Evolve Endocrine NCLEX-PN

The nursing assistant tells you that a patient with diabetes has a blood glucose level of 60 mg/dL. What symptoms would the nurse be most likely to observe with this glucose level?

Confusion, tremulousness, pallor, sweating, and weakness

A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. Which intervention would be appropriate to decrease the client's anxiety?

Convey empathy, trust, and respect toward the client

A client newly diagnosed with diabetes mellitus takes NPH insulin every day at 7:00 am. The nurse has taught the client how to recognize the signs of hypoglycemia. The nurse determines that the client understands the information presented if the client watches for which signs and symptoms in the late afternoon?

Hunger; shakiness; and cool, clammy skin

The nurse is monitoring the results of periodic serum laboratory studies drawn on a client with diabetic ketoacidosis (DKA) receiving an insulin infusion. The nurse determines that which value needs to be reported?

Potassium 3.1 mEq/L

A client is in metabolic acidosis caused by diabetic ketoacidosis (DKA). The nurse prepares for the administration of which medication as a primary treatment for this problem?

Regular Insulin

The nurse is caring for a client with type 1 diabetes mellitus who is hyperglycemic. Which problem should the nurse consider first, when planning care for this client?

Signs of dehydration

The nurse is reviewing the prescriptions of a client diagnosed with diabetes mellitus who was admitted because of an infected foot ulcer. Which health care provider's prescription supports the treatment of this condition?

...

A patient newly diagnosed with diabetes is given diet instructions. What should the nurse do to effectively motivate the patient to comply with dietary recommendations? (Select all that apply.)

1. Emphasize good food choices. 2. Apply diet prescriptions to patient-preferred foods. 4. Focus on the benefits of diet compliance. 5. Involve meal preparers in diet teaching.

A 30-year-old woman is admitted for urinary tract infection with sepsis. A urinalysis reveals presence of ketones, glucose, and nitrates. Which question would the nurse ask to further assess possible diabetes mellitus?

3. "Have you been thirstier than usual? Do you find you urinate more now?"

The nurse answers the call light for a patient with diabetes. The patient states she feels shaky and weak. The nurse notes pallor and moist skin. List in priority order the actions of the nurse. 1. Give patient 6 oz of juice. 2. Document interventions. 3. Check fingerstick glucose. 4. Assess level of consciousness.

4,3,1,2

Which measure should the nurse anticipate being included in the plan of care for a client who has been diagnosed with Graves' disease?

A restful environment

The nurse participating in a free health screening at the local mall obtains a random blood glucose level of 200 mg/dL on an otherwise healthy client. The nurse tells the client to do which as a next step?

Call the health care provider to have the value rechecked as soon as possible

The nurse enters the room of a client with type 1 diabetes mellitus and finds the client difficult to arouse. The client's skin is warm and flushed, and the pulse and respiratory rate are elevated from the client's baseline. Which action should the nurse implement?

Check the client's capillary blood glucose

A client scheduled for a thyroidectomy says to the nurse, "I am so scared to get cut in my neck." Based on the client's statement, the nurse determines that the client is experiencing which problem?

Fear about impending surgery

A client has an endocrine system dysfunction of the pancreas. The nurse anticipates that the client will exhibit impaired secretion of which substance?

Insulin

The nurse is reinforcing instructions to a client with diabetes mellitus about blood glucose monitoring and monitoring for signs of hypoglycemia. The nurse should teach the client that which result is a sign of hypoglycemia?

Less than 50 mg/dl

A 50-year-old woman was recently diagnosed with type 2 diabetes mellitus and desires to start a healthy lifestyle to control her disease. What is the initial recommendation that the nurse should make?

Maintain adequate glucose control.

The home health nurse is visiting an older adult patient who has successfully managed her type 2 diabetes for years. During the visit, the nurse notes that the patient has severe arthritis; poor vision; and several dry, red areas on the lower extremities. What is the priority patient problem?

Potential for ineffective self-health management due to aging.

A client who returned to the nursing unit 8 hours ago after hypophysectomy has clear drainage saturating the nasal dressing. The nurse should take which action?

Test the drainage for glucose

A patient who works as a personal trainer is diagnosed with insulin-dependent diabetes. What should the nurse teach regarding self-administration of regular insulin?

Use the abdomen as an insulin injection site.

A client with diabetes mellitus is scheduled to have a fasting blood glucose level determined in the morning. The nurse tells the client not to eat or drink after midnight. When the client asks for further information, the nurse clarifies by stating that which should be acceptable to take before the test?

Water

Which teaching technique(s) would be most useful for an older adult patient with diabetes? (Select all that apply.)

. Set a time for the teaching session that is agreeable to the patient. Allow time for the patient to jot down important points. Repeat key concepts frequently; if the patient does not understand, try rephrasing the concept.

. A nurse determines the fingerstick blood glucose reading for a patient with diabetes is 750 mg/dL. What is the nurse's priority action?

Assess the vital signs of the patient.

The nurse working on an endocrine nursing unit understands that which correct concept is used in planning care?

Clients who have hyperparathyroidism should be protected against falls.

A client recently diagnosed with diabetes mellitus requiring insulin tells the clinic nurse that he is traveling by air throughout the next week. The client asks the nurse for any suggestions about managing the disorder while traveling. Which action should the nurse tell the client to do?

Keep snacks in carry-on luggage to prevent hypoglycemia during the flight.

The anticipated intended effect of fludrocortisone acetate (Florinef) for the treatment of Addison's disease is which?

Promote electrolyte balance