Endo exam study

The nurse is teaching a class on the prevention of cerebrovascular accidents. Which of the following risk factors should the nurse identify as the most important factor contributing to a stroke?

hypertension

A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The MOST important reason for the nurse to elevate the casted leg is to ?

improve venous return

A physician prescribes levothyroxine sodium (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse will prepare to administer this medication:

in the morning to prevent insomnia

A patient with SIADH is treated with water restriction and administration of IV fluids. The nurses evaluates that treatment has been effective when the patient experiences

increased urine output, increased serum sodium, and decreased urine specific gravity

Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications?

neck vein distention

The nurse prepares a client for a bone scan. What priority assessment should the nurse perform for this client?

presence of IV access

The nurse is caring for a client who is experiencing a seizure. Which of the following is a PRIORITY nursing action?

protect from injury

Which of the following nursing implications is most important in a client being medicated for Addison's disease?

instruct the client to never abruptly discontinue the medication

The long term care nurse is caring for a client diagnosed with macular degeneration. Which client statement supports this diagnosis?

I see a blurry spot in the middle of the page when I read.

The nurse is caring for a client with an unstable spinal cord injury at the T7 level. Which of the following interventions should take PRIORITY in planning care?

Place client on a pressure reducing support surface

A patient with hypothyroidism is treated with Synthroid. When teaching the patient about the therapy, the nurse

provides written instruction for all information related to the medication therapy

Nurse Oliver should expect a client with hypothyroidism to report which health concerns?

puffiness of the face

Because a client has bursitis, plans for nursing interventions should include?

rest

A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

restricting fluids

Nurse Troy is aware that the most appropriate for a client with Addison's disease?

risk for infection

In a 29-year-old female client who is being successfully treated for Cushing's syndrome, nurse Lyzette would expect a decline in:

serum glucose level

Upon a client's admission for extracapsular fracture of the left femur, how should a nurse expect the extremity to appear?

shorter than the other leg

Of what precautions should a client receiving radioactive iodine-131 be made aware?

Avoid close contact with children or pregnant women for one week after administration of drug.

A nursing student is studying for a test on care of the client with endocrine disorders. Which of the following statements demonstrates an understanding of the difference between hyperthyroidism and hypothyroidism?

"Decreased renal blood flow and glomerular filtration rate reduces the kidney's ability to excrete water, which may cause hyponatremia."

The nurse is caring for a client diagnosed with an epidural hematoma. Which nursing interventions should the nurse implement? Select all that apply.

Administer stool softeners daily. Administer mild sedatives Ensure that pulse oximeter reading is higher than 93%

The nurse is performing open endotracheal suctioning for a client with a tracheotomy tube. Which of the following actions by the nurse are appropriate?

Administers 100% oxygen prior to suctioning the client Applies suction while withdrawing the catheter from the airway Uses sterile gloves and technique throughout the procedure

The parent of a 5 year old child calls the clinic to report the recurrence of a nosebleed for which the child was seen a week ago. Which of the following instructions should the nurse reinforce?

Apply a cold cloth to the bridge of the nose Apply continuous pressure to the nose for 10 minutes Attempt to keep the child calm and quiet

Nurse Ronn is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse would expect to find:

Deposits of adipose tissue in the trunk and dorsocervical area

The nurses cares for a client with a pulmonary embolism. Which of the following clinical manifestations would the nurse anticipate?

Chest pain Dyspnea Hypoxemia Tachypnea

The licensed practical nurse (LPN) rounds on four clients. Which finding is the priority for the LPN to report to the registered nurse?

Client with sickle cell disease whose pain rating has increased from 3 to 9 on a scale of 0-10 over the last hour

A client newly diagnosed with Addison's disease is giving a return explanation of teaching done by the primary nurse. Which of the following statements indicates that further teaching is necessary?

I need to weigh myself if I think I am losing or gaining weight.

The nurse is caring for a client with acute pericarditis. Which clinical finding would require immediate intervention by the nurse?

Distant heart tones and jugular venous distension.

The client is being evaluated for osteoporosis. Which diagnostic test is the most accurate when diagnosing osteoporosis?

Dual-energy x-ray absorptiometry (DEXA).

The nurse is preparing to administer medications to a client with an asthma exacerbation. Which prescription should the nurse confirm with the health care provider prior to administration?

Enoxaparin 40 mg subcutaneously every 24 hours

The nurse is assigned to care for four clients. Which client should the nurse see first?

Female client who had an open reduction and internal fixation of the tibia and reports sever pain and pressure under the cast and inability to move the toes.

A client is admitted with the diagnosis of meningitis. Which of the following assessments would the nurse expect to find in assessing this client?

Flexion of the hip and knees with passive flexion of the neck

A patient is admitted to the hospital with a diagnosis of Cushing syndrome. On physical assessment of the patient, the nurse would expect to find

HTN, peripheral edema and petechiae

The nurse is reinforcing teaching about constipation prevention to a client. Which of the following client statements indicate appropriate understanding of the teaching?

Having a routine for bowel movements is important, but I should not wait if I feel the urge I should try to eat more fruits and vegetables every day Increasing my daily exercise level may help keep my bowl movements regular

The graduate nurse (GN) is reinforcing education on sitting on and standing up from a chair to a client with crutches. Which instruction by the GN would cause the supervising nurse to intervene?

Hold a crutch in each hand for support when standing up from a chair.

For the first 72 hours after thyroidectomy surgery, nurse Jamie would assess the female client for Chvostek's sign and Trousseau's sign because they indicate which of the following?

Hypocalcemia

The nurse is reinforcing education about lifestyle modifications for a client newly diagnosed with Meniere disease. Which statement by the client indicates a need for further teaching?

I need to restrict the amount of potassium in my diet.

Which nursing diagnosis takes highest priority for a female client with hyperthyroidism

Imbalanced nutrition: Less than body requirements related to thyroid hormone excess

The client is diagnosed with osteoarthritis. Which sign/symptom should the nurse expect the client to exhibit?

Joint stiffness

A nurse is assisting with preventive health screenings at a community health event. Which of the following client statements should the nurse recognize as a warning sign of cancer?

Last month when I was doing my self examination, I noticed a marble sized lump My mole is itchy, and the edges have become uneven with a blackish to bluish color Recently I have noticed that my bowl movements appear black

The client is admitted to the medical floor with a diagnosis of closed head injury. Which nursing intervention has priority?

Maintain an adequate airway

The nurse is caring for a client who is about to undergo an adrenalectomy. Which of the following Preoperative interventions is most appropriate for this client?

Maintain careful use of medical and surgical asepsis when providing care and treatments.

The nurse is monitoring a newborn with skin discoloration in the lumbar area. Which action by the nurse is appropriate?

Measure and document the size and location of the markings.

A nurse on a general medical-surgical unit is caring for a client with Cushing's syndrome. Which of the following statements is correct about the medication regimen for Cushing's syndrome?

Milotane is used to treat metastic adrenal cancer

An incoherent female client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, nurse Libby prepares to take emergency action to prevent the potential complication of:

Myexedema coma.

The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first?

Note the first thing the client does in the seizure

A client presents to the emergency room with a history of Graves' disease. The client reports having symptoms for a few days, but has not previously sought or received any additional treatment. The client also reports having had a cold a few days back. Which of the following interventions would be appropriate to implement for this client, based on the history and current symptoms? Select all that apply.

Replace IV fluids, induce shivering, relieve respiratory distress, administer a cooling blanket

The nurse is caring for a client with Clostridium difficile colitis. Which of the following infection control measures by the nurse are appropriate?

Requests that the client be assigned to a single client room wears a sinlge-use dispoable gown during client care

The nurse is assisting with a vaginal birth at term gestation. Which newborn assessment finding is most important for the nurse to follow up?

Small tuft of hair at the base of spine

A nurse is working with family members of a newly diagnosed client with Alzheimer's disease. Which of the following interventions is MOST helpful?

Suggesting communication strategies

The nurses cares for a client who just had surgical excision and biopsy of a tumor. The biopsy results show that the tumore is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, "Am I going to die?" Which statement by the nurse is appropriate?

Tell me more about your thoughts and feelings regarding the situation

The nurse is teaching a client with metastatic bone disease about measures to prevent hypercalcemia. It would be important for the nurse to emphasize?

The importance of walking

A complication of Buck's extension traction would be noted by a nurse if:

Toes of affected leg became dusky in color.

The nurse prepares to instill dialysate for a client receiving peritoneal dialysis. Which nursing action is the priority?

Using sterile technique when spiking and attaching the bag of dialysate.

During the first 24 hours after an above-the-knee amputation for vascular disease, nursing priority for stump care would be:

elevating to reduce edema

A physician has prescribed propylthiouracil (PTU) for a client with hyperthyroidism and the nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:

signs and symptoms of hypothyroidism

Which of the following should be obtained from a client PRIOR to having electroconvulsive therapy?

spinal xrays

A client has bilateral knee pain from osteoarthritis. In addition to taking the prescribed NSAID, the nurse should instruct the client to

start a regular exercise program

A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O. daily. Which finding should nurse Hans recognize as an adverse drug effect?

tachycardia

Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs?

thyroid crisis

In the administration of a drug such as levothyroxine (Synthroid), the nurse should teach the client

to report weight loss, anxiety, insomnia and palpitations

When caring for a male client with diabetes insipidus, nurse Juliet expects to administer:

vasopressin (Pitressin Synthetic)

The adult grandchild of a client diagnosed with Parkinson disease tells the nurse about proposed gift ideas for the grandparent's birthday in 2 week. The grandchild ask the nurse which idea is best. Which option is the best gift for the nurse to recommend?

warming tray for food

A client has undergone a lumbar laminectomy and has just returned to the nursing unit. It is essential for the nurse to perform which of the following activities during this period?

neurovascular checks

The nurse should implement which of the following methods of assisting during a seizure? Select all that apply:

observe the seizure activity provide for client privacy turn the client on the side

A client is unconscious following a tonic-clonic seizure. What should the nurse do FIRST?

place the client on the side lying position

The nurse is planning care for a client with hyperthyroidism. Which of the following nursing interventions are appropriate? Select all that apply

instill isotonic eye drops as necessary, provide several, small, well-balanced meals, provide rest periods, weigh the client daily

The nurse is reinforcing education about home and lifestyle alterations to a client recently diagnosed with HIV. Which of the following statements by the client indicates a need for further education?

I don't have to use protection if my sexual partner is also HIV positive I started to use lambskin condoms during sex, as I have a latex allergy.

A client is admitted following a motor vehicle accident where his left thigh was crushed beneath the vehicle.The nurse must assess for which of the following complications?

acute renal failure

Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with diabetes insipidus?

antidiuertic hormone (ADH)

Causes of primary hypothyroidism in adults include

autoimmune induced atrophy of the thyroid gland

The nurse correctly explains to a client's family that the reason a stroke on the right side of the brain results in paralysis on the left side of the body is because the pyramidal pathways cross over at the end of which of the following?

medulla

A female client with Cushing's syndrome is admitted to the medical-surgical unit. During the admission assessment, nurse Tyzz notes that the client is agitated and irritable, has poor memory, reports loss of appetite, and appears disheveled. These findings are consistent with which problem?

depression

A client fractured his femur yesterday. Monitoring for which potential complication must be included by the nurse in the client's plan of care?

fat emboli syndrome

A patient with hyperthyroidism is taking propylthiouracil (PTU). The nurse will monitor the patient for:

fever and sore throat

The nurse assesses which of the following clinical manifestations in a client with osteomyelitis? Select all that apply:

fever, night sweats, restlessness, nausea

Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?

fluid intake is less than 2,500 ml/day

A client is scheduled for a thyroidectomy for the management for chronic hyperthyroidism what are some of the surgical complications that the surgeon will discuss with the client?

hemorrhage, hematoma formation, edema of glottis, injury to laryngeal nerve, tetany

After thyroidectomy, which of the following is the priority assessment to observe laryngeal nerve damage?

hoarseness of voice

Which of the following assessment findings characterize thyroid storm?

increased body temperature, increased pulse, and increased blood pressure