Mock Endo Quiz

A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome is stabilized and prepared for discharge. When preparing the client for discharge and home management, which statement indicates that the client understands his condition and how to control it?

"I can avoid getting sick by not becoming dehydrated and by paying attention to my need to urinate, drink, or eat more than usual"

A nurse cares for a client who has a secondary obesity. Which condition is the most likely to result in secondary obesity?

Cushing's disease

A 35-year-old female client who complains of weight fain, facial hair, absent menstruation, frequent bruising, and acne is diagnosed with Cushing's syndrome. Cushing's syndrome is most likely caused by

a corticotropin-secreting pituitary adenoma

Before discharge, what should a nurse instruct a client with Addison's disease to do when exposed to periods of stress?

administer hydrocortisone IM

A nurse is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately?

an irregular apical pulse

A nurse expects to note an elevated glucose level in a client with hyperosmolar hyperglycemic nonketotic syndrome. Which other laboratory finding should the nurse anticipate?

below normal serum potassium levels

The nurse is reviewing the initial laboratory test results of a client diagnosed with DKA. Which of the following would the nurse expect to find?

blood pH of 6.9

A patient diagnosed with Addison's disease would be expected to have which of the following skin pigmentations?

bronze

A nurse is planning care for a client in acute addisonian crisis. Which nursing diagnosis should receive the highest priority?

decreased cardiac output

A nurse should perform which intervention for a client with Cushing's syndrome?

explain that the client's physical changes are a result of excessive corticosteroids

During assessment of a light-skinned patient, the nurse notices a yellow color present in the sclera of both eyes and the mucous membranes. The nurse knows that this finding could be associated with the presence of

liver dysfunction

A client with a history of type 1 diabetes has just been admitted to the critical care unit for DKA. Which should the CCU nurse prioritize during the client's initial phase of treatment?

maintaining and monitoring the client's fluid imbalance

Which statement about fluid replacement is accurate for a client with hyperosmolar hyperglycemic nonketotic syndrome?

Administer 2-3L of IV fluid rapidly

A client is admitted with hyperosmolar hyperglycemic nonketotic syndrome. Which laboratory finding should the nurse expect in this client?

Blood glucose level 1,100mg/dL

A client is admitted with DKA. Which order from the physician should the nurse implement first?

infuse 0.9% normal saline solution 1L/hr for 2 hours

A client with history of type 1 diabetes is demonstrating fast, deep, labored breathing and has fruity odored breath. What could be the cause of the client's current serious condition?

ketoacidosis

A nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse expects to find

deposits of adipose tissue in the trunk and dorsocervical area

An older adult client with type 2 diabetes is brought to the emergency department by the client's daughter. The client is found to have a blood glucose level of 600 mg/dL. The client's daughter reports the the client recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar syndrome is made. What nursing action would be a priority?

fluid and electrolyte replacement

When teaching a client with Cushing's syndrome about dietary changes, the nurse should instruct the client to increase intake of

fresh fruits

A client with Addison disease has a blood glucose level above 80 mg/dL 30 minutes after receiving 15g of carbohydrates for symptoms of hypoglycemia. Which action would the nurse take next?

give the client milk and graham crackers

A patient is diagnosed with Addison's disease, a condition that results in insufficient production of cortisol. Which of the following is the most important function of cortisol that the nurse needs to consider when caring for a patient with Addison's disease?

helps the body adjust to stress

A nurse is working with a client who has a diagnosis of Cuhsing syndrome. When completing a physical assessment, the nurse should specifically observe for what integumentary manifestation?

hirsutism

The nurse is assessing the integumentary system of a client with Cushing syndrome. The nurse anticipates which finding?

hirsutism

A client with a history of Addison's disease and flu-like symptoms accompanied by nausea and vomiting over the past week is brought to the facility. His wife reports that he acted confused and was extremely weak when he awoke that morning. The client's blood pressure is 90/58mmHg, his pulse is 116 BPM, and his temperature is 101F. A diagnosis of acute adrenal insufficiency is made. What should the nurse expect to administer by IV infusion?

hydrocortisone

A patient with DKA has has a large volume of fluid infused for rehydration. What potential complication from rehydration should the nurse monitor for?

hypokalemia

A medical nurse is aware of the need to screen specific clients for their risk of hyperglycemic hyperosmolar syndrome. In what client population does this syndrome most often occur?

middle-aged or older people with either type 2 diabetes or no known history of diabetes

A nurse helps a patient recently diagnosed with a pituitary adenoma understand that

most tumors produce too much of one or more hormones

Which nursing diagnosis is most appropriate for a client with Addison's disease?

risk for infection

A female client is being successfully treated for Cushing's syndrome. The nurse should expect a decline in

serum glucose level

A client with Addison's disease comes to the clinic for a follow up visit. when assessing this client, the nurse should stay alert for signs and symptoms of

sodium and potassium abnormalities

The nurse is caring for a client with Addison disease who is scheduled for discharge. When teaching the client about hormone replacement therapy, the nurse should address what topic?

the need for lifelong steroid replacement