Endocrine

A nurse is admitting a pheochromocytoma and is scheduled for an adrenalectomy. The nurse should know that it is most important to monoitor the client for which of the following in the preoperative period?

Extreme hypertension RATIONALE; pheochromocytoma is a tumor of the adrenal glands

Following a bilateral adrenalectomy, a client is receiving intravenous dextrose 5% solution in water (D 5W) with hydrocortisone (Solu-Cortef) given IVP every 6 hr. The nurse should check the clients fingerstick glucose every 4hr for the following reason?

A side effect of hydrocortisone is hyperglycemia RATIONALE: A bilateral adrenalectomy is the surgical removal of both adrenal glands. one of the hormones produced by the adrenal glands is cortisol, which is glucocorticoid. Following an adrenalectomy, this hormone must be replaced endogenously. Side effects of the IV hydrocortisone administered to replace the cortisol are increased gluconeogenesis and hyperglycemia.

A nurse is collecting data from a client who has graves disease. The nurse should expect the client to report which of the following?

Difficulty sleeping RATIONALE; Graves disease is a common form of hyperthyroidism, which can cause difficulty sleeping and anxiety.

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about early maifestations of hypoglycemia. Which of the following should the nurse include in thr teaching?

Drowsiness RATIONALE; drowsiness is an early manisfestation of hypoglycemia. other early manisfestations include fatigue, headache, shakiness, and nausea.

A nurse suspects that a client with diabetes mellitus may be non compiant with treatment plan. The nurse should know that a reliable test to evaluate if teh client is routinely compilant with the prescribed regimen is whiech of the following?

Glycosylated hemoglobin levels

A nurse is caring for a client with syndrome of inappropriate antidiuretic hormone secretion (SIADH). The nurse should monitor the client closely for

Hyponatremia RATIONALE: SIADH is caused by the excessive release of an antidiuretic hormonr (ADH). As a result of the excess ADH, the client retains water creating a dilutional hyponatremia

A nurse is caring for a client with type 2 diabetes mellitus. What is the following findings should indicate to the nurse that the client has hyperglycemia?

Increased urination, Thrist Hyperglycemia, or elevated blood sugar, is a common complication in clients who have diabetes mellitus. With a deficiency of insulin, the blood glucose rises, leading to an osmtic diuresis and increased urination Due to osmotic diuresis, thrist is a common finding in a client who has hyperglycemia

A nurse is collecting data from a client who was admitted to the unit with a diagnosis of ketoacidosis. The nurse should expect the client to exhibit

Nausea and vomiting RATIONALE; ketoacidosis causes dehdration, which can result in fluid and electrolyte imbalances that precipitate nausea and vomiting

A nurse is caring for a client who has systemic lupus erythematosus and corticosteroids for 10 yrs. The nurse should observe the client for the development of complications related to chronic corticosteroid use?

Osteoporosis RATIONALE: Osteoporosis is a common complication of chronic corticosteroid use that leads to increased risk for fracture.

A nurse is collecting data froma client who has diabetes insipidus. The nurse knows that which of the following assessment findings is typical of this condition?

Polyuria ( increased urination)