Endocrine Focused Homework

A nurse is managing the care of a client who is postoperative and is experiencing acute adrenal insufficiency. The nurse should anticipate taking which of the following actions?

A. Administering hydrocortisone succinate (Solu-Cortef)

A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of the following findings should the nurse report to the primary care provider?

A. Laryngeal stridor

A nurse is monitoring the laboratory values of a client who has diabetes mellitus and has been prescribed insulin. The nurse should understand that which of the following indicates a therapeutic outcome of insulin therapy?

A. A fasting blood glucose level of 106

A nurse is teaching a client who has an autoimmune disease about the side effects of long-term corticosteroid therapy. Which of the following would be appropriate to include? (Select all that apply.)

A. Osteoporosis B. Development of moon-shaped face C. Increased risk of infection D. Muscle wasting of the extremities

A client with thyroid storm is prescribed IV propranolol (Inderal). The nurse should recognize that this medication is given to:

A. Reduce the effects of thyroid hormone on the heart

A nurse is performing an assessment on a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following assessment data should be reported?

A. Serum sodium 110 mEq/L

A nurse is developing a teaching plan for a client who had a thyroidectomy and has been placed on thyroid hormone replacement therapy. Which of the following should the nurse plan to tell the client?

A. You will need to take this medication on an empty stomach

A nurse is reviewing laboratory values for a client who has DKA. Which of the following laboratory values should the nurse expect?

A. pH 7.32, PaC02 36 mm Hg, HC03 14 mEq/L

A nurse is preparing to provide a client with information concerning an adrenocorticotropic hormone (ACTH) stimulation test. The nurse should explain that the purpose of the test is to assess for which of the following

B. Addison's Disease

Correct A nurse is planning care for a preoperative client who has a diagnosis of pheochromocytma. Which of the following is the priority intervention that the nurse should anticipate in the plan of care?

B. Avoid palpating the abdomen

A client diagnosed with diabetes insipidus is prescribed desmopressin acetate (DDAVP) intranasally as a metered-dose spray. The nurse should teach the client to

B. Blow the nose gently prior to using the nasal spray

A nurse is assessing a client who has diabetes mellitus and reports feeling anxious. Which of the following is an expected finding if the nurse suspects hypoglycemia?

B. Cool, clammy skin

While assessing a client diagnosed with diabetes insipidus, the nurse should expect which of the following laboratory findings?

B. Increased hematocrit

A nurse is planning dietary teaching for a client who has type I diabetes mellitus. Which of the following should the nurse include regarding alcohol consumption?

B. Ingest alcohol with meals to reduce alcohol-induced hypoglycemia

A client diagnosed with diabetes mellitus has developed peripheral neuropathy. Which of the following should the nurse recommend to the client to prevent potential injuries to the feet?

B. Monitor the temperature of bath water with a thermometer

A nurse is instructing a client regarding a glycosylated hemoglobin (HbA1c) test. The client exhibits an accurate understanding of the test by making which of the following statements?

B. This test is a good indicator of my average blood glucose levels

A nurse is assessing a client newly diagnosed with Cushing's disease. Which of the following findings should the nurse expect?

C. Hirsutism

A home health nurse is assessing a client who is on a lifelong hormone replacement therapy for treatment of hypothyroidism. The client has not been taking his medication regularly. Which of the following findings should the nurse expect?

C. Hypotension

A nurse is providing teaching to a client with type 1 diabetes mellitus on how to prevent complications during illness. Which of the following statements indicates that the client understands the teaching?

C. I will call my doctor if my blood sugar is more than 250 mg/dl

A client being screened for pheochromocytoma is scheduled for a vanillylmandelic acid test. When providing client education regarding this test, which of the following should the nurse include?

C. Restrict caffeine intake 2-3 days prior to the test

A nurse is assessing a client with adrenal insufficiency. Which of the following findings should the nurse expect?

C. Serum calcium of 12.8 mg/dl

A nurse is preparing the insulin for a client with diabetes mellitus. The client is to receive evening doses of insulin glargine (Lantus) and Regular insulin (Humulin R). The nurse should draw up:

C. The insulin glargine and the Regular insulin into two separate syringes

A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the following findings of hypocalcemia?

C. Tingling and numbness of the hands and feet

A nurse is assuming care of a newly admitted client who has hyperthyroidism. When assessing the client, the nurse should expect which of the following findings?

C. Tremors

A nurse is caring for a client who is taking propylthiouracil (PTU). The nurse should recognize that treatment goals have been met when the client reports an increase in which of the following:

C. Weight

A nurse is caring for a client undergoing screening for primary Cushing's disease. The nurse should expect that which of the following laboratory findings will be elevated?

D. Blood glucose

A nurse is providing teaching to a client who has diabetes mellitus. Which of the following should the nurse include regarding signs and symptoms associated with DKA?

D. Blood glucose levels above 300 mg/dl

A nurse is caring for a client with type 2 diabetes mellitus who is admitted with hyperglycemic-hyperosmolar nonketotic syndrome (HHNS). Which of the following laboratory findings should the nurse expect?

D. Blood glucose of 846 mm/dL and serum pH of 7.40

A client with diabetes mellitus is admitted to the outpatient clinic for treatment of a diabetic foot ulcer. Which of the following statements indicates that the client understands proper foot care?

D. I will apply lotion to the dry areas of my feet, avoiding application between my toes

A nurse is preparing a teaching plan for a client diagnosed with diabetes insipidus who is receiving instranasal aqueous vasopressin (Pitressin). Which of the following instructions should the nurse include in the teaching plan?

D. Increased urination and thirst indicate the need for another dose of vasopressin therapy