Endocrine

A nurse is reviewing the lab values for a client who has hyperglycemic hyperosmolar nonketotic syndrome. The nurse should expect that which of the following lab values is consistent with hyperglycemic hyperosmolar nonketotic syndrome? Blood glucose 320 mg/dL Positive urine ketones Blood pH 7.34 Blood osmolality greater than 350 mOsm/kg

Blood glucose 320 mg/dL

A nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism which of the following lab values should the nurse expect to decrease as a therapeutic effect of the procedure? Phosphorous Sodium Potassium Calcium

Calcium

A nurse is preparing a 24 hr urine specimen for a client who is suspected to have pheochromocytoma. Which of the following lab tests from the 24 hr urine specimen should the nurse use to determine the client's condition? Creatinine clearance Catecholamine metabolites hydroxycorticosteroids Protein

Catecholamine metabolites

A nurse is assisting with the plan of care for a client who has Cushings' syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care? Check the clients blood glucose for hypoglycemia Check for hypertension Weigh the client weekly Insert and indwelling urinary cath for the client

Check for hypertension

A nurse is caring for a client who is postoperative following a bilateral adrenalectomy. The nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects? Compensate for decrease in cortisol levels Inhibit glucose metabolism Act as a diuretic to maintain urine output Decrease susceptibility to infection

Compensate for decrease in cortisol levels

A nurse is collecting data from a client who has Graves' disease. Which of the following findings should the nurse expect the client to display? Constipation Cold intolerance Difficulty sleeping Anorexia

Difficulty sleeping

A nurse is checking a client who has Graves' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider? Constipation Headache Bradycardia Fever

Fever

A nurse is checking lab values to determine if a client who has diabetes mellitus is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination? Glucose tolerance test Urine sugar and acetone Glycosylated hemoglobin levels Fasting serum glucose

Glycosylated hemoglobin levels

A nurse is monitory a client who has syndrome of inappropriate antidiuretic hormone secretion (SIAHD). Which of the following findings should the nurse expect? Polyuria Dehydration Hyponatremia Hypernatremia

Hyponatremia

A nurse is collecting data from a client who has manifestations of acromegaly. Which of the following findings should the nurse expect? Thinning of skeletal bone structure Concave chest wall High pitched voice Increased head size

Increased head size

A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? Hunger Increased urination Cold, clammy skin Tremors

Increased urination

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following manifestation should the nurse include in the teaching? Irritability Urinary frequency Dry mucous membranes Excess thirst

Irritability

A nurse is assisting with the plan of care for a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. Which of the following clients should the nurse include in the screening? Men who smoke Men and women who are obese woman who have hepatitis Men and women who consume high-protein and low carbohydrate foods

Men and women who are obese

A nurse is assisting with the plan of care for a client who is experiencing the Somogyi effect and takes intermittent -acting insulin. Which of the following actions should the nurse include in the plan? Move the evening intermediate-acting insulin dose to 90 min before dinner Increase the client's morning caloric intake Omit the client's evening snack Monitor the client's nighttime blood glucose levels

Monitor the client's nighttime blood glucose levels

A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching? My cells are resistant to the effects of insulin My body breaks down sugars to efficiently My pancreas does not produce insulin My body produces antibodies against pancreatic beta cells

My cells are resistant to the effects of insulin

A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor? Proteinuria Oliguria Polyuria Glycosuria

Polyuria

A nurse is collecting data from a client who has Cushing's syndrome. Which of the following skin manifestations should the nurse expect to find? Purple striae on the chest and abdomen Butterfly rash across the bridge of the nose Bronze pigmentation of skin Jaundice of the face and sclera

Purple striae on the chest and abdomen

A nurse is caring for a client who has a thyroidectomy to treat hyperthyroidism caused by an adenoma. Which of the following findings should the nurse report to the provider? (select all that apply) Tachycardia and hypertension Respiratory rate 16/min Negative Chvostek's sign Laryngeal stridor and hoarseness Positive trousseau's

Tachycardia and hypertension Laryngeal stridor and hoarseness Positive trousseau's

A nurse is reinforcing teaching with a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching? Sliced bananas Baked potato Turkey and cheese sandwich Plain yogurt with peaches

Turkey and cheese sandwich

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about exercise. Which of the following statements should the nurse include in the teaching? You should exercise during a peak insulin time Wear a medical alert identification tag when you exercise Exercise can decrease the effects of insulin and cause the blood glucose levels to increase You will get the most benefit from exercise when your glucose levels are high than normal

Wear a medical alert identification tag when you exercise