Endocrine- Saunders

A client is taking Humulin NPH insulin daily every morning . The nurse reinforces instructions to the client and would tell the client that which is the most likely time for a hypoglycemic reaction to occur ?

6 to 14 hours after administration

Glimepiride is prescribed for a client with diabetes mellitus . The nurse reinforces instructions for the client and tells the client to avoid which while taking this medication ?

Alcohol

The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care . Which instruction would be included in the plan of care ?

Apply a moisturizing lotion to dry feet , but not between the toes .

Desmopressin acetate is prescribed for the treatment of diabetes insipidus . The nurse monitors the client after medication administration for which bytherapeutic response ?

Decreased urinary output

The home care nurse is visiting a client who was re- cently diagnosed with type 2 diabetes mellitus . The client , prescribed repaglinide and metformin , asks the nurse to explain these medications . The nurse would reinforce which instructions to the client ? Select all that apply .

Diarrhea can occur secondary to metformin. The repaglinide is not taken if a meal is skipped. The repaglinide is taken 30 minutes before eating. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes.

The nurse educator is asking the nursing student to recall the signs / symptoms of hypothyroidism . The nurse educator determines that the student understands this disorder if which are included in the student's response ? Select all that apply .

Dry skin Constipation Cold intolerance

The nurse is monitoring a client receiving levothyroxine sodium to treat hypothyroidism . Which findings indicate the presence of a side effect associated with this medication ? Select all that apply .

Insomnia Weight loss Mild heat intolerance

The nurse is caring for a postoperative parathyroidectomy client . Which would require the nurse's immediate attention ?

Laryngeal stridor

A client is admitted to the emergency department , and a diagnosis of myxedema coma is made . Which action would the nurse prepare to carry out initially ?

Maintain a patent airway.

The nurse is reinforcing instructions to a client with diabetes mellitus who is recovering from diabetic ketoacidosis ( DKA ) regarding measures to prevent a recurrence . Which instruction is important for the nurse to emphasize ?

Monitor blood glucose levels frequently .

The nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper thighs . Which further information would the nurse obtain from the client during data collection ?

Plan for injection rotation

A client with diabetes mellitus visits a healthcare clinic . The client's diabetes mellitus has been previously well controlled with glyburide daily , but recently the fasting blood glucose level has been 180 mg / dL to 200 mg / dL . Which medication , added to the client's regimen , may have contributed to the hyperglycemia ?

Prednisone

The nurse is collecting data regarding a client after a thyroidectomy and notes the development of a hoarse and weak voice . Which nursing action is appropriate ?

Reassure the client that this is usually a temporary condition.

The homecare nurse visits a client recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily . The client asks the nurse how to store the unopened vials of insulin . The nurse would provide which information ?

Refrigerate the insulin .

A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections . Which teaching information would the nurse reinforce upon discharge ?

Rotate the insulin injection sites systematically.

The nurse reinforces teaching to a client with diabetes mellitus regarding differentiating between hypoglycemia and ketoacidosis . The client demonstrates an understanding of the teaching by stating that glucose will be taken if which symptom devel- ops ?

Shakiness

The primary health care provider ( PHCP ) prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin . The nurse prepares for which most appropriate intervention ?

The medication is withheld and the PHCP is called to question the prescription for the client.

The nurse is caring for a client after a thyroidectomy and notes that calcium gluconate is prescribed . The nurse determines that this medication has been prescribed for which reason ?

Treat hypocalcemic tetany

The nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe . Which action performed by the client indicates the need for further teaching ?

Withdraws the NPH insulin first

The nurse is monitoring a client who has been newly diagnosed with diabetes mellitus for signs of complications . Which statement made by the client would indicate hyperglycemia and thus warrant primary health care provider ( PHCP ) notifica- tion ?

" I am urinating a lot . "

The nurse is reinforcing discharge teaching to a client who has Cushing's syndrome. Which Statement by the client indicates that the instructions related to dietary management were understood?

" I can eat foods that contain potassium . "

The home care nurse visits a client at home who has been prescribed prednisone 5 mg orally daily . The nurse reinforces teaching for the client about the medication . Which statement made by the client indicates a need for further teaching ?

" I can take aspirin or my antihistamine if I need it . "

The nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diabetic diet . Which statement made by the client indicates the need for further teaching?

" I need to buy special dietetic foods . "

A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia . Which statement by the client indicates a correct understanding of Humulin N insulin and exercise ?

" I should not exercise in the late afternoon . "

When the nurse is reinforcing instructions to a client who has been newly diagnosed with type diabetes mellitus , which statement by the client would indicate that teaching has been effective ?

" I will notify my primary health care provider if my blood glucose level is consistently greater than 250. "