Endo

The major nursing concern when caring for a client with the diagnosis of hyperthyroidism is: 1.Monitoring for hypoglycemia 2.Protecting visitors and staff from radiation exposure 3.Providing foods to increase appetite 4.Arranging for sufficient rest periods

4.Arranging for sufficient rest periods

A client has a history of hypothyroidism. Which skin condition should the nurse expect when performing a physical assessment? 1.Dry 2.Moist 3.Flushed 4.Smooth

1.Dry

A client tells the nurse during the admission history that an oral hypoglycemic agent is taken daily. For which condition does the nurse conclude that an oral hypoglycemic agent may be prescribed by the health care provider? 1.Ketosis 2.Obesity 3.Type 1 diabetes 4.Reduced insulin production

4.Reduced insulin production

After a surgical thyroidectomy a client exhibits carpopedal spasm and some tremors. The client complains of tingling in the fingers and around the mouth. What medication should the nurse expect the primary health care provider to prescribe after being notified of the client's adaptations? 1.Potassium iodide 2.Calcium gluconate 3.Magnesium sulfate 4.Potassium chloride

2.Calcium gluconate

A client with diabetes mellitus complains of difficulty seeing. The nurse concludes that the causative factor is: 1.Lack of glucose in the retina 2.Neovascularization of the retina 3.Inadequate glucose supply to rods and cones 4.Destructive effect of ketones on retinal metabolism

2.Neovascularization of the retina

For which client response should the nurse monitor when assessing for complications of hyperparathyroidism? 1.Tetany 2.Seizures 3.Bone pain 4.Graves disease

3.Bone pain

The health care provider prescribes propylthiouracil (PTU) for a client with hyperthyroidism. The nurse explains that this drug: 1.Increases the uptake of iodine 2.Causes the thyroid gland to atrophy 3.Interferes with the synthesis of thyroid hormone 4.Decreases the secretion of thyroid-stimulating hormone (TSH)

3.Interferes with the synthesis of thyroid hormone

Which clinical indicator should the nurse identify as expected for a client with type 2 diabetes? 1.Ketones in the blood but not in the urine. 2.Glucose in the urine but not hyperglycemia. 3.Urine negative for ketones and hyperglycemia. 4.Blood and urine positive for both glucose and ketones

3.Urine negative for ketones and hyperglycemia

Before a client's discharge after a thyroidectomy, the nurse teaches the client to observe for signs of surgically induced hypothyroidism. What clinical indicators identified by the client provide evidence that the nurse's instructions are understood? (Select all that apply.) 1.Fatigue 2.Dry skin 3.Insomnia 4.Intolerance to heat 5.Progressive weight loss

1.Fatigue 2.Dry skin

A nurse is caring for a newly admitted client with a diagnosis of Graves disease. In preparing a teaching plan, the nurse anticipates which diet will be prescribed for this client? 1.High-calorie diet 2.Low-sodium diet 3.High-roughage diet 4.Mechanical-soft diet

1.High-calorie diet

A nurse plans to set up emergency equipment at the bedside of a client in the immediate postoperative period after a thyroidectomy. What should the nurse include in the bedside setup? 1.Crash cart with bed board 2.Tracheostomy set and oxygen 3.Ampule of sodium bicarbonate 4.Airway and nonrebreather mask

2.Tracheostomy set and oxygen

A nurse is assessing a female client with Cushing syndrome. Which clinical findings can the nurse expect to identify? (Select all that apply.) 1.Hirsutism 2.Menorrhagia 3.Buffalo hump 4.Dependent edema 5.Migraine headaches

1.Hirsutism 3.Buffalo hump

A nurse is caring for a client who just returned from the postanesthesia care unit after having a thyroidectomy. Which action has priority during the first 24 hours after surgery when the nurse is concerned about thyroid storm? 1.Performing range-of-motion exercises 2.Humidifying the room air continuously 3.Assessing for hoarseness every two hours 4.Checking vital signs every two hours after they stabilize

4.Checking vital signs every two hours after they stabilize

A urine specimen is needed to test for the presence of ketones in a client who is diabetic. What should the nurse do when collecting this specimen from a urinary retention catheter? 1.Disconnect the catheter and drain the urine into a clean container. 2.Clean the drainage valve and remove the urine from the catheter bag. 3.Wipe the catheter with alcohol and drain the urine into a sterile test tube. 4.Clamp the catheter, cleanse the port, and use a sterile syringe to remove urine

4.Clamp the catheter, cleanse the port, and use a sterile syringe to remove urine

A nurse is caring for a client who had an adrenalectomy. For what clinical response should the nurse monitor while steroid therapy is being regulated? 1.Hypotension 2.Hyperglycemia 3.Sodium retention 4.Potassium excretion

1.Hypotension

Which is an independent nursing action that should be included in the plan of care for a client after an episode of ketoacidosis? 1.Monitoring for signs of hypoglycemia as a result of treatment 2.Withholding glucose in any form until the situation is corrected 3.Giving fruit juices, broth, and milk as soon as the client is able to take fluids orally 4.Regulating insulin dosage according to the amount of ketones found in the client's urine

1.Monitoring for signs of hypoglycemia as a result of treatment

A nurse is caring for a client who is receiving total parenteral nutrition. Which responses indicate that the client is experiencing hyperglycemia? (Select all that apply.) 1.Polyuria 2.Polydipsia 3.Paralytic ileus 4.Serum glucose of 105 mg/dL 5.Respiratory rate of 16 breaths per minute

1.Polyuria 2.Polydipsia

After assessing a client, a nurse concludes that the client may be experiencing hyperglycemia. Which clinical findings commonly associated with hyperglycemia support the nurse's conclusion? (Select all that apply.) 1.Polyuria 2.Polydipsia 3.Polyphagia 4.Polyphrasia 5.Polydysplasia

1.Polyuria 2.Polydipsia 3.Polyphagia

A client with history of multiple chronic illnesses comes to the emergency department (ED) complaining of a small progressive weight loss over the last month and feeling lethargic and thirsty all the time. The client's fasting blood glucose is 180 mg/dL and vital signs are blood pressure (BP) 118/78 mm Hg, oral temperature 99.6º F, pulse 72 beats per minute and regular, and respirations 22 breaths per minute and irregular. The nurse reviews the assessment findings and the client's medical record. What condition does the nurse conclude the client is experiencing? 1.Hypervolemia 2.Hyperglycemia 3.Infectious process 4.Respiratory distress

2.Hyperglycemia

A client has been taking levothyroxine (Synthroid) for hypothyroidism for three weeks. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? (Select all that apply.) 1. Tremors 2.Bradycardia 3.Somnolence 4.Heat intolerance 5.Decreased blood pressure

1. Tremors 4.Heat intolerance

The nurse is assessing a client with hyperthyroidism. Which clinical indicators are consistent with this diagnosis? (Select all that apply.) 1.Emotional lability 2.Dyspnea on exertion 3.Abdominal distension 4.Decreased bowel sounds 5.Hyperactive deep tendon reflexes

1.Emotional lability 2.Dyspnea on exertion 5.Hyperactive deep tendon reflexes

A nurse is assessing a client who is admitted to the hospital with a tentative diagnosis of a pituitary tumor. What signs of Cushing syndrome does the nurse identify? 1.Retention of sodium and water 2.Hypotension and a rapid, thready pulse 3.Increased fatty deposition in the extremities 4.Hypoglycemic episodes in the early morning

1.Retention of sodium and water

A client with cancer of the thyroid is scheduled for a thyroidectomy. Postoperatively the nurse plans to have a: 1.Quiet, dimly lit room for the client 2.Tracheostomy set at the client's bedside 3.Large soft pillow for use under the client's head 4.Suction machine set on intermittent suction at the client's bedside

2.Tracheostomy set at the client's bedside

During the early postoperative period after a subtotal thyroidectomy, the nursing priority is to assess for: 1.Hemorrhage 2.Thyrotoxic crisis 3.Airway obstruction 4.Hypocalcemic tetany

3.Airway obstruction

A nurse is caring for a client newly diagnosed with type 1 diabetes. When the health care provider tries to regulate this client's insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia, and 15 g of a simple sugar is prescribed. What is the reason this is administered when a client experiences hypoglycemia? 1.Inhibits glycogenesis 2.Stimulates release of insulin 3.Increases blood glucose levels 4.Provides more storage of glucose

3.Increases blood glucose levels

A client with type 2 diabetes travels frequently and asks how to plan meals during trips. The nurse's most appropriate response is: 1."You can order diabetic foods on most airlines and in restaurants." 2."Plan your food ahead and carry it with you from home." 3."Monitor your blood glucose level frequently and eat accordingly." 4."Choose the foods you normally do and follow your food plan wherever you are."

4."Choose the foods you normally do and follow your food plan wherever you are."

A health care provider prescribes a low-sodium, high-potassium diet for a client with Cushing syndrome. Which explanation should the nurse provide as to why the client needs to follow this diet? 1."The use of salt probably contributed to the disease." 2."Excess weight will be gained if sodium is not limited." 3."The loss of excess sodium and potassium in the urine requires less renal stimulation." 4."Excessive aldosterone and cortisone cause retention of sodium and loss of potassium."

4."Excessive aldosterone and cortisone cause retention of sodium and loss of potassium."

A client had a thyroidectomy. The nurse monitors for thyrotoxic crisis, which is evidenced by: 1.An increased pulse deficit 2.A decreased blood pressure 3.A decreased heart rate and respirations 4.An increased temperature and pulse rate

4.An increased temperature and pulse rate

A nurse is caring for an alert client who has diabetes and is receiving an 1800-calorie American Diabetic Association diet. The client's blood glucose level is 60 mg/dL. The health care provider's protocol calls for treatment of hypoglycemia with 15 g of a simple carbohydrate. The nurse should: 1.Provide 12 ounces of non-diet soda 2.Give 25 mL dextrose 50% by slow intravenous (IV) push 3.Have the client drink 8 ounces of fruit juice 4.Ask the client to ingest one tube of glucose gel

4.Ask the client to ingest one tube of glucose gel

A nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication should the nurse expect to be prescribed for this client on the day of surgery and in the immediate postoperative period? 1.Methimazole (Tapazole) 2.Pituitary extract (Pituitrin) 3.Regular insulin (Novolin R) 4.Hydrocortisone succinate (Solu-Cortef)

4.Hydrocortisone succinate (Solu-Cortef)