Endocrine

When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive adrenalin, nurse April is most likely to detect:

A blood pressure of 176/88 mm Hg.

During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise. The nurse educator advises the clients to exercise how often to meet the goals of planned exercise?

At least three times a week

Dr. Kennedy prescribes diamicron, an oral antidiabetic agent, for a male client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide?

Be sure to take diamicron 30 minutes before meals."

Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. Nurse Vince should expect the following except:

Higher doses administered with high glucose results

A male client with type 1 diabetes mellitus has a highly elevated glycosylated haemoglobin (Hb) test result. In discussing the result with the client, nurse Sharmaine would be most accurate in stating:

It tells us about your sugar control for the last 3 months."

Which instruction about insulin administration should nurse Kate give to a client?

Rotate site of administering insulin."

Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the client reports that he's impotent and says he's concerned about its effect on his marriage. In planning this client's care, the most appropriate intervention would be to:

Suggest referral to a sex counselor or other appropriate professional.

Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, Nurse Tina assesses the client, who now has nausea, a temperature of 40.5° C, tachycardia, and extreme restlessness. What is the most likely cause of these signs?

Thyroid crisis

When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive adrenalin, nurse April is most likely to detect:

a blood pressure of 176/88 mm Hg.

Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits confusion, light‐headedness, and aberrant behavior. The client is still conscious. The nurse should first administer:

fast‐acting carbohydrate such as orange juice.

Nurse Noemi administers glucagon to her diabetic client and starts monitoring the patient. She know glucagon has worked if,

glucose levels increase

A male client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. Nurse Jack explains that these medications are only effective if the client:

has type 2 diabetes.