RN Learning System Med/Surg- Endocrine
Amylase
A nurse in the ED is assessing a client who has pancreatitis. In which of the following lab results should the patient expect to see an elevation?
Hydrocortisone
A nurse in the ED is caring for a client who has Addison's disease and reports nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should prepare to administer which of the following medications?
Blood glucose level
A nurse in the ED is caring for a client who has a fruity breath odor, a dry mouth, and extreme thirst. Which of the following assessments should the nurse make?
Tracheostomy tray
A nurse is accepting a transfer from the PACU of a client who had a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the bedside for this client?
Hypotension
A nurse is assessing a client who has Addison's disease. Which of the following findings should the nurse expect?
Bronze pigmentation of the skin
A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find?
difficulty sleeping
A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect the client to display?
increased head size
A nurse is assessing a client who has manifestations of acromegaly. Which of the following findings should the nurse expect?
Prepare for a tracheostomy
A nurse is assessing a client who is recovering from a thyroidectomy and has a harsh, high-pitched respiratory sound. Which of the following actions should the nurse take?
Tachycardia and hypertension Laryngeal stridor and hoarseness Positive Trousseau's sign
A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by adenoma. Which of the following findings should the nurse report to the provider?
Kussmaul respirations
A nurse is caring for a client who has DKA. Which of the following findings should the nurse expect?
Hydrocortisone
A nurse is caring for a client who has been diagnosed with an Addisonian crisis and has a blood pressure of 74/42 mmHg. Which of the following prescriptions should the nurse anticipate?
Polyuria
A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor?
Diaphoresis
A nurse is caring for a client who has type 1 DM and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect?
increased urination
A nurse is caring for a client who has type 2 DM and is displaying manifestations of hyperglycemia. Which of the following findings indicates the client has hyperglycemia?
Parathyroid gland
A nurse is caring for a client who has urolithiasis and requires further diagnostic testing after an initial test indicated hypercalcemia. Which of the following structures controls calcium concentration?
Compensation for decreased cortisol levels
A nurse is caring for a client who is postop following a bilateral adrenalectomy. The nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects?
calcium
A nurse is caring for a client who is postop 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?
Weigh the client daily
A nurse is caring for a client who is receiving TPN through a central line. Which of the following actions should the nurse perform?
Warm the dialysate solution prior to administration
A nurse is caring for a client who is scheduled to receive peritoneal dialysis. Which of the following actions should the nurse take?
Hydrocortisone
A nurse is caring for a client with Addison's disease who has been admitted with muscle weakness, dehydration, and nausea and vomiting for the past 2 days. Which of the following prescribed medications should the nurse plan to administer?
Glycosylated hemoglobin levels
A nurse is checking lab values to determine if a client with DM is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination?
Hypoglycemia
A nurse is conducting a home visit for an older adult client who has DM and takes regular insulin subcutaneously before each meal. The client appears disoriented and weak and has slurred speech. Which of the following conditions should the nurse consider first when responding to these manifestations?
Involuntary muscle spasms
A nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. Which of the following findings should the nurse expect?
hypertension
A nurse is monitoring a client who has Graves' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider?
Hyponatremia
A nurse is monitoring a client who has SIADH. Which of the following findings should the nurse expect?
men and women who are obese
A nurse is planning a community health screening for a group of clients who are at risk for type 2 DM. Which of the following clients should the nurse include in the screening?
Check the client's urine specific gravity
A nurse is planning care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care?
Tolvaptan
A nurse is planning care for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH) with mild manifestations. The nurse should expect the provider to prescribe which of the following medications?
Encourage the client to control weight
A nurse is planning care for a client who has type 2 DM. Which of the following interventions should the nurse include in the plan?
Monitor the client's nighttime blood glucose levels
A nurse is planning 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?
0.45% sodium chloride
A nurse is planning to administer fluids to a client who has 25% total body surface area burns. The client has no prior medical history. Which of the following IV fluids is contraindicated for this client?
Vanillylmandelic acid (VMA)
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?
shakiness
A nurse is providing teaching to a client who has type 1 DM about hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
"My cells are resistant to the effects of insulin."
A nurse is providing teaching to a client who has type 2 DM about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching?
Turkey and cheese sandwich
A nurse is providing teaching to 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?
asks the client to identify the types of food she prefers.
A nurse is reinforcing dietary teaching with a client who has diabetes mellitus. Which of the following should the nurse take first?
" You should not ejaculate for 24 hours prior to the PSA test"
A nurse is reinforcing teaching about the prostate specific antigen (PSA) test with a client. Which of the following statements should the nurse take?
wear a medical alert identification tag when you exercise
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 don't have to give up pasta just adjust the amount you eat
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The client states, " I eat pasta every day. I can't imagine giving it up." Which of the following responses should the nurse make?
Bicarbonate 1.2 mEq/L
A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of the following results should the nurse expect?
Fasting blood glucose 95 mg/dL
A nurse is reviewing the lab results of a client who has DM. Which of the following results indicates that the client's diabetes is controlled?
bradycardia
A nurse is reviewing the laboratory reports for a client and notes an elevated thyroid-stimulating hormone (TSH) level. When collecting data from the client, which of the following findings should the nurse expect?
"Use a water-based lubricant when having sexual intercourse."
A nurse is teaching a client who had a vaginal hysterectomy with a bilateral oophorectomy. Which of the following pieces of information should the nurse include in the teaching?
Increase caloric intake with meals
A nurse is teaching a client who has hyperthyroidism about managing this disorder. Which of the following recommendations should the nurse include?
"I'll be sure to wear cotton socks every day."
A nurse is teaching a client who has type 2 DM about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Weigh the client daily Obtain a serum blood glucose every 4 hr Change the IV tubing every 24 hr
A nurse is updating the plan of care for a client who is to receive TPN. Which of the following actions should the nurse include in the plan?
"i should replace white bread with whole-grain bread "
a nurse is providing teaching about food choices to a client who has diabetes. Which of the following statements by the client indicates an understanding of the teaching?
