endocrine exam

1. A nurse is caring for a client who is at risk for an Addisonian crisis, which of the following actions should the nurse take a. Provide a low carb diet b. Weight client daily c. Administer oral corticosteroids - It would be IV d. Restrict fluid intake

b. Weight client daily

A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following finding is a therapeutic response to the medication?

Increase in energy.

A nurse in a clinic is reviewing the lab values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following lab values? 1. Serum T3 2. Thyroid stimulating hormone (TSH) 3. Free T4 4. Serum T4

2. Thyroid stimulating hormone (TSH)

which patient should the nurse assess first

60 year old with poor skin tugor and dry oral mucosa

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication taht the medication is effective?

A decrease in urine output

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? select all that apply monitor for postural hypotension weight the client daily assess for neck vein distention assess blood glucose level monitor for a irregular heart rate

Assess blood glucose level neck vein distension weigh daily

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?

Check urine specific gravity

A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?

Chvostek's sign

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

Client report of numbness in his hands

Nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

Frequent mood changes.

When analyzing laboratory values, the nurse expects to find which value as a direct result of overproduction of GH?

Hyperglycemia

1. a nurse is assessing a client who has Cushing syndrome which of the following should the nurse expect Hyperpigmentation

Hyperpigmentation

A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?

Lung cancer

A nurse is reviewing the laboratory results for four clients. The nurse should recognize that which of the following clients has a manifestation of primary hyperparathyroidism?

The client who has an increased magnesium level

1. A nurse is assisting a client with hypothyroidism with meal planning. Which of the following foods should the nurse include a. Bananas b. Poached eggs c. Whole grains d. Based chicken

c. Whole grains

A nurse is assessing a client who has diabetes insipidis. Which of the following is a manifestation of this diagnosis d. Tachycardia

d. Tachycardia

a staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

"It is caused by the lack of production of aldosterone by the adrenal gland"

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

0.9% sodium chloride IV bolus

A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.) A. Alopecia B. Tremors C. Moon face D. Purple striations E. Buffalo hump

A. Alopecia C. Moon face D. Purple striations E. Buffalo hump

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

A. Hyperpigmentation

A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?

Acetone odor to breath

A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching? A. "Test your blood glucose levels every 8 hours." B. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL." C. "Withhold your usual daily dose of insulin." D. "Drink 240 to 360 milliliters of calorie-free liquids every 8 hours."

B. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL."

A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting positive manifestations of hypercortisolism? A. A client who has a butterfly rash on his face B. Moon face C. A client who has a positive Chvostek's sign D. A client who has muscle hypertrophy

B. Moon face

The nurse is caring for a client who has normal glucose levels at bedtime, hypoglycemia at 2am and hyperglycemia in the morning. What is this client likely experiencing? A. Dawn phenomenon B. Somogyi effect C. An insulin spike D. Excessive corticosteroids

B. Somogyi effect

Nurse is caring for a pt who is 8hr post op following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client?

Semi fowlers with the neck in a neutral position

A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat hyperthyroidism. The nurse should understand that this client is at increased risk for which of the following conditions?

Infection

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

Oliguria

Nurse is teaching a client who has a new diagnosis of hyperparathyroidism. Nurse should include teaching that the client is at risk for which of the following complications?

Pathologic fractures

A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?

Provide a quiet, low-stimulus environment.

a nurse is caring for a client who has siadh and a sodium level of 123. which of the following actions should the nurse take

Restrict fluid to 1000 mL PER DAY

A nurse is teaching about levothyroxine with a client who has primary HYPOthyroidism. Which of the following statements should the nurse use when teaching the client?

Tremors, nervousness, and insomnia may indicate your dose is too high. This may indicate an overdose of the medication and they will need to notify the provider.

A client who is 1 day postoperative following a thyroidectomy reports severe muscle spasms of the lower extremities. Which action should the nurse implement?

Verify the most recent calcium level.

A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect? a) lethargy b) exophthalmos c) weight loss d) photophobia

a) lethargy

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? a. Dehydration b. Polyphagia c. Hyperglycemia d. Bradycardia

a. Dehydration

1. Which complication of diabetes insipidus are considered emergencies a. HHS b. DKA c. Hyperglycemia d. Metabolic syndrome e. Diabetic retinopathy f. Diabetic neuropathy

a. HHS b. DKA c. Hyperglycemia d. Metabolic syndrome

1. a nurse is caring for a client who has Cushing's syndrome which of the following interventions should the nurse perform a. assess blood glucose b. assess for neck vein distention / fluid overload c. monitor irregular heart rate d. monitor for postural hypotension e. weigh the client daily

a. assess blood glucose b. assess for neck vein distention e. weigh the client daily

which factors are assessment findings indicative of thyroid storm

abdominal pain, elevated systolic blood pressure, tachycardia, fever

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?

airway patency

1. A nurse is reviewing labs of 4 clients. A nurse should recogocnize that which one has a manifestion of hypoparathyroidism a. A client who has a vitamin d of 25 - correct b. A client who has phosphate of 5.7 (not normal / 7-9 is WNL c. Mag level of 1.8 - normal d. Calcium level of 9.8 - correct

b. A client who has phosphate of 5.7 (not normal / 7-9 is WNL

1. The nurse is providing dietary teaching to a client who has Cushing disease. Which of the following recommendations a. Limit potassium rich food b. Restrict sodium c. Increased carbs d. Decreased protein

b. Restrict sodium

Which factors differentiate DKA from HHS?

glucose levels and the amounts of keytones produced

The nurse will plan to monitor a patient diagnosed with a pheochromocytoma for a. flushing. b. headache. c. bradycardia. d. hypoglycemia.

headache

Which statement best describes dawn phenomenon?

hyperglycemia upon morning awaking due to excessive release of growth hormone and cortisol

which diuretic is the nurse anticipating to be ordered for a patient with hyperaldosteronism

spironolactone

what is the ratiionale for the use of methimazole (tapazole)

to control hyperthyroidism and thytrotoxicosis especially if surgery is not a treatment option

A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings? a. Exophthalmos b. Palpitations c. Weight gain d. Diaphoresis

weight gain