NCLEX Endocrine System

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. A. Fever B. Fluid retention C. Severe diarrhea D. Rapid weight gain E. Increase in blood pressure

B. Fluid retention D. Rapid weight gain

While assessing a postpartum client who is suspected of having a thyroid disorder, the nurse suspects that the client has autoimmune thyroiditis. Which diagnostic studies are most suitable for confirming the diagnosis? A. Radioactive iodine uptake B. Computed tomography scan C. Magnetic resonance imaging D. Thyroid-stimulating hormone

A. Radioactive iodine uptake

A client is admitted to a medical unit with a diagnosis of Addison disease. The client is emaciated and reports muscular weakness and fatigue. Which disturbed body process does the nurse determine is the root cause of the client's clinical manifestations? A. Fluid balance B. Electrolyte levels C. Protein catabolism D. Masculinizing hormones

C. Protein catabolism

A nurse is assessing a malnourished client with a history of cirrhosis. The client is experiencing nausea, ascites, and gastrointestinal bleeding. What is the primary cause of the client's ascites? A. A decrease in vitamins to maintain cell coenzyme functions B. A decrease in iron to maintain adequate hemoglobin synthesis C. A decrease in sodium to maintain its concentration in tissue fluid D. A decrease in plasma protein to maintain adequate capillary-tissue circulation

D. A decrease in plasma protein to maintain adequate capillary-tissue circulation

True or False: One of the many functions of progesterone is to maintain the endometrium for the fertilized ovum.

True

During the menstrual phase the _________ layer of the endometrium is shed. A. Stratum basalis B. Stratum functionalis C. Stratum compactum D. Myometrium

B. Stratum functionalis

A client's laboratory report reveals decreased serum and salivary cortisol levels and increased serum potassium level from hypofunctioning of the adrenal gland. The client is prescribed fludrocortisone. Which nursing action in the follow-up visit minimizes risk of a potential side effect of medication? A. Monitoring the client's blood pressure B. Monitoring the client's body temperature C. Instructing the client to take the drug along with food D. Instructing the client to report occurrence of uncontrolled watery stools

A. Monitoring the client's blood pressure

The laboratory report of a pregnant client shows increased adrenocorticotropic hormone, salivary cortisol, and blood glucose levels. What should the primary healthcare provider instruct the nurse to include in the plan of care for the client to help to reduce the risk of death in the client? A. Monitoring weight B. Administering mifepristone C. Monitoring fluid overload at every 6 hours D. Including 5 g of sodium in the diet everyday

A. Monitoring weight

A client complains of joint pain with deformities. On assessing the client, the nurse suspects that the client has acromegaly. Which medication is beneficial to the client? A. Octreotide B. Carbamazepine C. Chlorpropamide D. Cyclophosphamide

A. Octreotide

Which hormones are secreted by the posterior pituitary gland? Select all that apply. A. Oxytocin B. Prolactin C. Corticotropin D. Antidiuretic hormone E. Melanocyte-stimulating hormone

A. Oxytocin D. Antidiuretic hormone

A client is being discharged after having a total thyroidectomy. Which instruction is most important for the nurse to include? A. Take thyroid replacement medications as prescribed. B. Be aware of signs and symptoms of dehydration. C. Avoid all over-the-counter medications. D. Report signs of hypoglycemia.

A. Take thyroid replacement medications as prescribed.

When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report what clinical manifestations? A. Irritability, polydipsia, and polyuria B. Polyuria, polydipsia, and polyphagia C. Nocturia, weight loss, and polydipsia D. Polyphagia, polyuria, and diaphoresis

B. Polyuria, polydipsia, and polyphagia

Which statement is TRUE about the ovulation phase? A. The newly released egg will live for 72 hours and disintegrate if not fertilized. B. The woman will have a low basal body temperature before ovulation and then a temperature increase of 0.4-1'F degrees around ovulation. C. The ovum is directly released into the fallopian tube. D. Fertilization most commonly occurs at the fimbria.

B. The woman will have a low basal body temperature before ovulation and then a temperature increase of 0.4-1'F degrees around ovulation.

Because of multiple physical injuries and emotional concerns, a hospitalized client is at high risk to develop a stress ulcer (Curling). Which of these is evidence of a stress ulcer? A. Unexplained shock B. Melena for several days C. A sudden massive hemorrhage D. A gradual drop in the hematocrit value

C. A sudden massive hemorrhage

A client has undergone nasal hypophysectomy surgery. During post-operative care, which finding indicates cerebrospinal leakage? A. Dry mouth B. Rigidity of neck muscles C. Fall in blood pressure upon standing D. A yellow edge around nasal discharge

D. A yellow edge around nasal discharge

During which cycle day of a typical 28 day menstrual cycle does the follicular phase occur? A. Cycle days 7-14 B. Cycle days 14-28 C. Cycle days 1-6 D. Cycle days 1-13

D. Cycle days 1-13

Which hormone levels peak during the client's sleep? Select all that apply. A. Cortisol B. Calcitonin C. Thyrotropin D. Progesterone E. Growth hormone

A. Cortisol C. Thyrotropin E. Growth hormone

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? Select all that apply. A. Palpitations B. Tachycardia C. Thickened skin D. Apathetic attitude E. Missed menstrual periods

A. Palpitations B. Tachycardia E. Missed menstrual periods

Which glands secrete hormones that regulate metabolism of carbohydrates, proteins, and fats? Select all that apply. A. Pancreas B. Thyroid gland C. Adrenal cortex D. Adrenal medulla E. Parathyroid gland

A. Pancreas B. Thyroid gland C. Adrenal cortex

Which hormone regulates blood levels of calcium? A. Parathormone B. Luteinizing hormone C. Thyroid stimulating hormone D. Adrenocorticotropic hormone

A. Parathormone (Parathyroid hormone (PTH), or parathormone, regulates the blood levels of calcium and phosphorus.)

The nurse provides a list of appropriate food choices to a client with newly diagnosed diabetes. The client reviews the list and says, "I do not like and refuse to eat asparagus, broccoli, and mushrooms." In response, the nurse teaches the client about the food exchange list. The nurse evaluates that teaching was effective when the client states, "Instead of asparagus, broccoli, and mushrooms, I will eat which foods?" A. String beans, beets, or carrots." B. Corn, lima beans, or dried peas." C. Baked beans, potatoes, or parsnips." D. Corn muffins, corn chips, or pretzels."

A. String beans, beets, or carrots."

What is a major nursing concern when caring for a client diagnosed with hyperthyroidism? A. Monitoring for hypoglycemia B. Protecting visitors and staff from radiation exposure C. Providing foods to increase appetite D. Arranging for sufficient rest periods

D. Arranging for sufficient rest periods

A nurse is caring for a client with Addison's disease. Upon assessment, which classic sign will the nurse find? A. Ecchymosis B. Hyperreflexia C. Exophthalmos D. Hyperpigmentation

D. Hyperpigmentation

The corpus luteum secretes (select-all-that-apply)? A. Progesterone B. Estrogen C. FSH D. LH

A. Progesterone B. Estrogen

A client understands that an increase in both vitamin E and beta-carotene is important for healthier skin. What foods should the nurse include in her teaching that are excellent sources of both? A. Spinach and mangoes B. Fish and peanut butter C. Oranges and grapefruit D. Carrots and sweet potatoes

A. Spinach and mangoes

A client is diagnosed with parathyroid dysfunction. Which serum calcium concentration in the client would support the diagnosis? A. 7.8 mg/dL B. 8.9 mg/dL C. 9.7 mg/dL D. 10.2 mg/dL

A. 7.8 mg/dL

Which action by the nurse while administering human growth hormone ensures effective therapy? A. Administration at nighttime B. Administration via oral route C. Administration along with meals D. Administration by metered spray

A. Administration at nighttime

Which hormone secretion does the nurse state is an example of a positive feedback mechanism? A. Insulin B. Estradiol C. Parathormone D. Catecholamines

B. Estradiol

A nurse is caring for a client with a diagnosis of Cushing syndrome. Which clinical manifestations does the nurse expect to identify? Select all that apply. 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

A primary healthcare provider writes prescriptions addressing the needs of a client with Addison disease. Which outcome does the nurse conclude is the main focus of treatment for this client? A. Decrease in eosinophils B. Increase in lymphoid tissue C. Restoration of electrolyte balance D. Improvement of carbohydrate metabolism

C. Restoration of electrolyte balance

Arrange the series of reactions that occurs when plasma volume and osmolarity are disturbed. 1. Increased blood volume 2. Change in posture 3. Increased reabsorption of water and sodium 4. Formation of active form of angiotensin 5. Conversion of angiotensinogen to angiotensin I

2. Change in posture 5. Conversion of angiotensinogen to angiotensin I 4. Formation of active form of angiotensin 3. Increased reabsorption of water and sodium 1. Increased blood volume

A client is hospitalized with a tentative diagnosis of pancreatic cancer. On admission the client asks the nurse, "Do you think I have anything serious, like cancer?" What is the nurse's best reply? A. "What makes you think you have cancer?" B. "I don't know if you do; let's talk about it." C. "Why don't you discuss this with your primary healthcare provider?" D. "You needn't worry now; we won't know the answer for a few days."

B. "I don't know if you do; let's talk about it."

Which nursing care should be provided to a client who has undergone unilateral adrenalectomy? A. Offer a high-sodium diet. B. Encourage the client to use saliva-inducing agents C. Instruct the client to wear a medical alert bracelet. D. Administer temporary glucocorticoid replacement therapy.

D. Administer temporary glucocorticoid replacement therapy.

Which statement is true regarding cortisol? A. Cortisol metabolizes free fatty acids. B. Cortisol stimulates gluconeogenesis. C. Cortisol stimulates protein synthesis. D. Cortisol levels decline in stressful conditions.

B. Cortisol stimulates gluconeogenesis.

An older adult with a history of small cell lung carcinoma reports muscle cramping, thirst, and fatigue. The primary healthcare provider diagnoses the client with a pituitary disorder and is treating the client accordingly. Which is an effective outcome of the treatment? A. Urine output of 10 L/day B. Urine specific gravity less than 1.025 C. Urine osmolarity of 80 mOsm/kg (80 mmol/kg) D. Serum osmolarity of 600 mOsm/kg (600 mmol/kg)

B. Urine specific gravity less than 1.025

After surgical clipping of a cerebral aneurysm, the client develops the syndrome of inappropriate secretion of antidiuretic hormone (ADH). Which manifestations of excessive levels of ADH should the nurse identify when assessing the client? Select all that apply. A. Polyuria B. Weight gain C. Hypotension D. Hyponatremia E. Decreased specific gravity

B. Weight gain D. Hyponatremia

If the ovum is to be fertilized, where is the most common site of fertilization? A. Uterine wall B. Fimbria C. Ampulla of the Fallopian Tube D. Isthmus of the Fallopian Tube

C. Ampulla of the Fallopian Tube

A client has had a resection of an aldosterone-secreting tumor of an adrenal gland. The client says to the nurse, "It will be good for me to return to work soon." Based on an understanding of the problem, what is the nurse's response? A. Caution the client about high expectations because the prognosis is variable; the outcome depends on many factors. B. Prepare to apply for permanent disability. C. Advise the client to investigate other occupational alternatives if the client wishes to stay in the workforce. D. Tell the client that returning to work is possible if the client takes prescribed hormone supplements.

D. Tell the client that returning to work is possible if the client takes prescribed hormone supplements.

The nurse is assessing a client suspected of having hypercortisolism. Which questions should the nurse ask to help confirm the diagnosis? Select all that apply. A. "Did you lose any weight unintentionally?" B. "Did you notice your extremities to be thin?" C. "Did you notice any roughness of your skin?" D. "Did you notice any skin darkening recently?" E. "Did the hair on your body become thicker?"

B. "Did you notice your extremities to be thin?" E. "Did the hair on your body become thicker?"

In order to ensure a quality specimen and an accurate test result, which instruction should the nurse give a client who is scheduled to undergo urine endocrine testing? A. "Start the urine collection when the bladder is full." B. "Store the urine specimen in a cooler with ice." C. "Store the urine specimen in a home refrigerator." D. "Save the urine specimen that begins the collection."

B. "Store the urine specimen in a cooler with ice."

If fertilization occurs the corpus luteum will act as a temporary endocrine structure to release hormones. It will do this until the placenta is fully developed to take over with hormone secretion and this occurs at approximately? A. 4 weeks gestation B. 8 weeks gestation C. 20 weeks gestation D. 2 weeks gestation

B. 8 weeks gestation

A client with a small nodule of the thyroid gland is to have a subtotal thyroidectomy. The client asks the nurse for clarification about what this surgery involves. What information should the nurse include in a response to the question? A. The entire thyroid gland is removed. B. A small part of the gland is left intact. C. One parathyroid gland is removed also. D. A portion of the thyroid is removed with the parathyroids.

B. A small part of the gland is left intact.

The _________ is responsible for secreting gonadotropin-releasing hormone. A. Thalamus B. Hypothalamus C. Anterior pituitary gland D. Posterior pituitary gland

B. Hypothalamus

Which clinical findings should the nurse assess when caring for a client with hyperthyroidism? Select all that apply. A. Lethargy B. Tachycardia C. Weight gain D. Constipation E. Exophthalmos

B. Tachycardia E. Exophthalmos

A client with diabetes mellitus complains of difficulty seeing. What would the nurse suspect as the causative factor? A. Lack of glucose in the retina B. The growth of new retina blood vessels or "neovascularization" C. Inadequate glucose supply to rods and cones D. Destructive effect of ketones on retinal metabolism

B. The growth of new retina blood vessels or "neovascularization"

A nurse is caring for a client with hyperthyroidism. Which laboratory test will be most beneficial in monitoring the effectiveness of drug therapy? A. Free thyroxine (FT4) B. Thyroxine (T4), total C. Free triiodothyronine (FT3) D. Triiodothyronine (T3), total

B. Thyroxine (T4), total

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

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

A client with type 2 diabetes has been receiving insulin in the hospital while being treated for sepsis. The client's infection is resolving and the primary healthcare provider writes a prescription to discontinue the 7:00 AM dose of insulin and to administer glyburide 5 mg twice daily (8:00 AM and 8:00 PM). The nurse on the day shift (8:00 AM to 4:00 PM) administers the glyburide at 8:30 AM. When recording its administration in the client's record, the nurse sees that the insulin had already been administered at 7:00 AM. What initial action should the nurse take? A. Measure the vital signs. B. Notify the primary healthcare provider. C. Assess for signs of ketoacidosis. D. Check blood glucose for hypoglycemia.

D. Check blood glucose for hypoglycemia.

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? A. Hemodialysis and peritoneal dialysis will be done together. B. Peritoneal dialysis is performed in an ambulatory care clinic. C. About a quarter of a liter of dialysate is maintained in the peritoneal cavity. D. Constant contact is maintained between the dialysate and the peritoneal membrane.

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

A client suspected of having a hyperactive thyroid is scheduled for protein-bound iodine, T3, and T4 laboratory tests. What should the nurse ask the client to ensure accuracy of the test? A. Allergies to seafood B. Consumed more protein than usual C. Had anything to drink before the test D. Had recent x-rays using radiopaque dye

D. Had recent x-rays using radiopaque dye

The client's pituitary gland must be removed. Which surgery will the client undergo? A. Mastectomy B. Prostatectomy C. Thyroidectomy D. Hypophysectomy

D. Hypophysectomy

Which physiologic responses should a nurse expect when assessing a client with hyperthyroidism? Select all that apply. A. Bradycardia B. Blurred vision C. Cold intolerance D. Increased appetite E. Widened pulse pressure

B. Blurred vision D. Increased appetite E. Widened pulse pressure

Which clinical manifestations in a client indicate hyperfunctional thyroid gland? Select all that apply. A. Anemia B. Diarrhea C. Weight loss D. Decreased appetite E. Distant heart sounds

B. Diarrhea C. Weight loss

Which metabolic manifestations are likely to be observed in a client with hypothyroidism? Select all that apply. A. Impaired memory B. Intolerance to cold C. Difficulty breathing D. Decreased blood pressure E. Decreased body temperature

B. Intolerance to cold E. Decreased body temperature

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? A. Thyroglobulin B. Metanephrine C. Catecholamine D. Vanillylmandelic acid

B. Metanephrine

The laboratory reports of a client who underwent a hypophysectomy show an intracranial pressure (ICP) of 20 mmHg. Which action made by the client is responsible for this condition? A. Drinking lots of water B. Eating high-fiber foods C. Bending over at the waist D. Bending knees when lowering body

C. Bending over at the waist

A patient is trying to prevent pregnancy by using the rhythm method. At what time during a woman's cycle is she the most fertile? A. Cycle days 21-28 B. Cycle days 1-6 C. Cycle days 9-16 D. Cycle days 6-9

C. Cycle days 9-16

Which clinical indicator should the nurse identify as expected for a client with type 2 diabetes? A. Ketones in the blood but not in the urine B. Glucose in the urine but not hyperglycemia C. Hyperglycemia and urine negative for ketones D. Blood and urine positive for both glucose and ketones

C. Hyperglycemia and urine negative for ketones

During which stage of the menstrual cycle does the endometrium layer thicken? A. Secretory Phase B. Luteal Phase C. Ovulation Phase D. Proliferative Phase

D. Proliferative Phase

The nurse is teaching a nursing student about caring for a client who is undergoing blood studies for antidiuretic hormone stimulation. Which statements made by the nursing student indicate effective instruction? Select all that apply. A. "I will assess the pulse rate after rehydrating the client." B. "I will perform the test if the serum sodium level is high." C. "I will perform the test if the osmolarity is 200 mOsm (mmol)/kg." D. "I will hydrate the client with oral fluids before performing the test." E. "I will discontinue the test if the client's weight loss is greater than 4.4 lbs (2 kg)."

A. "I will assess the pulse rate after rehydrating the client." C. "I will perform the test if the osmolarity is 200 mOsm (mmol)/kg." E. "I will discontinue the test if the client's weight loss is greater than 4.4 lbs (2 kg)."

If pregnancy does not occur, the corpus luteum will disintegrate and turn into what is called the? A. Corpus Albicans B. Corpus Callosum C. Corpus Cavernosum D. Corpus Allatum

A. Corpus Albicans

A client is scheduled for a computed tomography (CT) of the brain with contrast. When reviewing the client's medical record, what significant finding should the nurse report to the primary healthcare provider before the diagnostic procedure? A. The client takes metformin daily. B. The client has not been nothing by mouth (NPO). C. The client reports an allergy to gadolinium. D. The client was not prescribed a bowel prep.

A. The client takes metformin daily.

A client is scheduled to have a thyroidectomy for thyroid cancer. What specific instruction about postoperative care should the nurse provide the client during preoperative teaching? A. Cough and deep breathe every hour. B. Perform range-of-motion exercises of the head and neck. C. Support the head with the hands when changing position. D. Apply gentle pressure against the incision when swallowing.

C. Support the head with the hands when changing position.

Select all the following that is NOT a function of progesterone and estrogen: A. Inhibits the production of LH and FSH B. Causes the hypothalamus to release gonadotropin releasing hormone C. Maintains the endometrium for pregnancy D. Causes the follicle to mature into a graafian follicle

B. Causes the hypothalamus to release gonadotropin releasing hormone D. Causes the follicle to mature into a graafian follicle

A client presents with chief complaints of unexplained weight gain and back pain from a compression fracture of the vertebrae. On assessment, there is truncal obesity with excessively thin extremities, a moon-shaped face, a buffalo hump, thin hair, and adult acne. The symptoms described are suggestive of what disease? A. Addison disease B. Cushing disease C. Multiple sclerosis D. Kaposi sarcoma

B. Cushing disease

___________ is released from the anterior pituitary gland and stimulates the follicles in the ovary to mature. A. Progesterone B. Follicle-stimulating hormone C. Estrogen D. Human chorionic gonadotropin

B. Follicle-stimulating hormone

Which hormones are secreted by the client's hypothalamus? Select all that apply. A. Growth hormone B. Follicle-stimulating hormone C. Prolactin-inhibiting hormone D. Corticotropin-releasing hormone E. Melanocyte-stimulating hormone

C. Prolactin-inhibiting hormone D. Corticotropin-releasing hormone

A nurse is planning to teach facts about hyperglycemia to a client with diabetes. What information should the nurse include in the discussion about what causes diabetic acidosis? A. Breakdown of fat stores for energy B. Ingestion of too many highly acidic foods C. Excessive secretion of endogenous insulin D. Increased amounts of cholesterol in the extracellular compartment

A. Breakdown of fat stores for energy

As the graafian follicle matures, a massive amount of estrogen is released by the follicle which causes a luteinizing hormone surge. Approximately, what cycle day does the LH surge occur? A. Cycle day 11-13 B. Cycle day 14 C. Cycle day 5-8 D. Cycle day 1-6

A. Cycle day 11-13

What cycle day does the proliferative stage occur? A. Cycle day 7-14 B. Cycle day 14-28 C. Cycle day 1-6 D. Cycle day 1-14

A. Cycle day 7-14

What cycle day does the luteal phase occur? A. Cycle days 15-28 B. Cycle days 5-13 C. Cycle day 14 D. Cycle days 7-14

A. Cycle days 15-28

Select all the functions of the luteinizing hormone: A. Forming the corpus luteum B. Thickening the endometrium layer for implantation C. Breaking down the wall of the graffian follicle to allow for release of the ovum D. Thinning cervical mucous

A. Forming the corpus luteum C. Breaking down the wall of the graffian follicle to allow for release of the ovum

In what stage does the corpus luteum form? A. Luteal Phase B. Follicular Phase C. Proliferative Phase D. None of the above

A. Luteal Phase

The nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications. What should the nurse include in the teaching plan? Select all that apply. A. The client should obtain a finger stick blood glucose reading before each meal. B. The client does not need to follow a specific diet until insulin is required. C. The teaching plan should include signs and symptoms of hypoglycemia. D. The teaching plan does not need to include signs and symptoms of hypoglycemia, as the client is not on insulin. E. The teaching plan should include sick day rules.

A. The client should obtain a finger stick blood glucose reading before each meal. C. The teaching plan should include signs and symptoms of hypoglycemia. E. The teaching plan should include sick day rules.

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. A. Thirst B. Headache C. Nervousness D. Fruity breath odor E. Excessive urination

A. Thirst D. Fruity breath odor E. Excessive urination

A nurse is caring for a newly admitted client with a diagnosis of Cushing syndrome. Why should the nurse monitor this client for clinical indicators of diabetes mellitus? A. Cortical hormones stimulate rapid weight loss. B. Tissue catabolism results in a negative nitrogen balance. C. Glucocorticoids accelerate the process of gluconeogenesis. D. Excessive adrenocorticotropic hormone (ACTH) secretion damages pancreatic tissue.

C. Glucocorticoids accelerate the process of gluconeogenesis.

The parents of a young man suspected of having Cushing syndrome express anxiety about their son's condition. What should the nurse tell the parents to help them better understand the illness? A. He will need to take exogenous steroids for several months. B. His condition will indicate improvement when he gains weight. C. He may have mood swings or depression as a result of his illness. D. His physical changes are permanent but may improve with therapy.

C. He may have mood swings or depression as a result of his illness.

A client has a glycosylated hemoglobin measurement of 6%. What should the nurse conclude about this client when planning teaching strategies based on the results of this laboratory test? A. The client is experiencing a rebound hyperglycemia. B. The client needs the insulin changed to a different type. C. The client has followed the treatment plan as prescribed. D. The client requires further teaching regarding nutritional guidelines.

C. The client has followed the treatment plan as prescribed.

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 common complications of diabetes might the nurse expect to identify when assessing this client? Select all that apply. A. Leg ulcers B. Loss of visual acuity C. Thick, yellow toenails D. Increased growth of body hair E. Decreased sensation in the feet

A. Leg ulcers B. Loss of visual acuity C. Thick, yellow toenails E. Decreased sensation in the feet

Which feature in the client indicates hypersecretion of adrenocorticotrophic hormone? A. Moon face B. Lower jaw protrusion C. Heat intolerance D. Barrel-shaped chest

A. Moon face