Endocrine System SATA

The nurse is planning discharge instructions for a client who had a thyroidectomy. For which signs of surgically induced hypothyroidism should the nurse alert the client? Select all that apply. 1 Fatigue 2 Dry skin 3 Insomnia 4 Excitability 5 Weight loss 6 Intolerance to heat

1 Fatigue 2 Dry skin

What clinical indicators should a nurse expect when assessing a client with hyperthyroidism? Select all that apply. 1 Dry skin 2 Weight loss 3 Tachycardia 4 Restlessness 5 Constipation 6 Exophthalmos

2 Weight loss 3 Tachycardia 4 Restlessness 6 Exophthalmos

The nurse is assessing a client with hyperthyroidism. For which signs and symptoms should the nurse assess the client? Select all that apply

Amenorrhea Flushed appearance Short attention span

The nurse is caring for a client with type 1 diabetes. For which signs or symptoms of insulin reaction should the nurse particularly be observant? Select all that apply.

Headache Diaphoresis

A client is taking an antithyroid medication for hyperthyroidism. The nurse provides education about serious health problems that may develop if the medication is not effective and tachycardia continues. The nurse instructs the client to seek medical attention immediately if any of the problems occur. Which should be included in the teaching? Select all that apply.

- weight gain - pedal edema

A client with the diagnosis of Cushing syndrome has the following laboratory results: Na (sodium) 149 mEq/L; K (potassium) 3.2 mEq/L; Hb (hemoglobin) 17 g/dL; and glucose 90 mg/dL. What should the nurse teach the client? Select all that apply. 1 Avoid foods high in salt. 2 Restrict your fluid intake. 3 Eat foods high in potassium. 4 Limit your carbohydrate intake. 5 Continue your regular diet as before

1 Avoid foods high in salt. 3 Eat foods high in potassium.

The nurse is assessing a client with hyperthyroidism. Which clinical indicators are consistent with this diagnosis? Select all that apply. 1 Emotional lability 2 Dyspnea on exertion 3 Abdominal distension 4 Decreased bowel sounds 5 Hyperactive deep tendon reflexes

1 Emotional lability 2 Dyspnea on exertion 5 Hyperactive deep tendon reflexes

A nurse is caring for a client after a thyroidectomy. For which signs of thyroid storm should the client be monitored? Select all that apply. 1 Increased heart rate 2 Increased temperature 3 Decreased respirations 4 Increased pulse deficit 5 Decreased blood pressure

1 Increased heart rate 2 Increased temperature

The nurse is assessing a client admitted to the hospital with a tentative diagnosis of an adrenal cortex tumor. When assessing the client, which of these are signs of Cushing disease? Select all that apply. 1. Round face 2. Dependent edema in the feet and ankles 3. Increased fatty deposition in the extremities 4. Thin, translucent skin with bruising 5. Increased fatty deposition in the neck and back

1. Round face 2. Dependent edema in the feet and ankles 4. Thin, translucent skin with bruising 5. Increased fatty deposition in the neck and back

A client has been taking levothyroxine (Synthroid) for hypothyroidism for three weeks. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? (Select all that apply.) 1. Tremors 2. Bradycardia 3. Somnolence 4. Heat intolerance 5. Decreased blood pressure

1. Tremors 4. Heat intolerance

The nurse is providing instructions about foot care for a client with diabetes mellitus. What should the nurse include in the instructions? Select all that apply. 1. Wear shoes when out of bed. 2. Soak the feet in warm water daily. 3. Dry between the toes after bathing. 4. Remove corns as soon as they appear. 5. Use a heating pad when the feet feel cold

1. Wear shoes when out of bed. 3. Dry between the toes after bathing.

A nurse is assessing a client with hypothyroidism. Which clinical manifestations should the nurse expect the client to exhibit? (Select all that apply.) 1.Cool skin 2.Photophobia 3.Constipation 4.Periorbital edema 5.Decreased appetite

1.Cool skin 3.Constipation 4.Periorbital edema 5.Decreased appetite

A nurse is assessing a client with a diagnosis of hypoglycemia, What clinical manifestations support this diagnosis? (Select all that apply) 1. Thirst 2. Palpitations 3. Diaphoresis 4. Slurred speech 5. Hyperventilation

2. Palpitations 3. Diaphoresis 4. Slurred speech

During a routine examination, an enlarged thyroid gland is discovered in a client, and hyperthyroidism is suspected. What clinical findings should the nurse expect to identify when completing a nursing admission history and physical for this client? A. Palpitations B. Tachycardia C. Thickened skin D. Apathetic attitude E. Missed menstrual periods

A. Palpitations B. Tachycardia E. Missed menstrual periods

A nurse is caring for a client with a diagnosis of Cushing syndrome. Which clinical manifestations does the nurse expect to identify? A. Polyuria B. Truncal obesity C. Hypotension D. Sleep disturbance E. Thin arms and legs

B. Truncal obesity D. Sleep disturbance E. Thin arms and legs

Which physiological responses should a nurse expect when assessing a client with hyperthyroidism? Select all that apply

Blurred vision Increased appetite Widened pulse pressure

A nurse is collecting information about a client with type 1 diabetes who is being admitted because of diabetic ketoacidotic coma. Which factors can predispose a client to this condition? Select all that apply. A. Taking too much insulin B. Getting too much exercise C. Excessive emotional stress D. Running fever with the flu E. Eating fewer calories than prescribed

C. Excessive emotional stress D. Running fever with the flu

A nurse is caring for an older client who had non-insulin dependent diabetes for 15 years that progressed to insulin-dependent diabetes 2 years ago. What common complications of diabetes should the nurse assess for when examining this client? Select all that apply

Leg ulcers Loss of visual acuity Prolonged capillary refill in the toes Decreased sensation in the lower extremities

The nurse provides care to the client with diabetes insipidus (DI) following head injury by: 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 client is admitted with a diagnosis of Cushing syndrome. For which clinical manifestations should the nurse observe when assessing this client? Select all that apply.

Weakness Hypertension Truncal obesity

A client's laboratory values demonstrate an increased serum calcium level, and further diagnostic tests reveal hyperparathyroidism. For what clinical manifestations should the nurse assess this client? (Select all that apply.) a. Muscle tremors b. Abdominal cramps c. Increased peristalsis d. Cardiac dysrhythmias e. Hypoactive bowel sounds

d. Cardiac dysrhythmias e. Hypoactive bowel sounds

A nurse is assessing a client with Cushing syndrome. Which signs should the nurse expect the client to exhibit? Select all that apply.

Hirsutism Round face Buffalo hump

While assessing a client during a routine examination, a nurse in the clinic identifies signs and symptoms of hyperthyroidism. Which signs are characteristic of hyperthyroidism? Select all that apply. 1. Diaphoresis 2. Weight loss 3. Constipation 4. Protruding eyes 5. Cold intolerance

1. Diaphoresis 2. Weight loss 4. Protruding eyes

A client with a primary brain tumor has developed a syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment? Select all that apply. 1. Nausea and vomiting. 2. Hyperthermia. 3. Bradycardia. 4. Increased weight 5. Decreased serum sodium. 6. Decreased level of consciousness.

1. Nausea and vomiting. 4. Increased weight 5. Decreased serum sodium. 6. Decreased level of consciousness.

The nurse provides education related to manifestations of hyperglycemia to a client with type 1 diabetes. Which signs and symptoms identified by the client indicate that the teaching was effective? (Select all that apply.) 1. Thirst 2. Headache 3. Nervousness 4. Fruity breath odor 5. Excessive urination

1. Thirst 4. Fruity breath odor 5. Excessive urination

Which clinical findings should the nurse expect when assessing a client with hyperthyroidism? Select all that apply. 1 Lethargy 2 Tachycardia 3 Weight gain 4 Constipation 5 Exophthalmos

2 Tachycardia 5 Exophthalmos

After surgical clipping of a cerebral aneurysm, the client develops the syndrome of inappropriate secretion of antidiuretic hormone (ADH). For which manifestations of excessive levels of ADH should the nurse assess the client? Select all that apply. 1 Polyuria 2 Weight gain 3 Hypotension 4 Hyponatremia 5 Decreased specific gravity

2 Weight gain 4 Hyponatremia

A nurse is caring for a client with an under-active thyroid gland. Which responses should the nurse expect the client to exhibit as a result of decreased levels of triiodothyronine (T3) and thyroxine (T4)? Select all that apply. 1. Irritability 2. Tachycardia 3. Weight gain 4. Cold intolerance 5. Profuse diaphoresis

3. Weight gain 4. Cold intolerance

A nurse is caring for a client admitted to the hospital for diabetic ketoacidosis. Which clinical findings related to this event should the nurse document in the client's clinical record? (Select all that apply.) 1Sweating 2Retinopathy 3Acetone breath 4Increased arterial bicarbonate level 5Decreased arterial carbon dioxide level

3Acetone breath 5Decreased arterial carbon dioxide level

Aspirin is prescribed for a client with rheumatoid arthritis. Which clinical indicators of aspirin toxicity should the nurse teach the client to report? Select all that apply. 1Nausea 2Joint pain 3Blood in the stool 4Ringing in the ears 5Increased urine output

3Blood in the stool 4Ringing in the ears

A nurse is caring for a client with a tentative diagnosis of pheochromocytoma who is receiving chlorpromazine (Thorazine). A 24-hour urine specimen to assess the presence of vanillylmandelic acid (VMA) is prescribed to assist in the confirmation of the diagnosis. What information should the nurse include in the client teaching regarding this test? Select all that apply. 1 The client may take chlorpromazine during the test. 2 Encourage the client to engage in usual activities during the test. 3 Only salicylates (aspirin) can be taken for discomfort during the test. 4 All urine excreted over the 24-hour period must be saved and refrigerated. 5 Avoid coffee, chocolate, and citrus fruit for three days before and during the test.

4 All urine excreted over the 24-hour period must be saved and refrigerated. 5 Avoid coffee, chocolate, and citrus fruit for three days before and during the test.

A nurse, caring for a client with uncontrolled diabetes, suspects that a client is experiencing hypoglycemia in response to insulin administration. What clinical manifestations lead the nurse to this conclusion? Select all that apply. A) headache B) confusion C) extreme thirst D) profuse sweating E) increased urination

A) headache B) confusion D) profuse sweating

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.) 1. Fatigue 2. Nausea 3. Weakness 4. Nervousness 5. Increased thirst 6. Increased perspiration

Fatigue Weakness Nervousness Increased perspiration

A client is diagnosed with hyperthyroidism and is treated with 131I. Before discharge the nurse teaches the client to observe for signs and symptoms of therapy-induced hypothyroidism. Which signs and symptoms should be included in the teaching? SATA

Fatigue, Dry skin, Progressive weight gain

The nurse provides postoperative care to the client following subtotal thyroidectomy by: Select all that apply

Assessing for frequent swallowing. Ambulating the client the evening of surgery. Assessing for facial spasms, apprehension, or tingling of the lips, fingers, or toes. Ensuring that oxygen, suction equipment, and a tracheostomy tray are at the bedside.

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.)

Can improve A1c levels Clients can exercise without eating more carbohydrates

A nurse is assessing a female client with Cushing syndrome. Which clinical findings can the nurse expect to identify? Select all that apply

Hirsutism Buffalo hump

Which clinical findings should the nurse expect when assessing a client with hyperthyroidism? Select all that apply.

Diarrhea Weight loss

A nurse is assessing a client with a diagnosis of hypothyroidism. Which clinical manifestations should the nurse expect when assessing this client? Select all that apply

Dry skin Brittle hair

Fludrocortisone (Florinef) is prescribed for a client with adrenal insufficiency. Which responses to the medication should the nurse teach the client to report? Select all that apply.

Edema Rapid weight gain

A nurse is formulating a teaching plan for client recently diagnosed with type two diabetes. What interventions should the nurse include that will decrease the risk of complications? select all that apply

Examining the feet daily Wearing well-fitting shoes Performing regular exercise

A nurse is assessing a client with a dx of diabetes insipidus. for which signs indicative of diabetes insipidus should the nurse assess the client? SATA a. excessive thirst b. increased blood glucose c. dry mucous membranes d. increased blood pressure e. decreased serum osmolarity f. decreased urine specific gravity

Excessive thirst Dry mucous membranes Decreased urine specific gravity

A client with Addisonian crisis exhibits severe manifestations of glucocorticoid and mineralocorticoid deficiencies. Which responses should the nurse expect the client to exhibit? Select all that apply

Hyperkalemia Hyponatremia Postural hypotension

A client with a diagnosis of acquired immunodeficiency syndrome (AIDS) has a protozoal infection and is receiving pentamidine. The nurse should monitor the client for which common side effects? Select all that apply.

Hypoglycemia Decreased blood pressure

Which clinical indicators can the nurse expect when assessing a client with Cushing syndrome? Select all that apply.

Lability of mood Slow wound healing

A nurse is caring for a client who is receiving total parenteral nutrition. Which responses indicate that the client is experiencing hyperglycemia? (Select all that apply.)

Polyuria Polydipsia

The nurse provides care to the client with syndrome of inappropriate antidiuretic hormone (SIADH) by: Select all that apply.

Providing frequent oral care. Instituting fall risk precautions. Monitoring for and reporting neurologic changes.

A client, visiting the health center, reports feeling nervous, irritable, and extremely tired. The client says to the nurse, "Although I eat a lot of food, I have frequent bouts of diarrhea and am losing weight." The nurse observes a fine hand tremor, an exaggerated reaction to external stimuli, and a wide-eyed expression. What laboratory tests may be prescribed to determine the cause of these signs and symptoms?

T3, T4, and thyroid-stimulating hormone (TSH)

A client is diagnosed with hyperthyroidism and is experiencing exophthalmia. Which measures should the nurse include when teaching this client how to manage the discomfort associated with exophthalmia? Select all that apply.

Use tinted glasses. Elevate the head of the bed 45 degrees. Tape eyelids shut at night if they do not close.

A client on prolonged cortisone therapy for adrenal insufficiency is being discharged. Which side effects should the nurse teach the client and family to expect? Select all that apply.

Weakness moon face weight gain

The nurse is providing care for a client with small-cell carcinoma of the lung who develops the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). What clinical findings correspond with the secretion of antidiuretic hormone (ADH)? SATA a. Edema b. Polyuria c. Bradycardia d. Hypotension e. Hyponatremia

a. Edema e. Hyponatremia

A client with hyperthyroidism is being treated with propylthiouracil (PTU). What instruction should the nurse plan to include in the teaching plan regarding this drug? Select all that apply.

"Avoid abrupt discontinuation of the medication. " Monitor your weight, pulse, and mood routinely." "Report side effects, such as sore throat, fever, joint pain, or oral lesions."

A client with small cell carcinoma of the lung develops the syndrome of inappropriate antidiuretic hormone (SIADH). What signs should the nurse expect to observe? Select all that apply 1)Oliguria. 2)Seizures. 3)Vomiting 4)Polydipsia. 5)Polyphagia.

1)Oliguria. 2)Seizures. 3)Vomiting

Before a client's discharge after a thyroidectomy, the nurse teaches the client to observe for signs of surgically induced hypothyroidism. What clinical indicators identified by the client provide evidence that the nurse's instructions are understood? (Select all that apply.) 1.Fatigue 2.Dry skin 3.Insomnia 4.Intolerance to heat 5.Progressive weight loss

1.Fatigue 2.Dry skin

A nurse concludes that a client has a hypoglycemic reaction to insulin. Which clinical findings support this conclusion? (Select all that apply.) 1.Irritability 2.Glycosuria 3.Dry, hot skin 4.Heart palpitations 5.Fruity odor of breath

1.Irritability 4.Heart palpitations

After assessing a client, a nurse concludes that the client may be experiencing hyperglycemia. Which clinical findings commonly associated with hyperglycemia support the nurse's conclusion? (Select all that apply.) 1.Polyuria 2.Polydipsia 3.Polyphagia 4.Polyphrasia 5.Polydysplasia

1.Polyuria 2.Polydipsia 3.Polyphagia

A nurse is assessing a client with diabetic ketoacidosis. Which clinical manifestations should the nurse expect? (Select all that apply.) 1Dry skin 2Abdominal pain 3Kussmaul respirations 4Absence of ketones in the urine 5Blood glucose level of less than 100 mg/dL

1Dry skin 2Abdominal pain 3Kussmaul respirations

A nurse is caring for a client who has had type 1 diabetes for 25 years. The client states, "I have been really bad for the last 15 years. I have not paid attention to my diet and have done little to control my diabetes." What signs of common complications of diabetes might the nurse expect to identify when assessing this client? (Select all that apply.) 1.Leg ulcers 2.Loss of visual acuity 3.Thick, yellow toenails 4.Increased growth of body hair 5.Decreased sensation in the feet

1.Leg ulcers 2.Loss of visual acuity 3.Thick, yellow toenails 5.Decreased sensation in the feet

A nurse mixes a short-acting and an intermediate-acting insulin in the same syringe to administer to a client with diabetes. List the actions in the order the nurse should perform them.

1st Put air into the intermediate-acting insulin vial. 2nd Put air into the short-acting insulin vial. 3rd Withdraw the prescribed amount of short-acting insulin. 4th Withdraw the prescribed amount of intermediate-acting insulin. 5th Don a pair of clean gloves.

The nurse is providing teaching to a client who recently has been diagnosed with type 1 diabetes. The nurse reinforces the importance of monitoring for ketoacidosis. What are the signs and symptoms of ketoacidosis? (Select all that apply.) 1. Decreased urinary output 2. Excessive thirst 3. Hyperactivity 4. Fruity-scented breath 5. Confusion

2. Excessive thirst 4. Fruity-scented breath 5. Confusion

A nurse is assessing a client with multiple sclerosis. Which common initial clinical effects should the nurse expect to find? Select all that apply. 1 . Headaches 2. Nystagmus 3. Skin infections 4. Scanning speech 5. Intention tremors

2. Nystagmus 4. Scanning speech 5. Intention tremors

The client is admitted to the hospital with a large goiter, and a thyroidectomy is performed. What should the nurse do during the first four hours after the surgery? Select all that apply 1 Ensure that the client lies flat. 2 Monitor vital signs every hour. 3 Monitor for stridor or dyspnea . 4 Monitor for the signs and symptoms of tetany. 5 Assess the sides and back of the client's neck for evidence of bleeding

3 Monitor for stridor or dyspnea . 5 Assess the sides and back of the client's neck for evidence of bleeding

A client has been diagnosed with hyperthyroidism. The nurse expects the client to exhibit which clinical manifestations? Select all that apply. 1 Dry skin 2 Slow pulse 3 Weight gain 4 Nervousness 5 Increased appetite

4 Nervousness 5 Increased appetite