia b. hypothermia c. dyspnea d. abdominal pain e. mental confusion

CDE

a nurse is teaching foot care to a client who has DM. which of the following should the nurse include (select all that apply) a. remove calluses using over the counter remedies b. apply lotion between toes c. perform nail care after bathing d. trim toenails straight across e. wear closed toe shoes

CDE

a nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1 diabetes mellitus. which of the following actions should the nurse implement a. check blood glucose immediately after breakfast b. administer insulin when breakfast arrives c. hold breakfast for 1 hour after insulin administration d. clarify the prescription because insulin should not be administered at this time.

b. administer insulin when breakfast arrives

a nurse is planning to teach a client who is being evaluated for Addison's disease about the adrenocorticotropic hormone stimulation test. the nurse should base her instructions to the client on which of the following a. the ACTH stimulation test measures the response by the kidneys to ACTH b. in the presence of primary adrenal insufficiency, plasma cortisol levels rise c. ACTH is a hormone produced by pituitary d. the client is instructed to take a dose of ACTH by mouth the evening before the test.

c. ACTH is a hormone produced by pituitary

an important preoperative nursing intervention before an adrenalectomy for hyperaldosteronism is to a. monitor blood glucose levels b. restrict fluid and sodium intake c. administer potassium sparing diuretics d. advise the patient to make postural changes slowly

c. administer potassium sparing diuretics

after thyroid surgery, the nurse suspects damage or removal of the parathyroid glands when the patient develops a. muscle weakness and weight loss b. hyperthermia and severe tachycardia c. hypertension and difficulty swallowing d. laryngospasms and tingling in the hands and feet

d. laryngospasms and tingling in the hands and feet

a nurse is providing teaching to a client who has a new diagnosis of DI. which of the following client statements indicates an understanding of the teaching? a. i can drink up to 2 quarts of fluid a day. b. i will need to use insulin to control my blood glucose levels c. i should expect to gain weight d. muscle weakness is a symptom of DI

d. muscle weakness is a symptom of DI

a nurse is planning care for a client who has acromegaly and is post op following a transsphenoidal hypophysectomy. which of the following interventions should the nurse include in the plan. a. maintain the client in a low fowlers position b. encourage deep breathing and coughing c. encourage the client to brush his teeth when awake and alert d. observe dressing drainage for the presence of glucose

d. observe dressing drainage for the presence of glucose