Exam 4

What is the main hormone related to thyroid (hyperthyroidism)

Increased levels of T3/T4 & low levels TSH

Which complication is important for a nurse to monitor for a client with Addison's disease?

Infection

A nurse teaches a client with type 2 diabetes how to provide self-care to prevent infections of the feet. What statement made by the client indicated that teaching has been effective?

"I will control my blood glucose with diet, exercise, and medication"

A client newly diagnosed with Type 1 diabetes receives teaching about insulin the client states, "I hate shots why can't I take insulin in pill form" which response by the nurse is appropriate?

"Insulin is poorly absorbed, and its action is erratic when taken by mouth"

Which response would a nurse give to a client with type 1 diabetes mellitus who asks, "Should I take an oral antidiabetic medication instead of the prescribed insulin?"

"Oral antidiabetic medications only work for type 2 diabetes."

A nurse is caring for a client with type 1 diabetes, and the HCP prescribes one tube of glucose gel. Which condition would require glucose gel administration in this client?

Insulin-induced hypoglycemia

Which action would the nurse take with a client with Addison disease develops adrenal crisis after abruptly stopping prescription steroids?

Intravenous fluid replacement

A nurse administers a tube of glucose gel to a client who is hypoglycemic. What should the nurse consider about this reversal of hypoglycemia?

It provides a glucose substitute for rapid replacement of deficits.

The nurse is administering a tube of glucose gel to a client who is hypoglycemic. Which mechanism is responsible for the resulting reversal of hypoglycemia?

It provides glucose substitute for rapid replacement of deficits

Which response would the nurse provide to an older client with diabetes who asks "how often should I exercise"?

3 times per week for 30 min

Following a thyroidectomy, which problem would the nurse suspect when providing care for a client who has numbness in mouth, fingers, and toes, as well as muscle tingling and twitching?

Tetany

Which complication would the nurse need to address when caring for a female client with hyperthyroidism?

Imbalanced nutrition

A client with diabetes who is receiving long-term corticosteroids therapy is admitted to the hospital with leg ulcers. Which Complication of this therapy would the nurse anticipate when assessing this client?

Inadequate wound healing

A client is diagnosed with parathyroid dysfunction concentration of serum calcium will support this diagnosis.

7.8mg/dl

Which manifestation would the nurse expect to find when caring for a client newly diagnosed with Cushing syndrome?

Adipose tissue deposits

The nurse providing care for a client with primary hyperaldosteronism will recognize that the client's hypertension is most likely caused by excessive hormone secretion from which gland?

Adrenal cortex

Which hormone would the nurse include when planning a teaching session for a client diagnosed with diabetes insipidus?

Antidiuretic hormone

Which factor identified by a nurse obtaining a health history predisposes the client to Type 2 Diabetes?

Being 20lbs overweight

Which symptom does a nurse expect when providing care for a client with pheochromocytoma?

Blood pressure of 174/88 mmHg

A nurse is caring for a client who has a 20-year history if type 2 diabetes. Which changes will the nurse assess for that are associated with a long history of diabetes?

Blurry, Spotty, or Hazy Vision

A nurse is caring for a client with a diagnosis of diabetic ketoacidosis. Which information should the nurse include when teaching the client about the causes of diabetic acidosis?

Breakdown of fat stores for energy

The nurse is teaching a diabetic client. Which information would be included in the discussion about the causes of diabetic acidosis?

Breakdown of fat stores for energy

Which menstrual phase involves the release of estrogen from the maturing Graafian follicle?

Days 6-13

Which metabolic condition is characterized by polyuria and polydipsia?

Diabetes Insipidus

Which clinical findings should cause the nurse to suspect that an adolescent child with type 1 diabetes is hypoglycemic?

Difficulty concentrating, hunger, and diaphoresis

Which instruction would the nurse give when discussing insulin administration with a client newly diagnosed with type 1 diabetes mellitus?

Draw the different insulins into the syringe in the same prescription every time.

Which strategy would the nurse teach the client with type 1 diabetes to use to treat early symptoms of hypoglycemia?

Drink 4 oz of fruit juice

Which action will the nurse stress when reviewing dietary information with a client diagnosed with hyperparathyroidism?

Drinking a large amount of fluids

Which nursing intervention would be appropriate for a client on a new insulin pump who is scheduled for a magnetic resonance imaging (MRI)?

Ensure that the client is only off the pump for no more than an hour.

Which health concern would be expected by the nurse providing care for a client with hypothyroidism?

Facial puffiness

A client is taught how to recognize a hypoglycemic reaction which manifestation identified by the client indicated to the nurse that teaching is successful? Select all that apply.

Fatigue Weakness Nervousness Increased respirations

The clinical findings of a client with diabetes mellitus show poor glycemic control. Which complication is anticipated?

Frequent yeast infections

Which hormone is secreted by the pancreas?

Glucagon

A nurse is caring for a client with Cushing syndrome. Which cardiovascular complication would the nurse assess for this client?

Hypertension

A nurse is caring for a client who was admitted with a diagnosis of Addison disease. Which signs would the nurse assess for this client?

Hypoglycemia and hypotension

Which information would the nurse prioritize as most important to provide to the teacher of an 11-year-old child with type 1 diabetes?

Hypoglycemia management

A client with type 1 diabetes receives 30 units of Humulin N insulin at 7:00 am. At 3:30 pm, the client becomes diaphoretic, weak, and pale. Which process does the nurse suspect has caused these responses?

Hypoglycemic reaction

Which hormonal disorder may be suspected when a positive Chvostek and trousseau sign are assessed?

Hypoparathyroidism

Which clinical manifestation occurs in a client with vasopressin deficiency?

Hypotension

Which condition would require the nurse to administer levothyroxine?

Hypothyroidism

Which statement by the client demonstrates the need for further instruction on daily glucose monitoring?

I will take my medication of arthritis before i go to bed

A client with type 1 diabetes is transported via ambulance to the emergency department of the hospital. The client has dry, hot, flushed skin and a fruity odor to the breath and is having Kussmaul respirations. Which complication does the nurse suspect the client is experiencing?

Ketoacidosis

A nurse is caring for a client with a diagnosis of type 1 developed diabetic coma which element sensibly accumulates in the blood that precipitates the manifestation of this condition?

Ketones because of rapid fat break down causing acidosis

A client is receiving Dexamethasone (Decadron) for adrenocortical insufficiency. To monitor for a negative side effect of the medication the nurse should

Measure blood glucose levels

What action would the nurse take to monitor for a negative side effect of dexamethasone given for adrenocortical insufficiency?

Measure blood glucose levels

Which action should the nurse include in the plan of care of a client after an episode of Ketoacidosis?

Monitoring for signs of hypoglycemia as a result of the treatment

Which manifestation is associated with Cushing syndrome?

Moon Face

Which hormone regulates the amount of phosphorus in the blood?

Parathyroid hormone

Which action would a nurse take immediately when receiving a client from the post anesthesia care unit following a subtotal thyroidectomy?

Place a tracheostomy tray at bed side?

A client is receiving TPN which finding will the nurse determine is caused by hyperglycemia due to the TPN?

Polyuria

A nurse is caring for a postoperative client with diabetes. Which is the most common cause of diabetic ketoacidosis that the nurse needs to consider when caring for this client?

Presence of infection

Which blood hormone level would the nurse expect in a postmenopausal client who has enlarged breasts with galactorrhea?

Prolactin

which clinical respond will alert the nurse that the client with recent gastric resection is experiencing dumping syndrome?

Reactive Hypoglycemia

A client tells the nurse during the admission history that an oral hypoglycemic agent is taken daily. For which condition does the nurse conclude that an oral hypoglycemic agent may be prescribed by the health care provider?

Reduced insulin production

One week after beginning antithyroid medication for hyperthyroidism, a client reports diarrhea abdominal pain, and fever. The client is admitted with a diagnosis of thyrotoxic crisis. Which intervention would be important to implement for this client?

Reducing body temperature and heart rate

A client is diagnosed with Diabetic Ketoacidosis. Which insulin should the nurse expect the health care provider to prescribe?

Regular insulin

Which hormonal imbalance causes acromegaly?

Somatotropin

A client with type 1 diabetes comes to the clinic because of concerns regarding erratic control of blood glucose with the prescribed insulin therapy. The client has been experiencing a sudden fall in the blood glucose level, followed by a sudden episode of hyperglycemia. Which complication of insulin therapy should the nurse conclude that the client is experiencing?

Somogyi effect

Which instruction would the nurse give when administering glipizide to a client with type 2 diabetes experiencing difficulty controlling blood glucose levels?

Take glipizide twice each day 30 minutes before the meal

Which information would the nurse include when teaching a client newly diagnosed with type 1 diabetes mellitus?

The client will need less insulin when exercising or reducing food intake.

Which statement would the nurse make to a client with a client with type 1 diabetes who has greatly increased their hemoglobin A1C?

The test tells us about your blood sugar control for the last 3 months

Which postoperative instruction would the nurse stress when providing preoperative teaching for a client scheduled for a transsphenoidal hypophysectomy?

You must avoid coughing, sneezing, and blowing your nose for several days after surgery

Which crucial instruction would be included by the nursing doing preoperative teaching for a client scheduled for a subtotal thyroidectomy?

You should not hyperextend your neck after surgery

A nurse is caring for a client with type 1 diabetes who develops ketoacidosis which laboratory values supports the presence of diabetic ketoacidosis.

increased serum lipids