Endocrine EAQ

The nurse suspects that a client has diabetes mellitus. Which statements made by the client helped the nurse reach this conclusion? Select all that apply. One, some, or all responses may be correct. 1-"I am 65 years old." 2-"I quite often feel thirsty." 3-"I eat food every 2 hours." 4-"I have excessive sweating." 5-"I sometimes experience shortness of breath."

1-"I am 65 years old." 2-"I quite often feel thirsty." 3-"I eat food every 2 hours."

A client is diagnosed with parathyroid dysfunction. Which serum calcium concentration supports the diagnosis? 1-7.8 mg/dL 2-8.9 mg/dL 3-9.7 mg/dL 4-10.2 mg/dL

1-7.8 mg/dL

The nurse is caring for a client who underwent a total thyroidectomy. Which assessment finding would lead the nurse to notify the rapid response team? 1-Stridor 2-Hoarseness 3-Bradycardia 4-Hypocalcemia

1-Stridor

A client is scheduled for a computed tomography (CT) of the brain with contrast. The nurse reviews the client's medical record before the start of the procedure. The nurse would report which significant finding to the primary healthcare provider before the test is performed? 1-The client takes metformin daily. 2-The client consumed a meal 1 hour before the scheduled test. 3-The client reports an allergy to gadolinium. 4-The client was not prescribed intravenous (IV) sedation.

1-The client takes metformin daily.

A client's fasting plasma glucose levels are being evaluated. The nurse identifies that the client is considered to be diabetic if the results are within which range? 1-40 to 60 mg/dL (2.2-3.3 mmol/L) 2-80 to 99 mg/dL (4.5-5.5 mmol/L) 3-100 to 125 mg/dL (5.6-6.9 mmol/L) 1-126 to 140 mg/dL (7.0-7.8 mmol/L)

4-126 to 140 mg/dL (7.0-7.8 mmol/L)

Upon assessment of a client, the nurse observed the condition depicted in the photo. Which is the likely cause of the clinical manifestations? 1-Decreased cardiac output 2-Decreased erythropoietin levels 3-Accumulation of mucopolysaccharides in blood vessel wall 4-Accumulation of hydrophilic mucopolysaccharides in tissue

4-Accumulation of hydrophilic mucopolysaccharides in tissue

The nurse is caring for a client who presents with dilute urine even when fluid intake is low. The nurse suspects that the dilute urine is caused by a decrease in which physiological activity? 1-Glucose tolerance 2-General metabolism 3-Ovarian production of estrogen 4-Antidiuretic hormone production

4-Antidiuretic hormone production

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. One, some, or all responses may be correct. 1-Thirst 2-Headache 3-Nervousness 4-Fruity breath odor 5-Excessive urination

Correct1-Thirst Correct4-Fruity breath odor Correct5-Excessive urination

A client is suspected of having hypercortisolism. Which questions would the nurse include when performing the history-taking part of the admission assessment? Select all that apply. One, some, or all responses may be correct. 1-"Did you lose any weight unintentionally?" 2-"Did you notice your extremities to be thin?" 3-"Did you notice any roughness of your skin?" 4-"Did you notice any skin darkening recently?" 5-"Did the hair on your body become thicker?"

2-"Did you notice your extremities to be thin?" 5-"Did the hair on your body become thicker?"

After a teaching session, the nurse evaluates the client's understanding of hypoparathyroidism. Which statement made by the client indicates the need for further education? 1-"I should eat an orange a day." 2-"I should include yogurt in my diet." 3-"I should perform mild exercises daily." 4-"I should sit outside in the sun."

2-"I should include yogurt in my diet."

The nurse is reviewing laboratory results from several clients. Based on the given data, which client is most likely to have a diagnosis of hyperthyroidism documented in the medical record? 1-Client A 2-Client B 3-Client C 4-Client D

2-Client B

Which finding in a client with Graves disease would suggest an exacerbation of the disorder? Select all that apply. One, some, or all responses may be correct. 1-A 10-pound weight loss 2-Very fast-paced talking 3-Hyperactive bowel sounds 4-Heart rate 120 beats/min 5-Blood pressure 170/86 mm Hg

1-A 10-pound weight loss 2-Very fast-paced talking 3-Hyperactive bowel sounds 4-Heart rate 120 beats/min 5-Blood pressure 170/86 mm Hg

An increase in which blood component is responsible for the acidosis related to untreated diabetes mellitus? 1-Ketones 2-Glucose 3-Lactic acid 4-Glutamic acid

1-Ketones

Which client is at high risk for an adrenal gland disorder? 1-Client A 2-Client B 3-Client C 4-Client D

2-Client B

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 health care provider writes a prescription to discontinue the 7:00 AM dose of insulin and to administer glyburide 5 mg twice daily. After administering the glyburide at 8:30 AM, the nurse sees that the insulin had already been administered at 7:00 AM. Which initial action would the nurse take? 1-Measure the vital signs. 2-Notify the primary health care provider. 3-Administer 15 G of fast acting carbohydrates 4-Check blood glucose for hypoglycemia.

4-Check blood glucose for hypoglycemia.

Which clinical findings support the diagnosis of diabetic ketoacidosis (DKA)? 1-Nervousness and tachycardia 2-Erythema toxicum rash and pruritus 3-Diaphoresis and altered mental state 4-Deep respirations and fruity odor to the breath

4-Deep respirations and fruity odor to the breath

Which electrolyte concentration has the potential to precipitate dysrhythmias and cardiac arrest in a client? 1-Serum sodium of 139 mEq/L (139 mmol/L) 2-Serum chloride of 100 mEq/L (100 mmol/L) 3-Serum calcium of 10.2 mg/dL (2.55 mmol/L) 4-Serum potassium of 7.2 mEq/L (7.2 mmol/L)

4-Serum potassium of 7.2 mEq/L (7.2 mmol/L)

Which nursing intervention is appropriate to include in the plan of care for a client with diabetic ketoacidosis (DKA)? 1-Intravenous administration of regular insulin 2-Administer insulin glargine subcutaneously at hour of sleep 3-Maintain nothing prescribed orally (NPO) status 4-Intravenous administration of 10% dextrose

1-Intravenous administration of regular insulin

The nurse is caring for a client who is experiencing an underproduction of thyroxine (T4). This condition is associated with which diagnosis? 1-Myxedema 2-Acromegaly 3-Graves disease 4-Cushing disease

1-Myxedema

A client reports feeling nervous, irritable, and extremely tired. The client states, "Although I eat a lot of food, I have frequent bouts of diarrhea and am losing weight." The nurse observes a fine hand tremor, an exaggerated reaction to external stimuli, and a wide-eyed expression. Based on the assessment findings, it is likely that which laboratory tests will be prescribed? 1-Partial thromboplastin time (PTT) and prothrombin time (PT) 2-Thyroxin (T3), triiodothyronine (T4), and thyroid-stimulating hormone (TSH) 3-Venereal disease research laboratory (VDRL) test and complete blood count (CBC) 4-Adrenocorticotropic hormone (ACTH), antidiuretic hormone (ADH), and corticotropin-releasing factor (CRF)

2-Thyroxin (T3), triiodothyronine (T4), and thyroid-stimulating hormone (TSH)

Which nursing intervention is appropriate when a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS)? 1-Providing oxygen 2-Encouraging carbohydrates 3-Administering fluid replacement 4-Teaching facts about dietary principles

3-Administering fluid replacement

The nurse is reviewing the laboratory reports of four clients. Which client is likely to have hyperfunction of the adrenal gland? 1-Client 1 2-Client 2 3-Client 3 4-Client 4

3-Client 3

The nurse provides postoperative care to a client who has undergone a hypophysectomy. Which action would the nurse take if there is a yellowish discharge at the dressing site? 1-Change the dressing. 2-Remove the discharge with alcohol swabs. 3-Inform the primary health care provider. 4-Reinforce the dressing to prevent leakage.

3-Inform the primary health care provider.

The nurse is reviewing the electronic health record of a client admitted with syndrome of inappropriate antidiuretic hormone (SIADH). Which medication order would the nurse question? 1-Furosemide (Lasix) 2-Tolvaptan (Aquaretic) 3-Intravenous (IV) 0.9% sodium chloride 4-Demeclocycline (Declomycin)

3-Intravenous (IV) 0.9% sodium chloride

Which action would the nurse include in the plan of care for a client undergoing a transsphenoidal hypophysectomy? Select all that apply. One, some, or all responses may be correct. 1-Assessing for clear nasal drainage 2-Maintaining strict intake and output 3-Increasing daily dietary fiber intake 4-Elevating the head of the bed 30 degrees 5-Instructing on the use of an incentive spirometer

1-Assessing for clear nasal drainage 2-Maintaining strict intake and output 3-Increasing daily dietary fiber intake 4-Elevating the head of the bed 30 degrees 5-Instructing on the use of an incentive spirometer

Which factor may have precipitated ketoacidosis in a client with type 1 diabetes who has been adhering to a prescribed insulin regimen? 1-Increased exercise 2-Decreased food intake 3-Working the night shift 4-Upper respiratory infection

4-Upper respiratory infection

The nurse reviews the serum laboratory values of a client. The nurse suspects hypofunctioning of the adrenal gland based on which results? Select all that apply. One, some, or all responses may be correct. 1-Increased calcium 2-Decreased cortisol 3-Decreased sodium 4-Decreased potassium 5-Increased glucose

1-Increased calcium 2-Decreased cortisol 3-Decreased sodium

Which sign or symptom would the nurse expect to find on assessment of a client with a blood glucose level of 55 mg/dL? Select all that apply. One, some, or all responses may be correct. 1-Increased thirst 2-Abdominal pain 3-Frequent urination 4-Cold, clammy skin 5-3+ glucose in urinalysis

4-Cold, clammy skin

Assessment findings of a client include fatigue, hair loss, weight gain, and diagnostic tests indicating anemia. The nurse anticipates a prescription for which therapy? 1-Iodine 2-Methimazole 3-Levothyroxine 4-Propylthiouracil

3-Levothyroxine

The nurse is caring for a client who is prescribed desmopressin acetate. Which is the expected outcome in the client? 1-Sodium: 136 mEq/L 2-Specific gravity: 1.005 3-Urine output: 3 L/day 4-Osmolarity: 100 mOsm/kg

3-Urine output: 3 L/day