Endocrine 3

A nurse is teaching a client about the adrenocorticotropic hormone (ACTH) stimulation test. The nurse should explain that the purpose of the test is to assess for which of the following disorders? Diabetes insipidus Hyperthyroidism Pheochromocytoma Addison's disease

Addison's Disease

A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following actions should the nurse take?

Administer IV hydrocortisone sodium

A nurse is reviewing the lab values of a client who has DKA. The nurse should understand that which of the following lab values is consistent with DKA?

Bicarb level of 12mEq/L

A nurse is teaching a client who has diabetes mellitus. Which of the following should the nurse include as an expected finding of DKA? Decreased urine output Weight gain of 0.45 kg (1 lb) in 24 hr Rapid, shallow respirations Blood glucose levels above 300 mg/dL

Blood glucose levels above 300 mg/dL

A nurse is providing discharge teaching for a client who has diabetes insipidus and has a new prescription for desmopressin nasal spray. Which of the following instructions should the nurse include in the teaching? "Depress the pump once before using the nasal spray for the first time." "Blow your nose gently prior to using the nasal spray." "Administer the nasal spray while in a side-lying position." "Notify the provider if you develop numbness or tingling around the mouth."

Blow nose gently before using the nasal spray.

A nurse is caring for a client who is post-op 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?

Calcium

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?

Check the client's urine specific gravity

A nurse is caring for a client who is post-op following a bilateral adrenalectomy. The nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects?

Compensate for decrease in cortisol levels

A nurse is assessing a client who has diabetes mellitus and reports feeling anxious. Which of the following findings should the nurse expect if the client is hypoglycemic? Rapid, deep respirations Cool, clammy skin Abdominal cramping Orthostatic hypotension

Cool, clammy skin

A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect the client to display?

Difficulty sleeping

A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include? Inject the insulins intramuscularly. Shake the insulins vigorously prior to administration. Draw up the insulins into separate syringes. Expect the insulins to appear cloudy.

Draw up the insulins into separate syringes

A nurse is caring for a client who has a pheochromocytoma. Which of the following actions should the nurse take?

Elevate the head of the client's bed

A nurse is monitoring the lab values of a client who has diabetes mellitus and is taking insulin. Which of the following results indicates a therapeutic outcome of insulin therapy? Fasting blood glucose 96 mg/dL Postprandial blood glucose 195 mg/dL Random blood glucose 210 mg/dL Preprandial blood glucose 60 mg/dL

Fast blood glucose 96 mg/dL

A nurse is caring for a client undergoing screening for primary Cushing's disease. The nurse should expect an elevation in which of the following lab findings? Lymphocyte count Potassium Calcium Glucose

Glucose

A nurse is checking lab values to determine if a client who has diabetes mellitus is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination?

Glycosylated Hemoglobin Levels (HbA1c)

A nurse is assessing a client who has adrenal insufficiency. Which of the following findings should the nurse expect?

High Calcium

A nurse is assessing a client who has a syndrome of inappropriate antidiuretic hormone (SIADH) Which of the following findings should the nurse report to the provider? Sodium 110 mEq/L 2+ deep-tendon reflexes Potassium 3.7 mEq/L Urine specific gravity 1.025

High Sodium

A nurse is assessing a client who has a new diagnoses of Cushing's disease. Which of the following findings should the nurse expect? Decreased blood pressure Weight loss Hirsutism Increased skin thickness

Hirsutism

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?

Hypertension

A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH) Which of the following findings should the nurse expect?

Hyponatremia

A home health nurse is assessing a client who requires lifelong hormone replacement therapy for the treatment of hypothyroidism. The client has not been taking his medication regularly. Which of the following findings should the nurse expect? Increased urine output Persistent diarrhea Tachycardia Hypotension

Hypotension

A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care. Which of the following statements should the nurse identify as an indication that the client understands the teaching? "I will let my feet air dry after washing." "I will wear sandals to allow air to circulate around my feet." "I will buy over-the-counter medicine to treat the calluses on my feet." "I will apply lotion to the dry areas of my feet but not between my toes."

I will apply lotion to the dry areas of my feet, but not between my toes

A nurse is teaching a client who has type 1 diabetes mellitus about how to prevent complications during illness. Which of the following statements should the nurse identify as an indication that the client understands the teaching? "I should stop taking my insulin if I feel nauseous." "I will test my urine for protein when I start to feel ill." "I will call my doctor if my blood sugar is more than 250." "I should check my blood sugar level every 8 hours."

I will call my doctor if my blood sugar is more that 250 mg/dL

A nurse is assessing a client who has diabetes insipidus. The nurse should expect which of the following findings? Decreased heart rate Increased hematocrit High urine specific gravity Low BUN level

Increased Hematocrit

A nurse is assessing a client who has manifestations of acromegaly. Which of the following findings should the nurse expect?

Increased head size

A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia?

Increased urination

A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include? Consume no more than three servings of alcohol per day. Ingest food with alcohol to reduce alcohol-induced hypoglycemia. Increase insulin dosage before planned exercise. Rest for 3 days between periods of vigorous exercise.

Ingest alcohol with food to reduce alcohol induced hypoglycemia

A nurse is planning a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. Which of the following clients should the nurse include in the screening?

Men and women who are obese

A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of the following findings should the nurse report to the provider? Laryngeal stridor Productive cough Pain with hyperextension of the neck Hoarse, weak voice

Laryngeal Stridor

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?

Monitor the client's nighttime blood glucose levels.

A nurse is caring for a client who has diabetes mellitus and has developed peripheral neuropathy. Which of the following measures should the nurse recommend to prevent injuries to the client's feet? Examine the skin of the feet feet weekly for alterations in skin integrity. Monitor the temperature of bath water with a thermometer. Shop for shoes early in the day. Round the edges of toenails when trimming them.

Monitor the temperature of bath water with a thermometer

A nurse is teaching a client who has an autoimmune disease about the adverse effects of long term corticosteroid therapy. Which of the following effects should the nurse include? Osteoporosis Moon-shaped face Increased risk of infection Hearing loss Weight loss

Osteoporosis Moon shaped face Increased risk of infection

A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the following findings indicates that the client is having a therapeutic response? Reduction of the effects of thyroid hormone on the heart Blockage of the release of thyroid hormone from the thyroid gland Increase in the heart's sensitivity to thyroid hormone Increase in the uptake of thyroid hormone by the thyroid gland

Reduction of the effects of thyroid hormone on the heart.

A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal desmopressin. Which of the following information should the nurse include in the teaching plan? "Drink at least 3 liters of fluid per day." "Weigh yourself weekly while wearing similar clothing at the same time of day." "Notify the provider of a weight loss of 1 pound or more per week." "Report nocturia because it requires a dosage adjustment."

Report nocturia because it requires a dosage adjustment

To screen a client for pheochromocytoma, a nurse schedules a vanillylmandelic acid test. When teaching a client about this test, which of the following instructions should the nurse include? "Start fasting at midnight prior to the day of the test." "Begin the 24-hour urine collection with the first morning urination." "Take low-dose aspirin for pain during the testing period." "Restrict coffee intake 2 to 3 days prior to the test."

Restrict coffee intake 2 to 3 days prior to the test.

A nurse is providing teaching to a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include in the teaching?

Shakiness

A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an adenoma. Which of the following findings should the nurse report to the provider?

Tachycardia & Hypertension Laryngeal Stridor & Hoarseness Positive Trousseau's Sign

A nurse is developing a teaching plan for a client who had a thyroidectomy and takes a thyroid hormone replacement. Which of the following instructions should the nurse plan to include? "Take this medication on an empty stomach." "Take this medication with an antacid." "Change position slowly while taking this medication." "Limit your fluid intake while taking this medication."

Take the medication on an empty stomach

A nurse is teaching a client about glycosylated hemoglobin (HbA1c) testing. Which of the following statements should the nurse identify as an indication that the client understands the information about this test? "I need to fast after midnight the night before the test." "This test's result is a good indicator of my average blood glucose levels." "A level of 8 to 10 percent suggests adequate blood glucose control." "I will use my hemoglobin A1c level to adjust my daily insulin doses."

This test's result is a good indicator of my average blood glucose levels.

A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the following findings as an indication of hypocalcemia? Strong, bounding pulse Decreased bowel sounds Tingling and numbness of the hands and feet Diminished deep-tendon reflexes

Tingling and numbness of the hands and feet

A nurse is admitting a client who has hyperthyroidism. When assessing the client, the nurse should expect which of the following findings? Cold intolerance Lethargy Tremors Sunken eyes

Tremors

A nurse is preparing a 24 hour urine specimen for a client who is suspected to have pheochromocytoma. Which of the following lab tests from the 24 hour urine

Vanillylmandelic acid (VMA)

A nurse is providing teaching to a client who has type 1 diabetes mellitus about exercise. Which of the following statements should the nurse include in the teaching?

Wear a medical alert identification tag when you exercise.

A nurse is caring for a client who is taking propylthiouriacil. The nurse should identify that the client has met the treatment goals when she reports an increase in which of the following manifestations? Increased ability to sweat Increased bowel movements Increased body weight Increased libido

Weight

A nurse is reviewing lab values for a client who has DKA. Which of the following results should the nurse expect? pH 7.32, PaCO2 36 mm Hg, HCO3- 14 mEq/L pH 7.38, PaCO2 55 mm Hg, HCO3- 22 mEq/L pH 7.44, PaCO2 40 mm Hg, HCO3- 24 mEq/L pH 7.50, PaCO2 42 mm Hg, HCO3- 30 mEq/L

pH 7.32 PaCO2 36 HCO3 14

A nurse is caring for a client who has type 2 diabetes mellitus and has hyperglycemic - hyperosmolar state (HHS) Which of the following lab findings should the nurse expect? Serum pH 7.32 Blood glucose 250 mg/dL Blood glucose 425 mg/dL Serum pH 7.45

pH of 7.45