Endocrine

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?

"Blow your nose gently prior to using the nasal spray."

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 laboratory findings?

Glucose

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? (Select all that apply.)

Osteoporosis Increase risk of infection Moon-shaped face

A nurse is caring for a client who is taking propylthiouracil. The nurse should identify that the client has met the treatment goals when she reports an increase in which of the following manifestations?

Weight

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?

A. Expect the insulins to appear cloudy. B. Draw up the insulins into separate syringes C. Shake the insulins vigorously prior to administration D. inject the insulins intramuscularly.

A nurse is caring for a client who has type 2 diabetes mellitus and has hyperglycemic-hyperosmolar state (HHS). Which of the following laboratory findings should the nurse expect?

A. Blood glucose of 250 mg/dL B. Blood glucose of 425 mg/dL C. Serum pH of 7.45 D. Serum pH of 7.32

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 understand the teaching?

"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 will call my doctor if my blood sugar is more than 250 milligrams per deciliter"

To screen a client for pheochromocytoma, a nurse schedules a vanillylmandelic acid test. When teaching the client about this test, which of the following instructions should the nurse include?

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

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?

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

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

A. Check the client's urine specific gravity. B. Elevate the head of the client's bed. C. Palpate the client's abdomen. D. Monitor the client for hypotension.

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

A. Moon face B. Calcium 12.8 mg/dL C. Sodium 150 mEq/L D. Weight gain

A nurse is teaching a client about adrenocorticotropic hormone (ACTH) stimulation test. The nurse should explain that the purpose of the test is to assess for which of the following disorders?

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 teaching a client who has diabetes mellitus. Which of the following should the nurse include as an expected finding of diabetic ketoacidosis (DKA)?

Blood glucose levels above 300 mg/dL

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?

Cool, clammy skin

A nurse is monitoring the laboratory 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 of 96 mg/dL

A nurse is assessing a client who has a new diagnosis of Cushing's disease. Which of the following findings should the nurse expect?

Hirutism

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?

Hypotension

A nurse is assessing a client who has diabetes insipidus. The nurse should expect which of the following findings?

Increase hematocrit

A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include?

Ingest alcohol with food to reduce alcohol-induced hypoglycemia.

A nurse is monitoring a client's status 24 hr after a total thyroidectomy. Which of the following findings should the nurse report to the provider?

Laryngeal stridor

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?

Monitor the temperature of the bath water with a thermometer.

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.

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?

Report nocturia because it requires a dosage adjustment

A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider?

Sodium 110 mEq/L

A nurse is developing a teaching plan for a client who has 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

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?

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?

Tremors

A nurse is reviewing laboratory values for a client who has diabetic ketoacidosis (DKA). Which of the following results should the nurse expect?

pH 7.32; PaCO2 36 mm Hg; HCO3 14 mEq/L