4307

it is asymmetrical

the nurse is reviews the medical record of a client with a grade 2 goiter. which assessment finding is consistent with this type of goiter?

dry skin lethargy sensitivity to cold

the nurse is teaching a client who had a thyroidectomy to observe for symptoms of surgically induced hypothyroidism. which symptoms would be included in the teaching plan? SATA

serum glucose level

the nurse observes that a client urine has. a sweety fruit odor which information is important to evaluate when performing a further client assessment?

promotes growth

the nurse teaches the client about endocrine functioning of part of the image selected labeled A. Which information from the client indicates successful learning?

baldness

the nurse would observe a client for which side effect when administering androgen therapy?

growth hormone

the overproduction of which hormone is associated with carpal tunnel syndrome?

estradiol

the secretion of which hormone is an example of a positive feedback mechansim?

numbess around the mouth

which assessment finding in a client signifies a mild form of hypocalcemia?

cushing syndrome

which condiiton would the nurse anticipate in a client who complains of weight gain and has purplish blue striae on abdomen?

pituitary cushing syndrome

which condition results in elveated sreum adrenocorticotropic hormone (ACTH) and urine cortisol levels?

use minimal tape on clients skin

which intervention would the nurse provide while caring for an older adult client who is reported to have decreased estrogen production?

intolerance to cold decreased body temperature

which metabolic manifestations are likely to be observed in a client with hypothyroidism?

increases net release of calcium into extracellular fluid

which statement is accurate regarding the effects of parathyroid

wear synthetic fiber socks when exercising

which statement is accurate when teaching the client with diabetets about foot care?

its actions are opposite to that of parathyroid hormone

which statement regarding calcitonin is correct?

hypophysectomy

which surgery will a client undergo if pituitary gland must be removed?

exophthalmos

which symptom would the nurse identify when assessing a client with graves disease?

Hashimoto Disease

the nurse is reviewing the medical records of several clients which client has a condition that is an autoimmune disorder?

moon face

which assessment finding indicates hypersecretion of adrenocorticotrophic hormone?

placing clients with the same infection in 1 room is safe

when admitiing an older client with MRSA the nurse inquires about potentiialy assigning room 2010 bed b....same room....which response would nurse receive?

weight loss

when obtaining the hisotry of a client recently diagnosed with type 1 diabetes, which symptopms would the nurse expect to see?

sweating

when teaching a client with diabetes about monitoring for episodes of hypoglycemia, which symptom would the nurse include in the teaching plan?

1. asessing for clear nasal draiange 2. maintaing strict intake and output 3. increasing daily dietary fiber 4. elevating the head of bed 30 5. instrucitng on the use of an incentive spirometer

which action would the nurse include in the plan of care for. client undergoing a transsphenoidal hypohysectomy? SATA

protruding eyes

which assessment in a female client suggests an abnormal endocrine finding?

Papillary carcinoma

which carcinoma is the most common type of thyroid cancer and is most often found in younger women?

signs of respiratory obstruction

which client response is most important for the nurse in the postanesthia care unit to monitor when caring for a client who has a thyroidectomy?

increased pigmentation

which clinical feature is indicative of hypercortisolism?

deep respirations and fruity odor breath

which clinical findings support the diagnosis of DKA?

absence of menstruation

which clinical manifestation in a client can help confirm the diagnosis of hyperpituitarism caused by a prolactin-secreting tumor?

malaise

which clinical manifestation is found in a client with a deficiency of adrenocorticotropic hormone?

hyponatremia

which clinical manifestation is observed in a client with adrenal insufficiency?

reduced bone density

which clinical manifestation would be expected in a client with hyposecretion of growth hormone?

dry skin brittle hair

which clinical manifestations would the nurse anticipate when assessing a client with hypothyroidism? SATa

tachycardia exophthalmos

which clinucal findings would the nurse expect to find when caring for a client with hyperthyroidism? SATA

give 4 oz of fruit juice

which intervention would the nurse implement to relive the symptoms associated with a hypoglycemic reaction?

3 feet, 4.5 inches

which is the average height of a 4-year old child?

secretion storage transformation attachment

glucose transportation into the cells through cell membranes takes place in which order?

ask the client to say what the current time is

how would the nurse assess for unilateral injury of the laryngeal nerve when caring for a client immediately after a subtotal thyroidectomy?

hemorrhage tuberculosis AIDS

identify the primary causes of adrenal insufficiency? SATA

parafollicular cells

the nurse recalls which cells produce the thyrocalcitonin hormone?

i should control my blood glucose with diet, exercise, and medication

the nurse teaches a client with type 2 diabetets how to provide self care to prevent infections of the feet. which statement made by thr client shows that teaching was effective?

prolactin growth hormone

which hormones are most commonly produced in excess with hyperpituitarism?

melanocyte inhibitng hormone corticotropin releasing hormone growht hormone releasing hormone

which hormones are released by the hypothalamus? SATA

adrenaline

which hromone binds to the receptor site on the surface of a target cell?

peform hand washing clean site before fingerstick

which infection control measures would the nurse provide a client regarding blood glucose monitoring? SATA

i will call if i get dry hair and can't tolerate the cold

whne teaching the client about when to call the primary health care provider if they are showing signs of hypothyroidsm after a thyroidectomy which statement made by the client shows that teaching was effective?

blood glucose monitoring is more accurate

why is blood glucose self monitoring preferred over urine glucose testing?

Semi-Fowler's

In which position would the nurse place an infant while the infant is receiving intermittent nasogastric tube feedings?

sensorimotor

In which stage of Piaget's theory of growth and development does an infant develop an action pattern to deal with the environment?

lighter fluid

Ingestion of which chemicals may cause chemical pneumonia?

autonomy versus sense of shame and doubt

In which stage of Erikson's theory does the child initiate self-care activities?

effect on body image

The nurse is teaching a high school student about scoliosis treatment options. On which priority information would the nurse focus?

fifth

Which Korotkoff sound represents the diastolic blood pressure in an adolescent?

13 g/day

Which is the recommended protein intake for preschoolers?

green beans

"i do not like broccoli" which food would the nurse suggest to subsitute for broccoli?

serum sodium of 150 meq/L

WHICH LAB FINDING is a characterstic feature in a client with hypercortisolim?

the struggle for identity is typical

A 15-year-old with type 1 diabetes has a history of noncompliance with the therapy regimen. Which would be considered about the teenager's developmental stage before starting a counseling program?

oral anal oepidal latency genital

According to Freud's theory, in what order do the stages of child development occur?

a person wants to fulfill family expectation

According to Kohlberg's theory of moral development, which statement about conventional reasoning is true?

Good boy-nice girl orientation

According to Kohlberg's theory, which stage comes before the society- maintaining orientation stage?

a child is able to describe a process without actually doing it

According to Piaget's theory, which of these statements about the period of concrete operations is true?

preoperational

According to Piaget, which period describes a child's stage of egocentrism?

concrete thinking

According to the Piaget's theory, which behavior does a 9-year-old child show?

"School-aged children are inquisitive and ask a lot of questions about death."

An 8-year-old child has experienced the death of a sister. The child begins to ask many questions about what happens to the body after death. The parents wonder if this is abnormal behavior picked up from playing video games. Which is the best response by the nurse?

Encouraging her peers to visit

An adolescent girl is concerned about her body image after amputation of a leg for bone cancer. After the nurse has obtained the girl's consent, which action is most therapeutic?

It provides for equal but partial weight bearing on each limb.

The nurse is planning to teach the four-point alternate crutch gait to a 9-year-old child with cerebral palsy. How would the nurse explain this choice to the parents?

"The bone marrow is not controlling your child's white blood cell production as it should."

The parents of a child with recently diagnosed leukemia ask the nurse why their child has too many white blood cells. Which is the nurse's best response?

Discussing developmental behaviors of adolescents

The parents of an adolescent treated for allergies privately tell the nurse that they suspect that their child is a hypochondriac. Which therapeutic response would the nurse provide?

3 years 4 years

Which ages are the most critical for speech development during the preschool years? Select all that apply. One, some, or all responses may be correct.

moist sterile dressing

Which covering would the nurse use over the exposed area of an infant admitted with exstrophy of the bladder?

hormonal imbalance

Which factor influences acne in adolescent women the most?

1.0 ML

Which is the maximum volume of an intramuscular injection recommended for a preschool-aged child?

knows simple songs

Which language developmental milestone is seen in 4-year-olds?

promoting diuresis

Which nursing intervention would the nurse direct toward a child admitted for acute glomerulonephritis?

gown pair of gloves

Which protective equipment would the nurse use when caring for an infant admitted with gastroenteritis? Select all that apply. One, some, or all responses may be correct.

two hours after feedings

Which schedule would the nurse implement for a 3-month-old infant with cystic fibrosis who is to receive clapping, percussion, and postural drainage every 4 hours?

they can become concious of their size

Which statement is true regarding the development of body image in preschoolers?

inadequate antidiuretic hormone (ADH) secretion

a client is amditted with a head injury and has large amounts of clear, colorless urine drainage from urinary catheter. which physiological repsonse is possibly causing the increased urine output?

eliminate coffee, tea, and cola from the diet

a client is diagnosed with hyperthyroidism, and surgery is scheduled becasue the client refuses ablation therapy. while awaiting the surgical date, which instruction would the nurse teach the client?

bending over the waist

the diagnostic reports of a client who underwent....20 mm hg....whihc action made by the client is responsible for the reported ICP?

exercises that promote muscular activity

the nurse develops a teaching plan for a client with diabetes who has been diagnosed with lower extremity arterial disease (LEAD). Which measurws would the nurse include to increase arterial blood flow to the extremtiies?

1.) estradiol levels are increased during the menstrual cycle. 2.) This results in increased production and release of FSH. 3.) FSH further increases the level of estradiol till 4.) the death of the follicle occurred. 5) This death results in a drop of serum FSH.

in which order do the events of the positive feedback mechanism of estradiol chronologically occur?

reduce body temperature and heart rate

one week after beginning antithyroid medication for the treatment of hyperthyroidism, a client reports diarrhea, abdominal pain, and a fever. the client is admitted with a diagnosis of thyrotoxic ciris. which intervention is appropropriate to implement for this client?

confusion

a client is newly diagnosed with diabetes the nurse woulf instruct the cient to monitor foe which indication of hypogylcemia?

exercise improves the cellular uptake of glucose

a client newly diagnosed with type 1 diabetes asks why it is necessary to exercise on a regular basis. which response is accurate?

Cushing disease

a client presents wiht cheif complaints of unexplained weight gain and back pain from a compression fracture of the vertebrae. on assessment there is truncal obesity with execessively thin extremities a moon shaped face a buffalo hump thin hair and adult acen. the symptoms described are suggestive of which disease?

growth hormone

a client reports their lips feel thicker, and they have joint pain and coarse facial features. the nurse would suspect an excessive secretion of which hormone?

less thryoid tissue is available to supply thyroid horomone after surgery

a client who had a subtotal thyroidectomy ask how hypothyroidsm may develop when the problem was hyperthyroidism. which would the nurse consider when forumlating a response?

hypercalcemia

a client with a parathyroid disorder reports nausea.....which electrolyte disturbance would be responsible for the clinical manifesations?

remain elevated

before having surgery a client with type 1 diabetes insulin requirements are elevated but well controlled which insulin requirements would the nurse antiipate for this client postoperatively?

hypertension and moon face

which pshycail symptoms would a client diagnosed with cushings syndrome exihibt?

esophageal pain may imitate the symptoms of a heart attack

which rationale explains why the nurse also monitors a client with a history of GERD for clinical manifestations of heart disease?

urine negative for ketones and positive glucose in the blood

which results would be expected when assessing the laboratory values of a client wiht type 2 diabetes?

cold, clammy skin

which sign or symptoms would the nurse expect to find on assessment of a client with a blood glucose of 55 mg/dL? SATA

hirutism round face buffalo hump

which signs would the nurse expect a client to exhibit wiht cushing syndrome? SATA

lability of mood

which symptoms would the nurse expect a client diagnosed with cushing syndrome to exhibit?

diminished pubic hair protrusion of eyeballs blood presure of 172/80

while assessing the health of a female client.....endocrine dysfunction....which findings suppoty the nurses suspciion? SATA

being 20 pounds overweight

while obtaining the clients healthy history which fsctor would the nurse identify that predisposes the client to type 2 diabetes?

HYPOKALEMIA

a client with DKA who is receiving intravenous fluids and insulin reports tingling and numbess.......the nurse identifies a U wave on the cardiac monitor....clinical fidnings?

frequent yeast infections

a client with diabetes mellitus who shows decreased glucose tolerance is at risk for which complications?

ketoacidosis

a client with type 1 diabetes has dry, got flsuhed skin, a fruity odor to breath and is having kussmaul respirations. which complication does the nurse suspect that the client is experiencing?

assess the clients blood glucose level

a client with type 1 diabetes recieves humulin r insulin in the morning. shortly before lunch the nurse identifies that the client is diaphoretic and trembling. which intervention is appropriate?

126 to 140 mg/dL

a client's fasting plasma glucose levels are being evaluated the nurse identifies that the client is consdiered to be diabetic if the results are within which range?

luteinizing hormone

a deficiency in which hormone causes breast atrophy in female clients?

Adrenocorticotropic hormone

a deficiency in which hormones reduces the growth of axillae and pubic hair in female clients?

excessive adolsterone and cortisone cause retention of sodium and loss of potassium

a rpimary health car eprovider prescribes a low sodium....cushing syndrome....client about the need to follow this det?

1. Extracellular fluid is decreased. 2. Plasma osmolarity is increased. 3. Osmoreceptors are activated 4. .Antidiuretic hormone (ADH) is released. 5. Water is reabsorbed from renal tubules.

in which order do the events of antidiuretic hormone secretion stimulated by plasma osmolarity occur?

obtain the clients vital signs

on the third postoperative day after a subtotal gastrectomy a client reports severe abdominal pain. the nurse palpates the abdoemn and determines rigidiity. which axtion would the nurse perform first?

antidiurectic hormone

the nurse administers vasopressin to a client and recalls that the medication is which type of hormone?

diaphoresis weight loss protruding eyes

the nurse identifies which clinical manifestations as being charactertistic of hyperthyroidism? SATA

refrain from alternative testing sites

the nurse is educating a client about managing hypoglycemia unawareness. which information would the nurse provide?

examine feet daily wear fitted shoes peform regular exercise

the nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. which interventions would the nurse include to decrease the risk of complications? SATA

hypotension

the nurse is providing postoperative cafre for a client 1 hour after an adrenalectomy maintenance steeoid therapy has not begun yet. the nurse would monitor the client for which complication?

tetany

which condition would the nurse expect the client to develop if their parathyroid glands have become damaged during a thyroidectomy?

drink plenty of water

which dietary instruction would be beneficial to a client who has undergone a hypophysectomy and has difficulty passing stools?

salad sliced chicken sandiwch gelatin

which dietary selections made by the client indicate understanding of previously taught dietary principles assoicated with having viral hepatits?

ketones as a result of rapid fat breakdown, causing acidosis

which element excessively accumulates in the blood to precipitate the signs and symptoms associated with diabetica coma?

asthma cancer chemotherapy organ transplantation

which exogenous conditions are responsible for increased cortisol secretion? SATA

retionopathy

which eye problem is the leading cause of blindness in clients with diabetes?

pancreas thyroid gland adrenal cortex

which glands secrete hormones that regulate metabolsim of carbohydrates, protiens, and fats?

a breakdown of fat stores for energy

which information would the nurse include in a teaching plan about what causes diabetic acidosis?

perform self-injection weekly

which information would the nurse provide to a client taking dulaglutide?

Take the oral hypoglycemic pill, drink warm fluids, and perform a serum glucose test before meals and at bedtime

which instruction woudl the nurse include in a teaching plan for a .......oral hypogylcemic......concerned about the need for special care at home if they develop the flu?

1. prime needle with 2 unita 2. use a 29 gauge insulin needle 3. give theinjection at 45 degrees 4. refrain from recapping 5. dial pen to deliver the unit dose

which instruction would the nurse provide to a 6'0, 160 pound client newly diagnosed with type 1 diabetes who wants to self administer injection with an insulin pen?

give supplemental doses of regular insulin

which intervention would the nurse implement for a client who has type 1 diabetes and has an elevated blood glucose?

adrenal adenoma

which is the most probable cause for conn syndrome in an adult client?

intestines

which is the target tissue for the parathyroid hormone?

potassium 2.9 meq/l

which laboratory value may indicate hyperfunction of the adrenal gland in a client?

HYPONATREMIA AND DECREASED URINE OUTPUT

which manifestations are exhibited with syndrome of inappropriate secretion of antidiuretic hormone (SIADH)?

Demeclocycline

which medication can cause diabetets insipidus?

clomiphene

which medication will the nurse administer to trigger ovulation?

tremors

which neurological manifestation is associated with hyperthyroidism?

administering fluid replacement

which nursing intervention is appropriate when a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome HHNS)?

respiratory rate

which parameter monitoring would be the nurse's priority while caring for a client with hypothyroidism?

sweating profusely

which parental description would the nurse recognize as characteristic of sleep terrors in a preschool-age child?