endocrine system

Rotate the insulin injection sites systematically.

A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections . Which info should the nurse teach when carrying out plans for discharge?

"I should not exercise in the late afternoon."

A client with type 1 DM calls the nurse to report recurrent episodes of hypoglycemia. Which statement by the client indicates a correct understanding of NPH insulin and exercise?

1. Check the client's blood glucose level. 2. Give the client half a cup of fruit juice to drink. 3. Take the client's vital signs. 4. retest the client's blood glucose level. 5. Give the client a small snack of carbohydrate and protein. 6. Document the client's complaints, the actions taken, and the outcome.

A hospital client with type 1 DM received NPH and regular insulin 2 hours ago at 7:30 AM. The client calls the nurse and reports that he is feeling hungry, shaky, and weak. The client ate breakfast at 8:00 and is due to eat lunch at noon. List, in order of priority, the actions that the nurse would take.

Apply a moisturizing lotion to dry feet, but not between the toes.

A nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care. Which instruction should be included in the plan of care?

Graham crackers and warm milk

A nurse is caring for a client with pheochromocytoma. The client asks for a snack and something warm to drink. The appropriate choice for this client to meet nutritional needs would be which of the following?

The Vital Signs

A nurse is caring for a client with pheochromocytoma. the client is scheduled for an adrenalectomy. During the preoperative period, the priority nursing action would be to monitor:

Laryngeal Stridor

A nurse is caring for a postoperative parathyroidectomy client. Which of the following would require the nurse's immediate attention?

Polyuria

A nurse is monitoring a client who has been newly diagnosed with DM for sign of complications. Which of the following, if exhibited by the client, would indicate hyperglycemia and thus warrant physician notification?

Monitor blood glucose levels frequently.

A nurse is reinforcing instructions with a client with DM who is recovering from a diabetic ketoacidosis (DKA) regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize?

"I can eat foods that contain potassium."

A nurse is reviewing discharge teaching with a client who has Cushing's syndrome. Which statement by the client indicates that the instructions related to dietary management were understood?

"I need to buy some special dietetic foods"

A nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diabetic diet. Which statement made by the client indicates the need for further teaching?

Shakiness

A nurse reinforces teaching with a client with diabetes mellitus regarding differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stateing that glucose will be taken if which symptom develops?

Reassure the client that this is usually a temporary condition

After a thyroidectomy a client develops hoarseness and a weak voice, what action is appropiate?

Polydipsia

After several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse understands that which symptom is indicative of this disorder?

Plan of injection rotation

When a nurse notes that a client with type 1 DM has lipodystrophy on both upper thighs, what info should the nurse obtain from the client?

"I will notify my physician if my blood glucose level is > 250 mg/dL."

When the nurse is teaching a client who has been newly dignosed with type 1 DM, which statement by the client would indicate that teaching has been effective?

Monitor the client's BP.

Which nursing action would be appropriate to implement when a client has a diagnosis of pheochromocytoma?

maintain a patent airway

a client is admitted to the ER and a diagnosis of of myxedema coma is made. what nursing action would the nurse prepare to carry out initially?

Treat hypocalcemic tetany

a nurse is caring for a client after thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed to:

Tremors

which client complaint would alert the nurse to a possible hypoglycemic reaction?