Endocrine

Which sign would a nurse recognize as a complication of syndrome of inappropriate antidiuretic hormone

Neck vein distention

Which, finding with the nurse discover when obtaining the history of a client recently diagnosed with type one diabetes

Weight loss

Which postoperative instruction would a nurse stress when providing preoperative teaching for a client scheduled fora transsphenoidal hypophysectomy

You must avoid coughing, sneezing, and blowing your nose for several days after surgery

Which crucial instruction would be included by the nursing, doing preoperative, teaching for a client scheduled for a subtotal thyroid ectomy •You will need to live flat for 48 hours after surgery •You will not be able to swallow for the first 24 hours •You should not hyper extend your neck after surgery •You cannot get out of bed for the first 24 hours after surgery

You should not hyperextend your neck after surgery

A client suspected to have hyperpituitarism is undergoing a suppression test which laboratory value of growth hormone would indicate a positive result •3 •4 •6

6 ng/mL

A nurse is caring for a client with type one diabetes, and the healthcare provider prescribes, one tube of glucose gel which condition would require glucose gel administration in this client Diabetic acidosis Hyper insulin secretion Insulin induced hypoglycemia

Insulin induced hypoglycemia

A client with type one diabetes is transported via ambulance to the emergency department of the hospital. The client has dry hot flush skin and a fruity odor to the breath and is having kussmaul respirations which complication does the nurse suspect the client is experiencing. •Ketoacidosis •Hyperosmolar, non-ketotic coma •Hypoglycemic reaction

Ketoacidosis

The nurse is caring for a client diagnosed with Cushing syndrome, which finding will the nurse expect to find up upon assessment

Liability of mood

On the first day after a thyroid ectomy, a client tolerates a full liquid diet when the diet is progressed to a soft diet the next day, the client complains of a sore throat when swallowing how would the nurse respond

Administer prescribed analgesics before meals

Which complication would be a nursing priority to assess for during the early postoperative period after a subtotal thyroidectomy •Hemorrhage •Thyrotoxic crisis •Airway obstruction

Airway obstruction

Which manifestation with the nurse assess for in a client with hyperthyroidism

Amenorrhea, flushed appearance and short attention span

Which strategy may reduce risk of injury to the eye for a client with type two diabetes

Medication to control hypertension

Which drug acts as an abortibfacient and female clients

Mifepristone

Which action should the nurse include in the plan of care for a client after an episode of keto acidosis

Monitor for signs of hypoglycemia as a result of treatment

Which dietary strategies with the nurse include when teaching a client with hypoglycemia how to control the condition

Consume a low carbohydrate, high protein diet, and avoid fasting

Which treatment plan would the nurse expect for a client with dysphasia caused by acute thyroiditis?

Antibiotica

Which hormone would the nurse include when planning a teaching session for a client diagnosed with diabetes insipidus? •Insulin •Anti-diuretic hormone •Follicle, stimulating hormone

Antidiuretic hormone

Which assessment question with the nurse ask before providing oral hydration to a client diagnosed with adrenal cortical insufficiency

Are you feeling nauseated?

Daily Humulin or insulin has been prescribed for a client with type one diabetes the nurse administers the insulin at 8 AM. Which time would the nurse monitor for the client for a potential insulin reaction?

Before lunch

Which factor identified by a nurse obtaining health history predisposes a client to type two diabetes •Having diabetes insipidus •Eating low cholesterol foods •Being 20 pounds over weight •Drinking a daily alcoholic beverage

Being 20 pounds overweight

A nurse is caring for a client who has a 20 year history of type two diabetes which changes will the nurse assess for that are associated with a long history of diabetes •Blurry spotty or hazy vision •Arthritic changes in the hands •Hyperactive, knee and ankle jerk reflexes

Blurry spotty hazy vision

A nurse is caring for a client with diagnosis of a diabetic ketoacidosis which information should the nurse include when teaching the client about the causes of diabetic acidosis

Breakdown of fat stores for energy

A client with diabetes who is receiving long-term corticosteroid therapy is admitted to the hospital with leg ulcers which complication of this therapy with the nurse anticipate when assessing this client •Weight loss •Hypoglycemia •Decrease blood pressure •In adequate wound healing

Inadequate wound healing

Which clinical manifestation is indicative of the fluid and electrolyte imbalance associated with parathyroid ectomy

Muscle spasms

When taking blood pressure of a client who had a thyroid ectomy, the nurse identifies that the client is pale and has spasms of the hand the nurse notifies the healthcare provider which substance with the nurse expect the healthcare provider to prescribe

Calcium

After a surgical thyroidectomy, a client exhibits carpopedal spasm and some tremors. The client reports tingling in the fingers and around the mouth which medication with the nurse expect the primary healthcare provider to prescribe after being notified of the clients manifestation.

Calcium gluconate

A client with type one diabetes has an above the knee amputation because of severe lower extremity arterial disease, which action is the nurses primary responsibility two days after surgery when preparing for the client eat dinner

Checking the clients serum glucose level

The nurse is caring for a client who just returned after thyroidectomy, which action would be implemented during the first 24 hours after surgery when the nurse is concerned about thyroid storm

Checking vital signs every two hours after they stabilize

A client would take two diabetes, travel frequently and ask how to plan meals during trips, which response by the nurses appropriate

Choose the food you normally eat and follow your food and glucose monitoring plan wherever you are

A urine specimen is needed to test for the presence of ketones in a client who is diabetic which action with a nurse take when collecting the specimen from an indwelling urinary tract •Disconnect the catheter and drain the urine into a clean container •Clean the drainage valve and remove the urine from the catheter bag •Wipe the catheter with alcohol and drain the urine into a sterile test tube •Clamp the catheter, cleanse the port, and use a sterile syringe to remove urine

Clamp the catheter, cleanse support and use sterile syringe to remove urine

A nurse is caring for a client newly diagnosed with type one diabetes when the healthcare provider tries to regulate this client insulin regimen. The client experiences episodes of hypoglycemia and hyperglycemia and 15 g of a simple sugar is prescribed which rationale explains why a simple sugar is administered when a client experiences hypoglycemia.

Increases blood glucose levels

Which findings support a suspicion of diabetic ketoacidosis in a client

Deep respirations and acetone odor to the breath

Which instruction would the nurse give when discussing insulin administration with a client newly diagnosed with type one diabetes mellitus

Draw the different insulin into the syringe in the same prescription every time

Which hormonal deficiency causes breast, atrophy, in female clients

Estrogen

The nurse is formulating a teaching plan for a client recently diagnosed with type two diabetes, which intervention with the nurse include to decrease the risk for complications

Examining the feet daily, wearing well, fitting shoes and performing regular exercise

A client newly diagnosed with type one diabetes is top tech exercise on a regular basis, which rationale forms the basis for this teaching

Exercise improves the cellular uptake of glucose

During a home visit to a client, the nurse identifies tremors of the hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping and feeling as if the collars of shirts are getting tight which assessment finding would concern the nurse and require urgent reporting to the provider.

Fluttering in the chest

Which hormone is secreted by the pancreas •glucagon •thymosin •melatonin

Glucagon

A client is diagnosed with Cushing syndrome, which manifestation with the nurse expect to increase in a client with Cushing syndrome

Glucose level

The nurse is caring for a client with poorly controlled type one diabetes which laboratory test. Would the nurse expect the primary healthcare provider to prescribe that will reveal the effectiveness of the diabetic regimen overtime

Glycosylated hemoglobin

For which complication would the nurse use Chevostik sign and trousers sign to assess during the first 72 hours after a client has had a thyroid ectomy •Hypokalemia •Hypocalcemia •Hyperkalemia, or •hypercalcemia

Hypocalcemia

Postoperatively a client who had a thyroid ectomy complains of tingling and numbness of the fingers and toes and the nurse observes muscle twitching, which complication would the nurse suspect the client is experiencing

Hypocalcemia

Which condition would the nurse suspect when a health assessment reveals a positive Chevostik sign and a client?

Hypocalcemia

A client newly diagnosed with diabetes arrives at the emergency department, complaining of dizziness and weakness. The client spouse reports that the client has been confused since this morning the spouse reports that the client administered the morning dose of 10 units of regular insulin and 25 units of NPH insulin with difficulty and did not eat much breakfast. Which condition does the nurse identify the likely cause of the client signs and symptoms?

Hypoglycemia

A client with type one diabetes receives 30 units of Humulin N insulin at 7 AM. at 3:30 PM. The client becomes diaphoretic weak and pale which process does the nurse suspect has caused these responses •Diabetic coma •Somogyi effect •Diabetic keto acidosis •Hypoglycemic reaction

Hypoglycemic reaction

The nurse is providing dietary teaching to a client with diabetes, which statement made by the client indicates understanding of learned material

My meals can be planned around a wide variety of commonly used foods

Which statement mean by a 28-year-old client recently diagnosed with type one diabetes indicates that further education is necessary regarding the teaching plan •I will need to have my eyes and vision examine once a year •I can improve metabolic and cardiac risk factors of this disease, if I follow a low calorie diet and lose weight •Once I reach my target weight, there is a good chance that I can switch to oral insulin to control my blood sugar

Once i reach my target weight there is a good chance i can switch to oral insulin to control my blood sugar

Which response would a nurse give to a client with type one diabetes mitis to ask should I take an oral anti-diabetic medication instead of the prescribed insulin

Oral anti-diabetic medication's only work for type two diabetes

During a routine, examination and enlarged thyroid gland is discovered in hyperthyroidism is expected, which finding with the nurse expect to identify when completing a nursing mission, history, and physical for this client

Palpitations and tachycardia

A client scheduled for a adrenal ectomy which prescription will the nurse expect to find in the clients plan of care

Parental steroids

Which hormone level test is likely to be ordered by the healthcare provider for a client with a suspected pituitary adenoma, who reports amenorrhea Galactorrhra, headache and vision loss

Prolactin

The client was a head injury has been receiving, dexamethasone the healthcare provider plans to reduce the dosage gradually and continue a lower maintenance dosage which affect associated with the gradual dosage reduction of the drug with the nurse explain to the client

Promotes return of cortisone production by the adrenal glands

Which action would the nurse take when a client status post thyroid ectomy developed signs of thyroid storm

Provide cardiac medication

The nurse is providing postoperative care for a client after thyroidectomy which response with the nurse, assess the client for when concerned about the potential risk for thyroid, toxic crisis

Rapid heartbeat and tremors

When week after beginning anti-thyroid medication for hyper thyroidism, a client reports diarrhea, abdominal pain and fever. The client is admitted with a diagnosis of thyroid toxic crisis which intervention would be important to implement for this client.

Reducing body temperature and heart rate

Which outcome is the focus of treatment for a client with Addison disease? •Decrease in eosinophils •Increase in lymphoid tissue •Restoration of electrolyte balance •Improvement of carbohydrate metabolism

Restoration of electrolyte balance

Which intervention would a nurse perform when caring for a client with syndrome of inappropriate antidiuretic hormone?

Restricting fluids

Which action should a nurse teach the client to take to avoid Lipo dystrophy when self administering insulin therapy •Exercise regularly •Rotate injection site •Use the Z track technique •Avoid massaging the injection site

Rotate injection sites

The nurse recognizes that the type of goiter caused by an iodine deficiency, is now very rare in the United States, because of the addition of iodine to which food seasoning

Salt

The nurse is assessing a client with a suspected pituitary tumor, which assessment finding is consistent with a pituitary tumor

Seizures

A client understands that an increase in both vitamin E and beta keratin is important for healthier skin which foods are excellent sources of both, and would be included in teaching by the nurse

Spinach and mangoes

The client is scheduled to have a thyroidectomy for cancer of the thyroid, which specific instruction about postoperative care. Should the nurse provide during preoperative teaching

Support the head with the hands when changing position

Which instruction would a nurse give when administering glipizide to a client with type two diabetes, and the latest experiencing difficulty controlling blood glucose levels

Take the glipizide twice each day 30 minutes before meals

Which goal in the nursing care plan with the nurse expect for a client experiencing lethargy and headaches from Addison disease

The client will have a normal serum sodium within 24 hours

Which information would the nurse include when teaching a client newly diagnosed with type one diabetes mellitus

The client will need less insulin when exercising or reducing food intake

A client would type two diabetes as admitted for elective surgery the healthcare provider prescribes, regular insulin. Even the oral antidiabetics were adequate before the clients hospitalization which rationale does the nurse conclude as the reason that regular insulin was prescribed.

The dosage can be adjusted to changing needs during recovery from surgery

Which statement would the nurse make to a client with type one diabetes mellitus who has a greatly increased glycosylated hemoglobin •Your insulin dosage needs to be increased significantly •You should have fasted for eight hours before this blood sugar test •The test tells us about your blood sugar control for the last three months •You haven't been following the diabetic diet that is prescribed for you

The test tells us about your blood sugar control for the last three months

Which peak action will the nurse explain when administering glargine to a diabetic client

There is no peak time for the drug

A client with cancer of the thyroid is scheduled for a thyroidectomy which facility would the nurse need to have available postoperatively •Tracheostomy set at the clients bedside •Large soft pillow for use under the clients head •Suction machine set on intermittent suction at the clients bedside

Tracheostomy set at the clients bedside

Which medication would the nurse anticipate being prescribed to treat a client with diabetes insipidus?

Vasopressin

Which local sign or symptom would the nurse expect to see when providing care for a client diagnosed with benign pituitary adenoma

Visual disturbances

The healthcare provider prescribes an oral hypoglycemic for the client with type two diabetes, which information will guide the nurse when developing the teaching plan •Oral hypoglycemic work by decreasing absorption of carbohydrates •Oral hypoglycemics work by stimulating the pancreas to produce insulin •Clients taking oral hypoglycemic may subconsciously relax, dietary rules to gain a sense of control

•Clients taking oral hypoglycemic may subconsciously relax, dietary rules to gain a sense of control