Ah Endocrine practice Q's. KNOW!!!

A preschool age client is diagnosed with idiopathic hypopituitarism. Which of the following is the most commonly prescribed hormone for a preschool client diagnosed with idiopathic hypopituitarism?

Growth hormone.

The nurse counsels a client diagnosed with type 2 diabetes. The client states, "I don't think I can follow this diet!" Which response by the nurse is most appropriate?

"Tell me what you find frustrating about this diet."

The nurse counsels a client about preparation for a subtotal thyroidectomy. The client asks the nurse why the client was prescribed an iodine solution to take prior to surgery. Which response by the nurse is the best?

"This medication will prevent postoperative hemorrhage."

The nurse provides care for a client newly diagnosed with type 1 diabetes mellitus. The nurse instructs the client about the diabetic regimen. Which statement indicated the client requires further instruction?

" I will increase my insulin dose on holidays so I can eat more."

A client diagnosed with type 1 diabetes askes the nurse, "Why don't people with type 2 diabetes develop diabetic ketoacidosis (DKA)?" Which is the best explanation for the nurse to give?

"A person with type 2 diabetes is able to produce some insulin to respond to increase blood glucose."

The nurse cares for the client diagnosed with a goiter. The nurse provides information regarding dietary changes the client must make. Which client statement indicates to the nurse that further teaching is required.

"Cabbage is one of my favorite foods."

On the day of discharge, a client newly diagnosed with type 1 diabetes says to the nurse, "What should I do if I develop a fever?" Which response by the nurse is the best?

"Continue taking insulin as prescribed."

A client is diagnosed with type 1 diabetes and receives 25 units of regular insulin subcutaneously every morning. The nurse discusses the treatment plan with the client. Which statement provides correct information for the client?

"Continue to take insulin if you become ill with a virus."

A client is diagnosed with type 2 diabetes mellitus. The nurse provides information about the client's total caloric and carbohydrate plan and the use of food exchange lists. Which client statement indicate the client understands the teaching?

"I can have a turkey and cheese sandwich for lunch if I substitute one ounce of cheese for one ounce of turkey."

The nurse provides care for a client diagnosed with type 2 diabetes mellitus. Which client statement indicates the client understands the diagnosis?

"I need to follow my diet and take my pills."

The home care nurse instructs a client diagnosed with Addison disease about precautions to take to avoid an Addisonian crisis. Which client statement indicates the teaching is successful?

"I should increase my salt uptake during very hot weather or excessive perspiration."

The nurse instructs a client about the correct way to administer insulin. Which statement, by the client, requires follow-up teaching?

"I will inject insulin into the back of my left arm prior to weight training."

The nurse provides preoperative teaching to a client undergoing a craniotomy for transphenoidal hypophysectomy. Which statement made by the client indicates to the nurse that the client understand the procedure and aftercare?

"I will need to avoid vigorous coughing and blowing my nose."

A client is diagnose with hypoparathyroidism. The nurse teaches the importance of taking calcium replacements. Which client statement indicated further teaching is required?

"If I have an extra glass of milk each day, I don't have to take my calcium tablets."

A school age client is diagnosed with type 1 diabetes. The client's parent asks the nurse, "What is the best way to store my child's insulin?" Which is the nurse's most appropriate response?

"Keep opened insulin vials at room temperature for up to 28 days."

The home care nurse visits a child diagnosed at birth with phenylketonuria. The nurse assesses the client's intake for the previous week. The nurse is most concerned if the patient makes which statement?

"My child's favorite lunch is a peanut butter and jelly sandwich."

The nurse monitors a client diagnosed with type 1 diabetes. The client tells the nurse, "I job 30 minutes every day but today after my jog I felt nervous, hungry, and had tremors." Which statement by the nurse is best?

"You should eat cheese and crackers prior to jogging."

The nurse instructs a client about insulin self-administration. It is most important for the nurse to make which statement?

"You should rotate the injection sites."

Following a client's treatment for Addison disease, the nurse plans for the client's discharge. The client asks the nurse how long the steroid medication must be continued. Which response is correct?

"You will need to continue hormone replacement therapy for the rest of your life."

A client diagnosed with type I diabetes is placed on 1,800 calorie/day diet. The nurse instructs the client to use which food as a suitable exchange for a pat of butter?

1 tbsp of mayonnaise.

The home care nurse care for a client diagnose with type 1 diabetes. The client receives insulin therapy in a four-dose protocol. The client injects rapid-acting insulin subcutaneously at 1145. The nurse knows the peak action of rapid-acting insulin occurs at which time?

1245 to 1345.

In preparation for discharge, a nurse reviews the diabetic exchange list with a client diagnosed with type 1 diabetes. The nurse informs the client hat a sandwich made with two slices of whole wheat bread, on slice of turkey, 1 tsp of mayonnaise, and two lettuce leaves is the equivalent of which exchanges?

2 bread exchanges, 1 meat exchange, 1 fat exchange, and 1 vegetable exchange.

The nurse understands which type of insulin has the longest duration of action?

Glargine.

Which signs and/or symptoms should the nurse anticipate in the client diagnosed with Addison Disease?

A bronze skin tone.

A client is newly diagnose with type 1 diabetes. The nurse talks with the client prior to discharge and discovers that the client lives alone. Discharge planning should include arranging home visits by which health care provider?

A home health nurse.

A client has undergone a thyroidectomy. Which equipment is most important for the nurse to keep at the client's bedside during the immediate postoperative period?

A tracheostomy tray.

The nurse on the medical unit expects which medication to be administered to the client newly diagnosed with type 2 diabetes mellitus who is experiencing hyperglycemia?

Glipizide.

The nurse provides care for a client diagnosed with Addison disease. How would the nurse expect the client's skin to appear?

Abnormally dark and pigmented.

The nurse provides care for a client diagnosed with a pheochromocytoma. If the disease follows the typical course, which manifestation of this condition is the nurse most likely to observe?

Acute pain related to severe headache.

In which age group is diabetes mellitus type 2 most likely to occur?

Adults.

The nurse reviews lab results for client diagnosed with type 1 diabetes. Which laboratory finding indicates to the nurse that the client may be developing ketoacidosis?

Blood pH of 6.9.

The nurse provides care for a client immediately after a thyroidectomy. It is most important for the nurse to contact the health care provider for which observation?

Change in quality of respirations.

A client has undergone a thyroidectomy. The nurse is conducting a postoperative assessment. Which procedure must the nurse perform to assess for bleeding for this client?

Check the dressing and the back of the client's neck.

The nurse provides care for client following a transphenoidal hypophysectomy for pituitary tumor. Which signs indicate to the nurse that the client has developed antidiuretic hormone insufficiency?

Extreme thirst and large amounts of diluted urinary output.

The nurse provides care for a client diagnosed with a severe head injury. The client's urine output is 150mL/hour, blood pressure is 92/68 mm Hg, and increase serum osmolality is present. The nurse suspects the client has which condition?

Diabetes insipidus.

The nurse take the medical history of a client diagnosed with hypothyroidism. Which signs and/or symptoms does the nurse expect the client to exhibit?

Dry skin and constipation.

The nurse provides care for a client with Addison disease. The nurse assesses for which of the following conditions?

Dysrhythmias.

A client with a diagnosis of type 1 diabetes mellitus receives treatment for diabetic ketoacidosis. Which signs and/or symptoms confirm the diagnosis of diabetic ketoacidosis?

Elevated blood sugar and low serum bicarbonate.

The nurse performs a postoperative assessment of a client recovering from a thyroidectomy. The nurse notes that the client can only whisper. Which is the correct action for the nurse to take?

Ensure that a tracheostomy set is at the bedside and notify the healthcare provider immediately.

The nurse provides care for a client with a history of Type 1 diabetes mellitus, and admitted in a severe drowsy state. The client's arterial blood gas values are: pH 7.26, pCO2 37 mm Hg, HCO3 12 mEq/L. The nurse expects which finding during a review of the client's history?

History of recent infection.

The nurse recognizes which symptoms are characteristic of impending diabetic ketoacidosis?

Hot, dry, flushed skin, excessive thirst, rapid pulse.

The nurse knows that a client with a blood sugar level of 40 mg/dL indicated which condition?

Hypoglycemia.

The nurse provides care for a client diagnosed with a pheochromocytoma. The nurse notes the client is extremely hypertensive, is profusely sweating, and reports palpitations and anxiety. Which treatment does the nurse expect to be prescribed for the hypertension?

Immediate surgery.

A client is diagnosed with type 2 diabetes mellitus. Which factor contributes to the insulin resistance seen in type 2 diabetes?

Increase wait circumference size.

A client is evaluated in the outpatient clinic for hypothyroidism. The nurse expects the client to exhibit which symptom?

Increasing fatigue.

The nurse provides care for a conscious client with severe ketoacidosis. The nurse anticipates which treatment modality?

Insulin.

Which nursing intervention is most important when preparing the client for a radioactive iodine uptake test?

Investigate the client's medical history for previous treatment for thyroid disorders.

A client with hyperthyroidism reports feeling irritable to the nurse. The nurse understands which about this symptom?

Irritability is commonly observed in clients with hyperthyroidism.

The nurse provides care for a client diagnosed with type 1 diabetes. The nurse identifies which is the primary cause of dehydration in the client with diabetic ketoacidosis (DKA)?

Loss of fluid due to osmotic diuresis.

A client is recovering from a subtotal thyroidectomy. The nurse identifies which symptoms indicates damage to the parathyroid gland?

Numbness in the fingers.

The nurse instructs the client recently diagnosed with type 1 diabetes about proper meal planning. Which action should the nurse take FIRST?

Obtain a diet history that includes the client's favorite foods and usual meal patterns.

A client diagnosed with type 2 diabetes asks the nurse, "Are the pills I am taking to control my blood sugar a form of insulin?" Which statement best describes the action of oral hypoglycemic agents?

Oral hypoglycemic agents act to stimulate beta cells in the pancreas to release endogenous insulin.

The nurse finds a neighbor unresponsive in the front yard. The neighbor's spouse tells the nurse that a short time ago the spouse was confused and sweaty. The nurse discovers the spouse was recently diagnosed with type 1 diabetes. Which action is best for the nurse to take?

Place some sugar under the spouse's tongue.

The nurse provides care for a client receiving levothyroxine sodium. Which indicates a nursing consideration for this medication?

Provide medication at the same time daily.

The nurse provides care for a client diagnosed with a goiter. The client reports weakness, fatigue, increased sensitivity to heat, and feeling nervous and jittery. Which nursing intervention is the most appropriate in the care of this client?

Provide the client with rest periods between activities.

A client diagnosed with Hodgkin disease previously had treatment with radiation therapy. Now the client is newly diagnosed with hypothyroidism. The nurse identifies the hypothyroidism. The nurse identifies the hypothyroidism is most likely cause by which reason?

Radiation therapy has destroyed the thyroid gland.

The nurse provides care for a client diagnosed with hyperthyroidism. Which nursing observation suggests the client is experiencing thyrotoxicosis?

Rapid pulse.

The nurse provides care for a client diagnosed with diabetes insipidus. The client receives desmopressin. Which action is most important for the nurse to include in the client's care plan?

Reduce fluid intake.

The nurse teaches a client diagnosed with Graves disease about diet. The nurse determines further teaching is required when the client selects which food?

Seafood.

A school-age client is admitted to the hospital with a diagnosis of idiopathic hypopituitarism. Which clinical manifestation is the most likely to observe?

Short stature.

The nurse provides care for a client admitted with a diagnosis of diabetic ketoacidosis. The nurse anticipates the which type of insulin will be prescribed?

Short-acting insulin.

The nurse provides care for a client diagnosed with hypothyroidism complicated by myxedema. Which related nursing diagnosis does the nurse treat as a priorit?

Social isolation.

When teaching a client with Addison disease about dietary needs, the nurse should emphasize the importance of consuming which nutrient?

Sodium.

A client diagnosed with type 1 diabetes mellitus contacts the nurse to report experiencing night sweats, headaches when arising in the morning, and slight weigh gain. The client's urine tests are negative for glucose and positive for ketones. The client's fasting blood glucose is 300 mg/dL. The nurse identifies the client may be experiencing which condition?

Somogyi phenomenon.

A client diagnosed with type 1 diabetes mellitus begins insulin therapy. The nurse performs a physical assessment of the client. Which assessment finding indicates that the client may be having an insulin reaction?

Sweating.

The nurse develops a care plan for a client diagnosed with hyperthyroidism. Which is the priority action for the nurse to include in the client's plan of care?

Teach the client to wear eye protection at night.

The home care nurse monitors a client 7 days after a transphenoidal hypophysectomy. The nurse intervenes if which observation is made?

The client brushes teeth morning and night.

The nurse provides care for a client diagnosed with Addison disease. Which is the correct reason the nurse protects the client from stressors such as noise, environmental changes, and light?

The client is not producing corticosteroids.

The nurse performs a postoperative assessment after a client's thyroidectomy. Which should the nurse assess first?

The client's respiratory status.

The nurse provides care for a client diagnosed with diabetes insipidus. The client is prescribed desmopressin. The nurse determines that the medication is effective if which observation is made?

The client's specific gravity is 1.015.

The nurse plans to administer both regular and intermediate-acting insulin to a client diagnosed with type 1 diabetes. Which actions by the nurse reflect correct understanding of the proper administration procedure?

The nurse draws up the regular insulin first, then the intermediate-acting insulin/

The nurse in the outpatient clinic provides care for a client with the diagnosis of Cushing disease. The nurse expects to observe which symptom?

Thin legs and arms.

The nurse cares for a client diagnosed with adrenal hypersecretion (Cushing syndrome). The nurse expects to observe which findings?

Truncal obesity and increased facial fat.

An 8-month-old child comes to the clinic. The child had stunted growth, and chromosomal studies show the child has 45 chromosomes. The nurse identifies the child's condition is due to which diagnosis?

Turner syndrome.

Which disease is a 70-year-old African American client at highest risk of developing?

Type 2 diabetes mellitus.