Diabetes

What should the nurse do when collecting a 24-hour urine specimen?

check to verify whether a preservative is needed

Which clinical findings should the nurse assess when caring for a client with hyperthyroidism?

tachycardia and exophthalamos

Which statement by a client with type 2 diabetes indicates to the nurse that additional dietary teaching is needed?

"I can eat as much dietetic fruit as I want.

A registered nurse is teaching the student nurse the precautions to follow when blood samples are collected. Which statement made by the student nurse indicates effective learning?

"I can use a single-lumen line to obtain samples."

The registered nurse is teaching a student nurse the points to be included while educating a client on cortisol replacement therapy about self-management. Which statement provided by the student nurse indicates the need for further teaching?

"I will advise the client to take the medication before meals."

A client with diabetes is given instructions about foot care. Which statement made by the client shows effective learning?

"I will break in my new shoes over the course of several weeks."

During the progressive stage of shock, anaerobic metabolism occurs. Which complication should the nurse anticipate in this client?

Metabolic acidosis

What is the most probable cause for Conn's syndrome in an adult client?

Adrenal adenoma

The nurse is assisting the primary healthcare provider, who is examining the client's skull radiograph. An abnormality in the endocrine gland situated in a depression of the sphenoid bone is suspected. Which hormone release is most probably affected?

Corticotropin

When assessing a client with Graves disease (hyperthyroidism), what would the nurse expect to find in the client's history?

Diaphoresis

Which health problem is most likely to precipitate acute hypoglycemia in a client?

Liver disease

A client is taught how to recognize indications of a hypoglycemic reaction. Which signs and symptoms identified by the client indicate to the nurse that the teaching was effective?

Fatigue Weakness Nervousness Increased perspiration

A client is diagnosed with hyperthyroidism and is treated with 131I. Before discharge the nurse teaches the client to observe for signs and symptoms of therapy-induced hypothyroidism. Which signs and symptoms should be included in the teaching?

Fatigue, Dry skin, progressive weight gain

A nurse is caring for a client who had a hypophysectomy. Which complication specific to this surgery should the nurse assess the client for early clinical manifestations?

Increased intracranial pressure

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

A client has undergone hypophysectomy. Which action would the nurse consider to be most appropriate during postoperative care to prevent a cerebrospinal fluid (CSF) leak?

Prohibiting coughing or sneezing

Which parameter monitoring should be the nurse's priority while caring for a client with hypothyroidism?

Respiratory Rate

A nurse in the postanesthesia unit is caring for a client who had a thyroidectomy. Which client response is most important for the nurse to monitor?

Signs of respiratory obstruction

A 24-hour urine test is prescribed for a client who has a tentative diagnosis of pheochromocytoma. What should the nurse do first?

Start the time of the test after discarding the first voiding.

A client admitted to the emergency department has ketones in the blood and urine. Which situation associated with this physiologic finding should be the nurse's focus when collecting additional data about this client?

Starvation

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?

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

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?

The client takes metformin daily.

The nurse is assessing a client with a suspected thyroid disorder. Which diagnostic studies will be most appropriate to confirm that the thyroid disorder is autoimmune in origin?

Thyroglobulin antibody Thyroid peroxidase antibody Thyroid-stimulating antibody

Which intervention should the nurse provide while caring for an older adult client who is reported to have decreased estrogen production?

use minimal tape on clients skin

What are the primary causes of adrenal insufficiency? .

Hemorrhage Tuberculosis Acquired immune deficiency syndrome

A client with a primary brain tumor has developed syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse will expect to see which clinical findings upon assessment?

Nausea and vomiting Increased weight Decreased serum sodium Decreased level of consciousness

A client has been diagnosed with hyperthyroidism. The nurse expects the client to exhibit which clinical manifestations?

Nervousness Increased appetite

A client who is scheduled to have surgery to remove an aldosterone-secreting adenoma asks the nurse what will happen if surgery is not performed. On what information should the nurse base a response?

the tumor must be removed to prevent heart and kidney damage

The nurse is caring for a 70-year-old client who presents with dilute urine even when fluid intake is low. What could be the possible cause of the client's condition?

Decreased antidiuretic hormone production