Endocrine ATI Targeted Assessment

The purpose for an adrenocorticotropic hormone (ACTH) simulation test

Addison's disease (Results in absent or very low cortisol response)

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?

Administer IV hydrocortisone sodium

Teaching a client with DM expected findings of DKA

Blood glucose level above 300 mg/dL

Instructions for insulin glargine and regular insulin.

Draw up the insulins into separate syringes

Caring for pheochromocytoma

Elevate the head of the clients bed. (reduces BP and abdominal pressure)

Therapeutic outcome with client who has DM and is taking insulin

Fasting blood glucose 96 mg/dL

Expected lab elevation for primary cushions disease

Glucose

Expected finding w/ newly diagnosed Cushing's disease

Hirsutism

Teaching a client with diabetic foot ulcer about foot care

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

Preventing complications during illness with type one diabetes Mellitus patient

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

Teaching type one diabetes mellitus

Ingest alcohol with food to reduce alcohol induced hypoglycemia

Findings to report after a total thyroidectomy

Laryngeal stridor

To prevent injuries to the clients feet with DM and peripheral neuropathy

Monitor the temperature of bathwater with a thermometer

Effects of long-term corticosteroid therapy with autoimmune disease

Osteoporosis, moon shaped face, increased risk of infection

Therapeutic response to propranolol IV bolus during a thyroid storm

Reduction of the effects of thyroid hormone on heart

Include in teaching a client with diabetes insipidus and requires intranasal desmopressin

Report nocturia because it requires a dosage adjustment

Teaching about vanillylmandelic acid test for a patient with pheochromocytoma

Restrict coffee intake 2 to 3 days prior to the test

Expected lab findings for Type 2 DM and hyperglycemic hyperosmolar state (HHS)

Serum pH of 7.45 (glucose levels will be above 600 mg/dL)

Finding to report in a client who has SIADH

Sodium 110 mEq/L

Expected finding with untreated hypothyroidism

hypotension

Expected findings with diabetes insipidus

increased hematocrit

Expected lab in DKA

pH 7.32, PaC02 36 mmHg, HCO3 14 mEq/L

Expected finding when assessing a client with hyperthyroidism

Tremors

Instructions for a new prescription of desmopressin nasal spray

Blow your nose gently prior to using the nasal spray

Expected finding with adrenal insufficiency

Calcium 12.8 mg/dL

Expected findings with anxious hypoglycemic patient

Cool, clammy skin

Teaching plan for a client with a thyroidectomy who is taking thyroid hormone replacement

Take this medication on an empty stomach

Glycosylated hemoglobin (HB A1 C) test

This test is a good indicator of my average blood glucose levels

Indication of hypocalcemia in a patient following a thyroidectomy

Tingling and numbness of the hands and feet

A client taking propylthiouracil should see an increase in

Weight