Endocrine

A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following actions should the nurse take? A. Administer IV hydrocortisone sodium B. Give oral spironolactone C. Infuse 1 unit of platelets D. Restrict daily fluid intake

A. Administer IV hydrocortisone sodium

A nurse is caring for a client who has pehochromocytoma. Which of the following actions should the nurse take? A. Elevate the HOB B. Palpate the client's abdomen C. Monitor the client for hypotension D. Check the client's urine specific gravity

A. Elevate the HOB

A nurse is providing discharge teaching for a client who has diabetes insipidus and has a new prescription for desmopressin nasal spray. Which of the following instructions should the nurse include in the teaching? A. Depress the pump once before using the nasal spray for the first time B. Blow your nose gently prior to using the nasal spray C. Administer the nasal spray while in a side-lying position D. Instill the medication four times per day

B. Blow your nose gently prior to using the nasal spray

A nurse is assessing a client who has diabetes mellitus and reports feeling anxious. Which of the following findings should the nurse expect if the client is hypoglycemic? A. Rapid, deep respirations B. Cool, clammy skin C. Abdominal cramping D. Orthostatic hypotension

B. Cool, clammy skin

A nurse is teaching a client about the ACTH simulation test. The nurse should explain that the purpose of this test is to assess for which of the following disorders? A. Diabetes insipidus B. Hyperthyroidism C. Pheochromocytoma D. Addison's disease

D. Addison's disease

A nurse is teaching a client who has DM. Which of the following should the nurse include as an expected finding of DKA? A. Decreased urine output B. Weight gain of 1 lb in 24 hours C. Rapid, shallow respirations D. BG levels above 300mg/dL

D. BG levels above 300mg/dL

A nurse is monitoring the laboratory values of a client who has DM and is taking insulin. Which of the following results indicates a therapeutic outcome of insulin therapy? A. Fasting BG 96mg/dL B. Postprandial BG 195mg/dL C. Casual BG 210 mg/dL D. Preprandial BG 60 mg/dL

A. Fasting BG 96mg/dL

A nurse is monitoring a client's status 24 hr after a total thyroidectomy. Which of the following findings should the nurse report to the provider? A. Laryngeal stridor B. Productive cough C. Pain with hyperextension of the neck D. Hoarse, weak voice

A. Laryngeal stridor

A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-term corticosteroid therapy. Which of the following should the nurse include? A. Osteoporosis B. Moon-shaped face C. Increased risk of infection D. Hearing loss E. Weight loss

A. Osteoporosis B. Moon-shaped face C. Increased risk of infection

A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the following findings indicates that the client is having a therapeutic response? A. Reduction of the effects of thyroid hormone on the heart B. Blockage of the release of thyroid hormone from the thyroid gland C. Increase in the heart's sensitivity to thyroid hormone D. Increase in the uptake of thyroid hormone by the thyroid gland

A. Reduction of the effects of thyroid hormone on the heart

A nurse is assessing a client who has SIADH. Which of the following findings should the nurse report to the provider? A. Sodium 110 mEq/L B. 2+ deep-tendon reflexes C. Potassium 3.7 mEq/L D. Urine specific gravity 1.025

A. Sodium 110 mEq/L (because they retain fluids, causing hyponatremia)

A nurse is developing a teaching plan for a client who had a thyroidectomy and takes a thyroid hormone replacement. Which of the following instructions should the nurse plan to include? A. Take this medication on an empty stomach B. Take this medication with an antacid C. Change position slowly while taking this medication D. Limit your fluid intake while taking this medication

A. Take this medication on an empty stomach

A nurse is reviewing lab values for a client who has DKA. Which of the following results should the nurse expect? A. pH 7.32, PaCO2 36mmHg, HCO3 14 mEq/L B. pH 7.38, PaCO2 55mmHg, HCO3 22 mEq/L C. pH 7.44, PaCO2 40mmHg, HCO3 24 mEq/L D. pH 7.50, PaCO2 42mmHg, HCO3 30 mEq/L

A. pH 7.32, PaCO2 36mmHg, HCO3 14 mEq/L

A nurse is assessing a client who has diabetes insipidus. The nurse should expect which of the following findings? A. Decreased HR B. Increased hematocrit C. High urine specific gravity D. Low BUN

B. Increased hematocrit

A nurse is planning teaching for a client who has T1DM. Which of the following instructions should the nurse include? A. Consume no more than 3 servings of alcohol per day B. Ingest alcohol with food to reduce alcohol-induced hypoglycemia C. Increase insulin dosage before planned exercise D. Rest for 3 days between periods of rigorous exercise

B. Ingest alcohol with food to reduce alcohol-induced hypoglycemia

A nurse is caring for a client who has DM and has developed peripheral neuropathy. Which of the following measures should the nurse recommend to prevent injuries to the client's feet? A. Examine the skin and feet weekly for alterations in skin integrity B. Monitor the temperature of bath water with a thermometer C. Shop for shoes early in the day D. Round the edges of toenails when trimming them

B. Monitor the temperature of bath water with a thermometer

A nurse is teaching a client about HbA1c testing. Which of the following statements should the nurse identify as an indication that the client understands the information about this test A. I need to fast after midnight the night before the test B. This test's result is a good indicator of my average BG levels C. A level of 8-10% suggests adequate BG control D. I will use my hemoglobin A1c level to adjust my daily insulin doses

B. This test's result is a good indicator of my average BG levels

A nurse is assessing a client who has adrenal insuffiency. Which of the following should the nurse expect? A. Moon face B. Weight gain C. Calcium 12.8 mg/dL D. Sodium 150 mEq/L

C. Calcium 12.8 mg/dL

A nurse is teaching a client who has DM about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include? A. Inject the insulin intramuscularly B. Shake the insulins vigorously prior to administration C. Draw up the insulins into separate syringes D. Expect the insulins to appear cloudy

C. Draw up the insulins into separate syringes

A nurse is assessing a client who has a new diagnosis of Cushing's disease. Which of the following findings should the nurse expect? A. Decreased blood pressure B. Weight loss C. Hirsutism D. Increased skin thickness

C. Hirsutism

A nurse is teaching a client who has T1DM about how to prevent complications during illness. Which of the following statements should the nurse identify as an indication that the client understands the teaching A. I should stop taking my insulin if I feel nauseous B. I will test my urine for protein when I start to feel ill C. I will call my doctor if my blood sugar is more than 250 mg/dL D. I should check my BG level every 8 hours

C. I will call my doctor if my blood sugar is more than 250 mg/dL

A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the following findings as an indication of hypocalcemia? A. Strong, bounding pulse B. Decreased bowel sounds C. Tingling and numbness of the hands and feet D. Diminished deep-tendon reflexes

C. Tingling and numbness of the hands and feet

A nurse is admitting a client who has hyperthyroidism. When assessing the client, the nurse should expect which of the following findings? A. Cold intolerance B. Lethargy C. Tremors D. Sunken eyes

C. Tremors

A nurse is caring for a client who is taking propylthiouracil. The nurse should identify that the client has met the treatment goals when she reports an increase in which of the following manifestations? A. Sweating B. Stools C. Weight D. Appetite

C. Weight

A nurse is caring for a client undergoing screening for primary Cushing's disease. The nurse should expect an elevation in which of the following laboratory findings? A. Lymphocyte count B. Potassium C. Calcium D. Glucose

D. Glucose

A home health nurse is assessing a client who requires lifelong hormone replacement therapy for the treatment of hypothyroidism. The client has not been taking his medication regularly. Which of the following findings would you expect?

D. Hypotension

A nurse in an outpatient clinic is teaching a client who has diabetic foot ulcer about foot care. Which of the following statements should the nurse identify as an indication that the client understands the teaching A. I will let my feet air dry after washing B. i will wear sandals to allow air to circulate around my feet C. I will buy OTC medicine to treat the calluses on my feet D. I will apply lotion to the dry areas of my feet, but not between my toes

D. I will apply lotion to the dry areas of my feet, but not between my toes

A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires a intranasal demopressin. Which of the following should the nurse include in the teaching plan? A. Drink at least 3L of fluid per day B. Weigh yourself weekly while wearing similar clothing at the same time of day C. Notify the provider of a weight loss of 1lb or more per week D. Report nocturia because it requires a dosage adjustment

D. Report nocturia because it requires a dosage adjustment

To screen a client for pheochromocytoma, a nurse schedules a vanillymandelic acid test. When teaching the client about this test, which of the following instructions should the nurse include? A. Start fasting at midnight prior to the day of the test B. Begin the 24 hour urine collection with the first morning urination C. Take low-dose aspirin for pain during the testing period D. Restrict coffee intake 2-3 days prior to the test

D. Restrict coffee intake 2-3 days prior to the test

A nurse is caring for a client who has T2DM and has HHS. Which of the following lab findings should the nurse expect? A. Serum pH of 7.23 B. BG 250 mg/dL C. BG 425 mg/dL D. Serum pH of 7.45

D. Serum pH of 7.45