random endocrine test

Because of multiple physical injuries and emotional concerns, a hospitalized client is at high risk to develop a stress ulcer (Curling's). The nurse recalls that stress ulcers usually are evidenced by:

A sudden massive hemorrhage

A nurse is caring for a client with a tentative diagnosis of pheochromocytoma who is receiving chlorpromazine (Thorazine). A 24-hour urine specimen to assess the presence of vanillylmandelic acid (VMA) is prescribed to assist in the confirmation of the diagnosis. What information should the nurse include in the client teaching regarding this test? Select all that apply.

All urine excreted over the 24-hour period must be saved and refrigerated. Correct 5 Avoid coffee, chocolate, and citrus fruit for three days before and during the test

The nurse provides postoperative care to the client following subtotal thyroidectomy by: Select all that apply.

Assessing for frequent swallowing Correct 2 Ambulating the client the evening of surgery Correct 3 Assessing for facial spasms, apprehension, or tingling of the lips, fingers, or toes Correct 5 Ensuring that oxygen, suction equipment, and a tracheosomy tray are at the bedside

A client with the diagnosis of Cushing syndrome has the following laboratory results: Na (sodium) 149 mEq/L; K (potassium) 3.2 mEq/L; Hb (hemoglobin) 17 g/dL; and glucose 90 mg/dL. What should the nurse teach the client? Select all that apply.

Avoid foods high in salt. Eat foods high in potassium.

The nurse teaches a client with exophthalmos how to reduce discomfort and prevent corneal ulceration. The nurse concludes that the teaching is understood when the client states, "I should:

Avoid using a sleeping mask at night

Which physiological responses should a nurse expect when assessing a client with hyperthyroidism? Select all that apply.

Blurred vision increased appetite Widened pulse pressure

What expected effect of increased serum cortisone levels does a nurse consider when caring for clients with multiple physical and emotional problems?

Decreased pituitary secretion of adrenocorticotropin hormone (ACTH)

A client visits the clinic because of concerns about insomnia and recent weight loss. A tentative diagnosis of hyperthyroidism is made. In addition to these changes, the nurse further assesses this client for:

Fatigue

The nurse concludes that a client with type 1 diabetes is experiencing hypoglycemia. Which responses support this conclusion? Select all that apply.

Headache Correct 3 Tachycardia Correct 4 Cool clammy skin Headache is a neuroglycopenic response directly related to brain glucose deprivation. Tachycardia occurs with hypoglycemia because of a neurogenic adrenergic response; it is a sympathetic nervous system response precipitated by a low blood glucose level. Cool, clammy skin is a neurogenic cholinergic response; it is a sympathetic nervous system response precipitated by a low serum glucose level. Vomiting occurs with hyperglycemia because of the effects of metabolic acidosis. Increased respirations are a sign of hyperglycemia and are related to metabolic acidosis; this is a compensatory response in an attempt to blow off carbon dioxide and increase the pH level.

A client with a diagnosis of acquired immunodeficiency syndrome (AIDS) has a protozoal infection and is receiving pentamidine (NebuPent). The nurse should monitor the client for which common side effects? Select all that apply.

Hypoglycemia Decreased blood pressure

A nurse is caring for a client with type 1 diabetes who developed ketoacidosis. Which laboratory value supports the presence of diabetic ketoacidosis?

Increased serum lipid

A client is admitted to the hospital with a diagnosis of Cushing syndrome. When performing an assessment, the nurse should take into consideration that the client will most likely exhibit signs of:

Muscle weakness and frequent urination

A nurse is caring for a client with myxedema who has undergone abdominal surgery. What should the nurse consider when administering opioids to this client?

One-third to one-half the usual dose should be prescribed.

A nurse is assessing a client with a diagnosis of hypoglycemia. What clinical manifestations support this diagnosis? Select all that apply.

Palpitations Diaphoresis Slurred speech

A client is taking an antithyroid medication for hyperthyroidism. The nurse provides education about serious health problems that may develop if the medication is not effective and tachycardia continues. The nurse instructs the client to seek medical attention immediately if any of the problems occur. Which should be included in the teaching? Select all that apply.

Pedal edema Weight gain