N110 ATI exam 2 part 2

A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal desmopressin. Which of the following information should the nurse include? A. "Drink at least 3 liters of fluid per day." B. "Weigh yourself weekly while wearing similar clothing at the same time of day." C. "Notify the provider of a weight loss of 1 pound or more per week." D. "Report nocturia because it requires a dosage adjustment."

d

what is calcium level in blood

8.6-10.3

HHS has glucose levels above

600 mg/dL

A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider? A. Sodium 110 mEq/L B. 2+ deep-tendon reflexes C. Potassium 3.7 mEq/L D. Urine specific gravity 1.025

a

A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of the following results should the nurse expect? A. pH 7.32, PaCO2 36 mm Hg, HCO3- 14 mEq/L B. pH 7.38, PaCO2 55 mm Hg, HCO3- 22 mEq/L C. pH 7.44, PaCO2 40 mm Hg, HCO3- 24 mEq/L D. pH 7.50, PaCO2 42 mm Hg, HCO3- 30 mEq/L

a

A nurse is monitoring a client who is 24 hr postoperative after a total thyroidectomy. Which of the following findings should the nurse report to the provider? A. Laryngeal stridor B. Productive cough C. Pain with hyperextension of the neck D. Hoarse, weak voice

a rationale Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates respiratory obstruction. The nurse should take immediate action to preserve the client's airway. follow ABCs.

A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following actions should the nurse take? A. Administer IV hydrocortisone sodium. B. Give oral spironolactone. C. Infuse 1 unit of platelets. D. Restrict daily fluid intake.

a explain

A nurse is monitoring the laboratory values of a client who has diabetes mellitus and is taking insulin. Which of the following results indicates a therapeutic outcome of insulin therapy? A. Fasting blood glucose 96 mg/dL B. Postprandial blood glucose 195 mg/dL C. Random blood glucose 210 mg/dL D. Preprandial blood glucose 60 mg/dL

a umm not sure why the other ones are inaccurate research later

A nurse is assessing a client who has diabetes mellitus and reports feeling anxious. Which of the following findings should the nurse expect if the client is hypoglycemic? A. Rapid, deep respirations B. Cool, clammy skin C. Abdominal cramping D. Orthostatic hypotension

b

A nurse is caring for a client who has a pheochromocytoma. Which of the following actions should the nurse take? A. Elevate the head of the client's bed. B. Palpate the client's abdomen. C. Monitor the client for hypotension. D. Check the client's urine specific gravity.

a The nurse should elevate the head of the client's bed to reduce blood pressure and abdominal pressure, which will be elevated because of epinephrine and adrenaline hormones.

A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the following findings indicates that the client is having a therapeutic response? A. Reduction of the effects of thyroid hormone on the heart B. Blockage of the release of thyroid hormone from the thyroid gland C. Increase in the heart's sensitivity to thyroid hormone D. Increase in the uptake of thyroid hormone by the thyroid gland

a rationale -lol is beta 2 blocker so it would decrease HR that the thryoid storm would cause

A nurse is developing a teaching plan for a client who had a thyroidectomy and takes a thyroid hormone replacement. Which of the following instructions should the nurse plan to include? A. "Take this medication on an empty stomach." B. "Take this medication with an antacid." C. "Change position slowly while taking this medication." D. "Limit your fluid intake while taking this medication."

a to promote proer abosprotion

Pheochromocytoma

a benign tumor of the adrenal medulla that causes the gland to produce excess epinephrine

3. A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-term corticosteroid therapy. Which of the following adverse effects should the nurse include? (Select all that apply.) A. Osteoporosis B. Moon-shaped face C. Increased risk of infection D. Hearing loss E. Weight loss

a, b, c

A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing. Which of the following client statements indicates an understanding of the teaching? A. "I need to fast after midnight the night before the test." B. "This test's result is a good indicator of my average blood glucose levels." C. "A level of 8 to 10 percent suggests adequate blood glucose control." D. "I will use my hemoglobin A1c level to adjust my daily insulin doses."

b

A nurse is assessing a client who has diabetes insipidus. The nurse should expect which of the following findings? A. Decreased heart rate B. Increased hematocrit C. High urine specific gravity D. Low BUN level

b

A nurse is providing discharge teaching to a client who has diabetes insipidus and a new prescription for desmopressin nasal spray. Which of the following instructions should the nurse include in the teaching? A. "Depress the pump once before using the nasal spray for the first time." B. "Blow your nose gently prior to using the nasal spray." C. "Administer the nasal spray while in a side-lying position." D. "Notify the provider if you develop numbness or tingling around the mouth."

b The nurse should instruct the client to blow his nose gently prior to use of the spray. This action prevents dilution of the medication with nasal secretions.

A nurse is caring for a client who has diabetes mellitus and has developed peripheral neuropathy. Which of the following measures should the nurse recommend to prevent injuries to the client's feet? A. Examine the skin of the feet feet weekly for alterations in skin integrity. B. Monitor the temperature of bath water with a thermometer. C. Shop for shoes early in the day. B. Round the edges of toenails when trimming them.

b a wrong you shoudl check them daily c not helpful you need to shop for them later in the day d trim straight across

why is calcium high with adrenal insufficiency.

becuase it slows down glomercular filtration.

Preprandial and postprandial means

before meals and after meals

A nurse is assessing a client who is taking propylthiouracil. The nurse should identify which of the following findings as an indication that the medication has been effective? A. Increased ability to sweat B. Increased bowel movements C. Increased body weight D. Increased libido

c

A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include? A. Inject the insulins intramuscularly. B. Shake the insulins vigorously prior to administration. C. Draw up the insulins into separate syringes. D. Expect the insulins to appear cloudy.

c

A nurse is teaching a client who has type 1 diabetes mellitus about how to prevent complications during illness. Which of the following statements by the client indicates an understanding of the teaching A. "I should stop taking my insulin if I feel nauseous." B. "I will test my urine for protein when I start to feel ill." C. "I will call my doctor if my blood sugar is more than 250." D. "I should check my blood sugar level every 8 hours."

c

A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the following findings as an indication of hypocalcemia? A. Strong, bounding pulse B. Decreased bowel sounds C. Tingling and numbness of the hands and feet D. Diminished deep-tendon reflexes

c Hypocalcemia causes paresthesias, which usually starts in the hands and feet.

A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse plan to include? A. Consume no more than three servings of alcohol per day. B. Ingest food with alcohol to reduce alcohol-induced hypoglycemia. C. Increase insulin dosage before planned exercise. D. Rest for 3 days between periods of vigorous exercise.

c rationale Alcohol inhibits the liver from producing glucose. Consuming carbohydrates while drinking alcoholic beverages helps prevent hypoglycemia.

A nurse is assessing a client who has a new diagnosis of Cushing's disease. Which of the following findings should the nurse expect? A. Decreased blood pressure B. Weight loss C. Hirsutism D. Increased skin thickness

c Hirsutism is caused by too much androgen. the androgen is normally in smaller amounts in females and because of Cushing's a women has a higher amount of androgen. It is the same for men.

A nurse is assessing a client who has adrenal insufficiency. Which of the following findings should the nurse expect? A. Moon-shaped face B. Weight gain C. Calcium 12.8 mg/dL D. Sodium 150 mEq/L

c beicase it is a reading that is expected for andreanl insufficeiny

A nurse is admitting a client who has hyperthyroidism. When assessing the client, the nurse should expect which of the following findings? A. Cold intolerance B. Lethargy C. Tremors D. Sunken eyes

c explain

A home health nurse is assessing a client who requires lifelong hormone replacement therapy for the treatment of hypothyroidism. The client has not been taking the medication regularly. Which of the following findings should the nurse expect? A. Increased urine output B. Persistent diarrhea C. Tachycardia D. Hypotension

d

A nurse is reviewing the laboratory results of a client undergoing screening for primary Cushing's disease. The nurse should expect an elevation in which of the following laboratory findings? A. Lymphocyte count B. Potassium C. Calcium D. Glucose

d

A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care. Which of the following statements by the client indicates an understanding of the teaching? A. "I will let my feet air dry after washing." B. "I will wear sandals to allow air to circulate around my feet." C. "I will buy over-the-counter medicine to treat the calluses on my feet." D. "I will apply lotion to the dry areas of my feet but not between my toes."

d Lotion can be used for dry areas of the feet, but the client should avoid applying lotion between the toes, as this area is prone to bacterial growth.

A nurse is teaching a client who has diabetes mellitus. Which of the following should the nurse include as an expected finding of diabetic ketoacidosis (DKA)? A. Decreased urine output B. Weight gain of 0.45 kg (1 lb) in 24 hr C. Rapid, shallow respirations D. Blood glucose levels above 300 mg/dL

d a is wrong it would be increased as glucose is being excreted b is wrong you would lose weight c is wrong they are rapid and deep

A nurse is caring for a client who has type 2 diabetes mellitus and is experiencing a hyperglycemic-hyperosmolar state (HHS). Which of the following laboratory findings should the nurse expect? A. Serum pH 7.32 B. Blood glucose 250 mg/dL C. Blood glucose 425 mg/dL D. Serum pH 7.45

d no acidosis as it is just HHS and those blood glucoses are too low.

A nurse is teaching a client who is scheduled for a vanillylmandelic acid test to screen for pheochromocytoma. Which of the following statements should the nurse include in the teaching? A. "Start fasting at midnight prior to the day of the test." B. "Begin the 24-hour urine collection with the first morning urination." C. "Take low-dose aspirin for pain during the testing period." D. "Restrict coffee intake 2 to 3 days prior to the test."

d i think