Endocrine
Which sign would a nurse recognize as a complication of syndrome of inappropriate antidiuretic hormone
Neck vein distention
Which, finding with the nurse discover when obtaining the history of a client recently diagnosed with type one diabetes
Weight loss
Which postoperative instruction would a nurse stress when providing preoperative teaching for a client scheduled fora transsphenoidal hypophysectomy
You must avoid coughing, sneezing, and blowing your nose for several days after surgery
Which crucial instruction would be included by the nursing, doing preoperative, teaching for a client scheduled for a subtotal thyroid ectomy •You will need to live flat for 48 hours after surgery •You will not be able to swallow for the first 24 hours •You should not hyper extend your neck after surgery •You cannot get out of bed for the first 24 hours after surgery
You should not hyperextend your neck after surgery
A client suspected to have hyperpituitarism is undergoing a suppression test which laboratory value of growth hormone would indicate a positive result •3 •4 •6
6 ng/mL
A nurse is caring for a client with type one diabetes, and the healthcare provider prescribes, one tube of glucose gel which condition would require glucose gel administration in this client Diabetic acidosis Hyper insulin secretion Insulin induced hypoglycemia
Insulin induced hypoglycemia
A client with type one diabetes is transported via ambulance to the emergency department of the hospital. The client has dry hot flush skin and a fruity odor to the breath and is having kussmaul respirations which complication does the nurse suspect the client is experiencing. •Ketoacidosis •Hyperosmolar, non-ketotic coma •Hypoglycemic reaction
Ketoacidosis
The nurse is caring for a client diagnosed with Cushing syndrome, which finding will the nurse expect to find up upon assessment
Liability of mood
On the first day after a thyroid ectomy, a client tolerates a full liquid diet when the diet is progressed to a soft diet the next day, the client complains of a sore throat when swallowing how would the nurse respond
Administer prescribed analgesics before meals
Which complication would be a nursing priority to assess for during the early postoperative period after a subtotal thyroidectomy •Hemorrhage •Thyrotoxic crisis •Airway obstruction
Airway obstruction
Which manifestation with the nurse assess for in a client with hyperthyroidism
Amenorrhea, flushed appearance and short attention span
Which strategy may reduce risk of injury to the eye for a client with type two diabetes
Medication to control hypertension
Which drug acts as an abortibfacient and female clients
Mifepristone
Which action should the nurse include in the plan of care for a client after an episode of keto acidosis
Monitor for signs of hypoglycemia as a result of treatment
Which dietary strategies with the nurse include when teaching a client with hypoglycemia how to control the condition
Consume a low carbohydrate, high protein diet, and avoid fasting
Which treatment plan would the nurse expect for a client with dysphasia caused by acute thyroiditis?
Antibiotica
Which hormone would the nurse include when planning a teaching session for a client diagnosed with diabetes insipidus? •Insulin •Anti-diuretic hormone •Follicle, stimulating hormone
Antidiuretic hormone
Which assessment question with the nurse ask before providing oral hydration to a client diagnosed with adrenal cortical insufficiency
Are you feeling nauseated?
Daily Humulin or insulin has been prescribed for a client with type one diabetes the nurse administers the insulin at 8 AM. Which time would the nurse monitor for the client for a potential insulin reaction?
Before lunch
Which factor identified by a nurse obtaining health history predisposes a client to type two diabetes •Having diabetes insipidus •Eating low cholesterol foods •Being 20 pounds over weight •Drinking a daily alcoholic beverage
Being 20 pounds overweight
A nurse is caring for a client who has a 20 year history of type two diabetes which changes will the nurse assess for that are associated with a long history of diabetes •Blurry spotty or hazy vision •Arthritic changes in the hands •Hyperactive, knee and ankle jerk reflexes
Blurry spotty hazy vision
A nurse is caring for a client with diagnosis of a diabetic ketoacidosis which information should the nurse include when teaching the client about the causes of diabetic acidosis
Breakdown of fat stores for energy
A client with diabetes who is receiving long-term corticosteroid therapy is admitted to the hospital with leg ulcers which complication of this therapy with the nurse anticipate when assessing this client •Weight loss •Hypoglycemia •Decrease blood pressure •In adequate wound healing
Inadequate wound healing
Which clinical manifestation is indicative of the fluid and electrolyte imbalance associated with parathyroid ectomy
Muscle spasms
When taking blood pressure of a client who had a thyroid ectomy, the nurse identifies that the client is pale and has spasms of the hand the nurse notifies the healthcare provider which substance with the nurse expect the healthcare provider to prescribe
Calcium
After a surgical thyroidectomy, a client exhibits carpopedal spasm and some tremors. The client reports tingling in the fingers and around the mouth which medication with the nurse expect the primary healthcare provider to prescribe after being notified of the clients manifestation.
Calcium gluconate
A client with type one diabetes has an above the knee amputation because of severe lower extremity arterial disease, which action is the nurses primary responsibility two days after surgery when preparing for the client eat dinner
Checking the clients serum glucose level
The nurse is caring for a client who just returned after thyroidectomy, which action would be implemented during the first 24 hours after surgery when the nurse is concerned about thyroid storm
Checking vital signs every two hours after they stabilize
A client would take two diabetes, travel frequently and ask how to plan meals during trips, which response by the nurses appropriate
Choose the food you normally eat and follow your food and glucose monitoring plan wherever you are
A urine specimen is needed to test for the presence of ketones in a client who is diabetic which action with a nurse take when collecting the specimen from an indwelling urinary tract •Disconnect the catheter and drain the urine into a clean container •Clean the drainage valve and remove the urine from the catheter bag •Wipe the catheter with alcohol and drain the urine into a sterile test tube •Clamp the catheter, cleanse the port, and use a sterile syringe to remove urine
Clamp the catheter, cleanse support and use sterile syringe to remove urine
A nurse is caring for a client newly diagnosed with type one diabetes when the healthcare provider tries to regulate this client insulin regimen. The client experiences episodes of hypoglycemia and hyperglycemia and 15 g of a simple sugar is prescribed which rationale explains why a simple sugar is administered when a client experiences hypoglycemia.
Increases blood glucose levels
Which findings support a suspicion of diabetic ketoacidosis in a client
Deep respirations and acetone odor to the breath
Which instruction would the nurse give when discussing insulin administration with a client newly diagnosed with type one diabetes mellitus
Draw the different insulin into the syringe in the same prescription every time
Which hormonal deficiency causes breast, atrophy, in female clients
Estrogen
The nurse is formulating a teaching plan for a client recently diagnosed with type two diabetes, which intervention with the nurse include to decrease the risk for complications
Examining the feet daily, wearing well, fitting shoes and performing regular exercise
A client newly diagnosed with type one diabetes is top tech exercise on a regular basis, which rationale forms the basis for this teaching
Exercise improves the cellular uptake of glucose
During a home visit to a client, the nurse identifies tremors of the hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping and feeling as if the collars of shirts are getting tight which assessment finding would concern the nurse and require urgent reporting to the provider.
Fluttering in the chest
Which hormone is secreted by the pancreas •glucagon •thymosin •melatonin
Glucagon
A client is diagnosed with Cushing syndrome, which manifestation with the nurse expect to increase in a client with Cushing syndrome
Glucose level
The nurse is caring for a client with poorly controlled type one diabetes which laboratory test. Would the nurse expect the primary healthcare provider to prescribe that will reveal the effectiveness of the diabetic regimen overtime
Glycosylated hemoglobin
For which complication would the nurse use Chevostik sign and trousers sign to assess during the first 72 hours after a client has had a thyroid ectomy •Hypokalemia •Hypocalcemia •Hyperkalemia, or •hypercalcemia
Hypocalcemia
Postoperatively a client who had a thyroid ectomy complains of tingling and numbness of the fingers and toes and the nurse observes muscle twitching, which complication would the nurse suspect the client is experiencing
Hypocalcemia
Which condition would the nurse suspect when a health assessment reveals a positive Chevostik sign and a client?
Hypocalcemia
A client newly diagnosed with diabetes arrives at the emergency department, complaining of dizziness and weakness. The client spouse reports that the client has been confused since this morning the spouse reports that the client administered the morning dose of 10 units of regular insulin and 25 units of NPH insulin with difficulty and did not eat much breakfast. Which condition does the nurse identify the likely cause of the client signs and symptoms?
Hypoglycemia
A client with type one diabetes receives 30 units of Humulin N insulin at 7 AM. at 3:30 PM. The client becomes diaphoretic weak and pale which process does the nurse suspect has caused these responses •Diabetic coma •Somogyi effect •Diabetic keto acidosis •Hypoglycemic reaction
Hypoglycemic reaction
The nurse is providing dietary teaching to a client with diabetes, which statement made by the client indicates understanding of learned material
My meals can be planned around a wide variety of commonly used foods
Which statement mean by a 28-year-old client recently diagnosed with type one diabetes indicates that further education is necessary regarding the teaching plan •I will need to have my eyes and vision examine once a year •I can improve metabolic and cardiac risk factors of this disease, if I follow a low calorie diet and lose weight •Once I reach my target weight, there is a good chance that I can switch to oral insulin to control my blood sugar
Once i reach my target weight there is a good chance i can switch to oral insulin to control my blood sugar
Which response would a nurse give to a client with type one diabetes mitis to ask should I take an oral anti-diabetic medication instead of the prescribed insulin
Oral anti-diabetic medication's only work for type two diabetes
During a routine, examination and enlarged thyroid gland is discovered in hyperthyroidism is expected, which finding with the nurse expect to identify when completing a nursing mission, history, and physical for this client
Palpitations and tachycardia
A client scheduled for a adrenal ectomy which prescription will the nurse expect to find in the clients plan of care
Parental steroids
Which hormone level test is likely to be ordered by the healthcare provider for a client with a suspected pituitary adenoma, who reports amenorrhea Galactorrhra, headache and vision loss
Prolactin
The client was a head injury has been receiving, dexamethasone the healthcare provider plans to reduce the dosage gradually and continue a lower maintenance dosage which affect associated with the gradual dosage reduction of the drug with the nurse explain to the client
Promotes return of cortisone production by the adrenal glands
Which action would the nurse take when a client status post thyroid ectomy developed signs of thyroid storm
Provide cardiac medication
The nurse is providing postoperative care for a client after thyroidectomy which response with the nurse, assess the client for when concerned about the potential risk for thyroid, toxic crisis
Rapid heartbeat and tremors
When week after beginning anti-thyroid medication for hyper thyroidism, a client reports diarrhea, abdominal pain and fever. The client is admitted with a diagnosis of thyroid toxic crisis which intervention would be important to implement for this client.
Reducing body temperature and heart rate
Which outcome is the focus of treatment for a client with Addison disease? •Decrease in eosinophils •Increase in lymphoid tissue •Restoration of electrolyte balance •Improvement of carbohydrate metabolism
Restoration of electrolyte balance
Which intervention would a nurse perform when caring for a client with syndrome of inappropriate antidiuretic hormone?
Restricting fluids
Which action should a nurse teach the client to take to avoid Lipo dystrophy when self administering insulin therapy •Exercise regularly •Rotate injection site •Use the Z track technique •Avoid massaging the injection site
Rotate injection sites
The nurse recognizes that the type of goiter caused by an iodine deficiency, is now very rare in the United States, because of the addition of iodine to which food seasoning
Salt
The nurse is assessing a client with a suspected pituitary tumor, which assessment finding is consistent with a pituitary tumor
Seizures
A client understands that an increase in both vitamin E and beta keratin is important for healthier skin which foods are excellent sources of both, and would be included in teaching by the nurse
Spinach and mangoes
The client is scheduled to have a thyroidectomy for cancer of the thyroid, which specific instruction about postoperative care. Should the nurse provide during preoperative teaching
Support the head with the hands when changing position
Which instruction would a nurse give when administering glipizide to a client with type two diabetes, and the latest experiencing difficulty controlling blood glucose levels
Take the glipizide twice each day 30 minutes before meals
Which goal in the nursing care plan with the nurse expect for a client experiencing lethargy and headaches from Addison disease
The client will have a normal serum sodium within 24 hours
Which information would the nurse include when teaching a client newly diagnosed with type one diabetes mellitus
The client will need less insulin when exercising or reducing food intake
A client would type two diabetes as admitted for elective surgery the healthcare provider prescribes, regular insulin. Even the oral antidiabetics were adequate before the clients hospitalization which rationale does the nurse conclude as the reason that regular insulin was prescribed.
The dosage can be adjusted to changing needs during recovery from surgery
Which statement would the nurse make to a client with type one diabetes mellitus who has a greatly increased glycosylated hemoglobin •Your insulin dosage needs to be increased significantly •You should have fasted for eight hours before this blood sugar test •The test tells us about your blood sugar control for the last three months •You haven't been following the diabetic diet that is prescribed for you
The test tells us about your blood sugar control for the last three months
Which peak action will the nurse explain when administering glargine to a diabetic client
There is no peak time for the drug
A client with cancer of the thyroid is scheduled for a thyroidectomy which facility would the nurse need to have available postoperatively •Tracheostomy set at the clients bedside •Large soft pillow for use under the clients head •Suction machine set on intermittent suction at the clients bedside
Tracheostomy set at the clients bedside
Which medication would the nurse anticipate being prescribed to treat a client with diabetes insipidus?
Vasopressin
Which local sign or symptom would the nurse expect to see when providing care for a client diagnosed with benign pituitary adenoma
Visual disturbances
The healthcare provider prescribes an oral hypoglycemic for the client with type two diabetes, which information will guide the nurse when developing the teaching plan •Oral hypoglycemic work by decreasing absorption of carbohydrates •Oral hypoglycemics work by stimulating the pancreas to produce insulin •Clients taking oral hypoglycemic may subconsciously relax, dietary rules to gain a sense of control
•Clients taking oral hypoglycemic may subconsciously relax, dietary rules to gain a sense of control