Endocrine/Oncology Elevate

a client receiving chemo for lung cancer report increase fatigue. the family confirms client is sleeping most of the day and night. What priority action would the nurse take? 1. discuss the risks of immobility w/ client and family 2. check current lab values of H+H 3. suggest family see counseling for the client depression 4. request a referral from the HCP for PT

2. check current lab values of H+H

Which med would the nurse anticipate for the treatment of hyperthyroidism? 1. levothyroxine 2. methimazole 3. propranolol 4. iodine compounds 5. calcitonin

2. methimazole (decrease thyroid hormone release) 3. propranolol (decrease heart rate and anxiety) 4. iodine compounds (decrease size of thyroid) 1) dont give cause it would make problem worse and its the synthetic form of t4 2) dont need more calcitonin

The nurse is caring for a client diagnosed with Addisons disease. Which finding would indicate to the nurse that a client has received excessive mineralocorticoid replacement? SATA 1. oily skin 2. weight gain of 4 lbs in one week 3. loss of muscle mass in extremeites 4. blood glucose of 58 5. serum potassium of 3.2

2. weight gain of 4 lbs in one week 5. serum potassium of 3.2

An oncology client with a hickman catheter is being discharged to receive chemo via cassette pump at home. the nurse is aware that discharge instructions should include what info? SATA 1. alway use two pairs of gloves when preparing chemo meds 2. discarded chemo cassettes and tubing can be placed in regular trash 3. used needs or syringes must be placed into plastic chemo receptacle 4. linens soiled w/ chemo drugs can be washed w/ regular laundry 5. waste is placed in chemo bags and picked up by medical supplier 6. regular home cleaning products are appropriate for spilled chem meds

1. alway use two pairs of gloves when preparing chemo meds 3. used needs or syringes must be placed into plastic chemo receptacle 5. waste is placed in chemo bags and picked up by medical supplier

a client post thyroidectomy has been taking levothyroxine in increasing doses over the past week. Which findings, if present, would indicate to the nurse that the drug dosage is too high? SATA 1. irritability 2. weight gain 3. tachycardia 4. tremors 5. headache 6. bradycardia

1. irritability 3. tachycardia 4. tremors 5. headache

A client who has diabetes calls the nurse hot line regarding shakiness, nervousness, and palpitations. Which question would yield information that would help the nurse decide that this is a hypoglycemia episode? SATA 1. what have you eater today and at what times? 2. Are you using insulin as a treatment of diabetes, and if so what kind? 3. do you feel hungry? 4. do you have access to a glucose monitor to check your glucose level? 5. does you skin feel hot and dry?

1. what have you eater today and at what times? 2. Are you using insulin as a treatment of diabetes, and if so what kind? 3. do you feel hungry? 4. do you have access to a glucose monitor to check your glucose level?

a client has been on the nursing unit for 2 hours following a retropubic prostatectomy for the treatment of prostate cancer. The client is receiving a continuous bladder irrigation of NS infusing at 1000ml/hr. The client urine output for the past 2 hours is 410 mrs. What intervention would be best for the nurse to initiate first? 1. inspect the catheter tubing for obstruction 2. irrigate the catheter w/ a large piston syringe 3. notify the primary HCP 4. stop the irrigation flow

4. stop the irrigation flow there is an obstruction in the draining system, dont want bladder distention

A charge nurse has received report from the ER about a client diagnosed with Cushings being admitted to the unit. Which client in a semi private room would be appropriate for the charge nurse to have this client share? 1. client who has leukemia 2. client diagnosed with gastroenteritits 3. client who has a fractured hip 4. client diagnosed with bronchitis

3. client who has a fractured hip

A middle age client has a strong positive family of type 2 diabetes. What should the nurse teach the client regarding the best method to prevent or delay the development of this disease? SATA 1. test serum glucose values monthly 2. avoid starches and sugars in the diet 3. obtain normal body weight 4. maintain a normal serum lipid penal 5. exercise regularly

3. obtain normal body weight 5. exercise regularly

What is the priority assessment for a client post op thyroidectomy? 1. mental status changes 2. carpal spasm 3. potency of airway 4. pain at incision site

3. potency of airway

A client presents to the stat care clinic stating that they have been experiencing diarrhea and feeling flushed and hot. The client also reported having recently lost weight. The wife reports that he cant remember anything and is short tempered. Vital Signs are: BP: 182/100, Pulse: 120 Respirations: 18 Lab data indicates that the T3 and T4 levels are elevated. The client is diagnosed with hyperthyroidism. A client is being admitted with new onset hyperthyroidism. which med is of concern to the nurse while reviewing the clients routine meds? 1. ranitidine 2. furosemide 3.amioderone 4. propranolol

3.amioderone has lots of iodine in the medication

What info should the nurse include in teaching an oncology client the purpose of taking epoetin? 1. emergency treatment fo anemia 2. improves quality of life 3. used for the prevention of pure red cell aplasia 4. decreases the need for transfusion

4. decreases the need for transfusion

the nurse is caring for a poorly controlled type 2 diabetic. Lab results are BUN of 22 and Creatine: 1.9. The nurse checks BS and its 218. The client is taking metformin and eventide. What is the priority concern b/b the client is taking metformin? 1. metformin is not controlling the BS 2. Metformin can cause GI complaints 3. metformin can cause a decrease in appetite 4. metfromin is contraindicated with an elevated creatinine level

4. metfromin is contraindicated with an elevated creatinine level