Endocrine, Resp

A client with diabetes insipidus is receiving vasopressin. Which sign indicates that the drug is having the intended effect? lower blood pressure concentration of urine normal insulin levels improved glucose metabolism

concentration of urine Vasopressin works to increase the concentration of the urine by increasing tubular reabsorption, thus preserving up to 90% water.

Which findings indicate that a client has developed water intoxication secondary to treatment for diabetes insipidus? confusion and seizures sunken eyeballs and spasticity flaccidity and thirst tetany and increased blood urea nitrogen (BUN) levels

confusion and seizures Classic signs of water intoxication include confusion and seizures, both of which are caused by cerebral edema.

A client who has undergone outpatient nasal surgery is ready for discharge and has nasal packing in place. What should the nurse instruct the client to do? Avoid activities that elicit the Valsalva maneuver. Take aspirin to control nasal discomfort. Avoid brushing the teeth until the nasal packing is removed. Apply heat to the nasal area to control swelling.

Avoid activities that elicit the Valsalva maneuver.

A nurse has just received a report on four clients. Which client should the nurse see first? A client who underwent a thyroidectomy and has new onset hoarseness A client with Cushing syndrome who has been noted to have a blood sugar level of 134 mg/dL (7.4 mmol/L) A client in renal failure who has a laboratory report noting a creatinine level of 3.2 mg/dL (282.3 µmol/L) A client who was diagnosed with ulcerative colitis and recently passed 100 mL of loose bloody stools

A client who underwent a thyroidectomy and has new onset hoarseness New onset of hoarseness following a thyroidectomy may be a sign of tracheal edema and impending airway obstruction

Because respirations are depressed in myxedema coma, maintaining a patent airway is the most critical nursing intervention.

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In hyperglycemia, urine osmolarity (the measurement of dissolved particles in the urine) increases as glucose particles move into the urine.

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A client is being evaluated for hypothyroidism. To plan care, the nurse should ask the client about which sign or symptom? corneal abrasion weight loss diarrhea fatigue

fatigue A major problem for the person with hypothyroidism is fatigue. Other signs and symptoms include lethargy, personality changes, generalized edema, impaired memory, slowed speech, cold intolerance, dry skin, muscle weakness, constipation, weight gain, and hair loss. Incomplete closure of the eyelids, hypermetabolism, and diarrhea are associated with hyperthyroidism.

The nurse is caring for a client on the urinary unit. When providing report to the next shift, it is noted that the client has osteopenia and history of renal calculi. Which disorder would the nurse suspect? hyperparathyroidism hypoparathyroidism hypopituitarism hypothyroidism

hyperparathyroidism Hyperparathyroidism is characterized by osteopenia and renal calculi secondary to overproduction of parathyroid hormone. The hallmark symptom of hypoparathyroidism is tetany from hypocalcemia.

A nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will order daily supplements of calcium and folic acid. vitamin D. potassium. iron.

vitamin D. Typically, clients with hypoparathyroidism are ordered daily supplements of vitamin D along with calcium because calcium absorption from the small intestine depends on vitamin D.