Endocrine Quiz

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect? a. Hyper pigmentation b weight gain c. hirsutism d. purple striations

a. Hyper pigmentation

A client diagnosed with Addison's disease is admitted to the unit after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement? a. Start an IV with 18-gauge needle and infuse normal saline rapidly b. Have the client wait until you are done with the morning medications c. Obtain a consent for the client to receive a blood transfusion d. Collect urinalysis and blood samples for a CBC and calcium level

a. Start an IV with 18-gauge needle and infuse normal saline rapidly

A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.) a. assess blood glucose level b. assess for neck vein c. Monitor for an irregular heart rate d. Monitor for postural hypotension e. Weigh the client daily

a. assess blood glucose level b assess for neck vien distention e. weigh the client daily

A client with type 2 diabetes controlled with biguanide oral diabetic medication is scheduled for a computed tomography (CT) scan with contrast of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement? a. Provide a high-fat diet 24 hours prior to test b. Hold the metformin medication for 48 hours prior to test. c. Obtain an informed consent form for the test d. Administer pancreatic enzymes prior to the test

b. Hold the metformin medication for 48 hours prior to test.

The nurse is caring for a client who has pheochromocytoma. What is the priority nursing intervention for this client? a. Monitor the client's intake and output and urine specific gravity. b. Monitor blood pressure for severe hypertension. c. Monitor blood pressure for severe hypotension. d. Administer medication to increase cardiac output.

b. Monitor blood pressure for severe hypertension.

A client diagnosed with type 2 diabetes is admitted with hyperosmolar hyperglycemic syndrome (HHS) coma. Which assessment data should the nurse expect the client to exhibit? a. Kussmaul respirations b. Diarrhea and epigastric pain c. Dry mucous membranes d. Fruity breath

c. Dry mucous membranes

A client diagnosed with Cushing's disease has undergone a unilateral adrenalectomy. Which discharge instructions should the nurse discuss with the client? a. Instruct the client to take the glucocorticoid and mineralocorticoid medications as prescribed. b. Teach the client regarding sexual functioning and androgen replacement therapy c. Explain the signs and symptoms of infection and when to call the health care provider d. Demonstrate turn, cough, and deep-breathing exercises the client should perform every 2 hours

c. Explain the signs and symptoms of infection and when to call the health care provider

A nurse is discussing ways to prevent diabetic ketoacidosis with the client diagnoses with type 1 diabetes. Which instruction is most important to discuss with the client? a. Refer the client to the American Diabetic Association b. Do not take any over-the-counter medications c. Take the prescribed insulin even when unable to eat because of illness d. Explain the need to get the annual flu and pneumonia vaccines.

c. Take the prescribed insulin even when unable to eat because of illness

A nurse is care for client on the medical floor. Which client should be assessed first? a. The client diagnosed with syndrome of inappropriate ant diuretic hormone (SIADH) who has a weight gain of 1.5 pounds since yesterday b. The client diagnosed with pituitary tumor who had developed diabetes insipidus (DI) and has an intake of 1,500 mL and an output of 1,600 mL in the last 8 hours c. The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who is having a muscle twitching d. The client diagnosed with diabetes insipidus (DI) who is complaining of feeling tired after having to get up at night.

c. The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who is having a muscle twitching

A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which the following laboratory findings indicate a therapeutic effect of the medication? a. Serum sodium 146 mEq/L b. Blood glucose 80 mg/dL c. Urine specific gravity 1.015 d. Blood urea nitrogen (BUN) 15 mg/dL

c. Urine specific gravity 1.015