Endocrine System Adaptive Quizzing

The nurse is assessing a client who reports frequent urination. Which inquiry made by the nurse will help determine diabetes insipidus?

"Are you on lithium carbonate therapy?"

The nurse should monitor for which client complication of hyperparathyroidism?

Bone pain

A nurse is caring for a client with type 1 diabetes who developed ketoacidosis. Which laboratory value supports the presence of diabetic ketoacidosis?

Increased blood urea nitrogen levels

Which important intervention should the nurse include in the plan of care for a client with Addison disease?

Protecting the client from exertion

The nurse is giving discharge teaching to a client with diabetes who has had a hypophysectomy. Which statement made by the client indicates that further teaching is necessary?

"My insulin dose will need to be increased from now on."

A client with type 2 diabetes travels frequently and asks how to plan meals during trips. What is the nurse's best response?

"Choose the foods you normally do and follow your food plan wherever you are."

After assessing a client's condition, the nurse suspects that the client has diabetes mellitus. Which statement made by the client would be most appropriate in helping the nurse reach this conclusion? Select all that apply.

"I am 55 years old." "I quite often feel thirsty." "I eat food every 2 hours."

A client who is to begin continuous ambulatory peritoneal dialysis asks the nurse what this entails. What information should the nurse include when answering the client's question?

Constant contact is maintained between the dialysate and the peritoneal membrane.

What should the nurse do when collecting a 24-hour urine specimen?

Check to verify whether a preservative is needed

Which clients are likely to have dysfunction of the parathyroid gland? Select all that apply.

Client 2 Client 4

The nurse is reviewing the laboratory reports of four clients. Which client is likely to have hyperfunction of the adrenal gland?

Client 3

A nurse reviews the medication charts of four clients. Which medication prescription will cause the nurse to notify the primary healthcare provider?

Client A

The nurse reviews the thyroid profiles of four clients. Which client's finding indicates the possibility of a thyroid tumor?

Client B

A nurse is reviewing laboratory test results from several clients. Which client requires a colonoscopy screening every 3 years based on the given data?

Client C

A client is taught how to recognize indications of a hypoglycemic reaction. Which signs and symptoms identified by the client indicate to the nurse that the teaching was effective? Select all that apply.

Fatigue Weakness Nervousness Increased perspiration

A nurse is assessing a client with a diagnosis of hypoglycemia. What clinical manifestations support this diagnosis? Select all that apply.

Palpitations Diaphoresis Slurred speech

In anticipation of a client returning to their room following a subtotal thyroidectomy, what intervention would be highest priority for the nurse to perform?

Place a tracheostomy set at the bedside.

What is the cause of Sheehan's syndrome?

Postpartum hemorrhage

What interventions should the nurse implement in caring for a client with diabetes insipidus (DI) following a head injury? Select all that apply.

Providing adequate fluids within easy reach Assessing for and reporting changes in neurological status Monitoring for constipation, weight loss, hypotension, and tachycardia

A nurse is developing a discharge plan for a client hospitalized with severe cirrhosis of the liver. What should be included in this plan?

The importance of reporting personality changes to the primary healthcare provider

The nurse is caring for a client who is prescribed desmopressin acetate. What is the expected outcome in the client?

Urine output: 3 L/day

The nurse is teaching a client with decreased ovarian production of estrogen due to menopause about self-management and prevention of complications. Which actions performed by the client would help to reduce the complications? Select all that apply.

Walking for 30 minutes per day Performing weight-bearing activities Urinating immediately after sexual intercourse

A client is admitted with a diagnosis of Cushing syndrome. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply.

Weakness Hypertension Truncal obesity

Which is the best advice the nurse can give regarding foot care to a client diagnosed with diabetes?

Wear synthetic fiber socks when exercising

What clinical indicators should a nurse assess when caring for a client with hyperthyroidism? Select all that apply.

Weight loss Tachycardia Restlessness Exophthalmos

A client has been on a hunger strike for 5 days. Which hormones are providing glucose as energy through catabolism? Select all that apply.

Cortisol Glucagon

A client who has hypofunction of the adrenal gland is prescribed oral hydrocortisone. Which clinical finding indicates the need for dosage adjustment in the client? Select all that apply.

Fluid retention Rapid weight gain

A nurse is caring for a client newly admitted with a diagnosis of pheochromocytoma. Which clinical findings does the nurse expect when assessing this client? Select all that apply.

Headache Palpitations Diaphoresis

The nurse is caring for a client with nephrogenic diabetes insipidus who is prescribed a low-sodium diet and chlorothiazide therapy. The client fails to respond to the therapy. Which alternative treatment should the nurse be prepared to administer?

Indomethacin

What is the most important test the nurse should check to determine whether a transplanted kidney is functioning?

Serum creatinine level

Which assessment finding is characteristic of a client with hypoparathyroidism?

Serum phosphorus of 5 mg/dL (1.61 mmol/L); serum magnesium of 0.9 mEq/L (0.9 mmol/L)

The nurse teaches a client about cortisone therapy. Which statements made by the client indicate the need for further teaching? Select all that apply.

"I should take three tablets at a time." "I should take the tablet twice a week." "I should take the tablet on an empty stomach."

Which health problem is most likely to precipitate acute hypoglycemia in a client?

Liver disease

The nurse is caring for an older client admitted to the hospital with type 2 diabetes. What is important for the nurse to remember about older adults and type 2 diabetes?

Older adults seldom develop ketoacidosis.

The nurse provides instructions to a client who is prescribed bromocriptine for hyperpituitarism. Which statement made by the client indicates effective learning? Select all that apply.

"I should take the drug with a meal." "I should avoid the drug if I get pregnant." "I should report immediately if I experience chest pain."

A registered nurse is providing information to a group of student nurses regarding the actions of parathyroid hormone (PTH). Which statement made by the student nurse indicates a need for further teaching? Select all that apply.

"It allows reabsorption of phosphorus in the kidney tubules." "It decreases serum calcium levels by increasing bone resorption."

An obese client with type 2 diabetes asks about the intake of alcohol or special "dietetic" food in the diet. What should the nurse include in teaching?

Alcohol can be consumed, with its calories counted in the diet.

The laboratory reports of a client reveal selective hypopituitarism related to growth hormone (GH). What other findings does the nurse anticipate in the client? Select all that apply.

Decreased muscle strength Increased serum cholesterol

The registered nurse is teaching the student nurse how to care for a client with hyperpituitarism who is being treated with bromocriptine mesylate. Which statement made by the student nurse indicates effective learning?

Low dose of the drug should be given while initiating therapy.

The nurse is assessing a client with hyperthyroidism. Which signs and symptoms might the nurse identify when assessing the client? Select all that apply.

Menstrual irregularities Flushed appearance Short attention span

A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? Select all that apply .

Nausea and vomiting Increased weight Decreased serum sodium Decreased level of consciousness

The nurse is teaching a student nurse about caring for a client with decreased bone density. Which statements made by the student nurse indicates effective learning? Select all that apply.

"I will instruct the client to be very careful to prevent injuries." "I will instruct the client to perform weight-bearing activities."

The nurse is teaching a diabetic client about the advantages of using an insulin pump. What information should the nurse include? Select all that apply.

It can improve A1C levels. Clients may be able to exercise without eating more carbohydrates.

A nurse is caring for a client with a suspected endocrine tumor that presents with hypertension. Which study will the nurse prepare to monitor that best screens for this condition?

Metanephrine

The nurse evaluates the statements of a client after teaching about hydrocortisone therapy. Which statement made by the client indicates effective learning?

"I should report if there is swelling in the hands or legs."

The nurse is caring for a client who reports sweating, tachycardia, and tremors. The laboratory report of the client reveals serum cortisol below normal and a blood glucose level of 60 mg/dL. What is the primary care to be provided to the client?

Administer glucagon

A client with severe diabetes insipidus is receiving desmopressin acetate, which is administered intranasally in a metered spray. During the follow-up visits, the client reports chest tightness to the primary healthcare provider. Which intervention would effectively reduce complications in the client? Select all that apply.

Administration of desmopressin acetate orally Administration of desmopressin acetate subcutaneously

The nurse is caring for a client who had a thyroidectomy. Which symptoms will the client exhibit if having a thyrotoxic crisis?

An increased temperature and pulse rate

The registered nurse is caring for a client hospitalized with syndrome of inappropriate antidiuretic hormone. Which action performed by the nurse may result in a positive outcome of the treatment?

Changing the position of the client frequently