Endocrine ATI Dynamic Quiz
A nurse is reinforcing teaching with a client who has DM about food choices. Which of the following client statements indicates the teaching has been understood?
"I should replace white bread with whole-grain bread"
A nurse is reinforcing teaching with a client who has type 2 DM about foot care. Which of the following statements by the client indicates an understanding of the teaching?
"I'll be sure to wear cotton socks every day"
A nurse is reinforcing teaching with 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?
"My cells are resistant to the effects of insulin"
A nurse is reinforcing teaching with 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?
"Use a water based lube when having sex"
A nurse is reinforcing teaching with a client who has type 1 DM 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 reinforcing teaching with a client who has type 2 DM. The client states "I eat pasta every day. I can't imagine giving it up." Which of the following responses should the nurse make?
"You do not have to give up pasta; just adjust the amount you eat."
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 & HTN -Laryngeal stridor and hoarseness -Positive Trousseau's sign
A nurse is contributing to the plan of care for a client who is scheduled to receieve TPN. Which of the following actions should the nurse recommend including in the plan?
-Weigh the client daily -Obtain a serum blood glucose q4h -Change IV tubing q24h
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 should the nurse identify as contraindicated for this client?
0.45% sodium chloride
A nurse is reinforcing dietary teaching with a client who has DM. Which of the following actions should the nurse take first?
Ask the client to identify the types of food she prefers.
A nurse is reviewing the lab values for a client who has hyperglycemic hyperosmolar nonketotic syndrome. Which of the following lab values is consistent with hyperglycemic hyperosmolar nonketotic syndrome?
Blood glucose 320 mg/dL
A nurse is collecting data from a client who develops a fruits breath odor, dry mouth and extreme thirst. Which of the following additional data should the nurse expect?
Blood glucose using a glucometer
A nurse is reviewing the lab 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?
Bradycardia
A nurse is caring for a client who is postop following a parathyriodextomy to treat hyperparathyroidism. Which of the following lab values should the nurse expect to decrease the therapeutic effect of the procedure?
Calcium
A nurse is preparing a 24-hour urine specimen for a client with suspected pheochromocytoma. Which of the following lab tests from the 24-hour urine specimen should the nurse use to determine the client's condition?
Catecholamine metabolites
A nurse is assisting with the plan of 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 for hypertension
A nurse is caring for a client who is postop following a bilateral adrenalectomy. The nurse should expect to administer glucorticoids following the procedure to enhance which of the following therapeutic effects?
Compensate for decreased cortisol levels
A nurse is caring for a client who has type 1 DM and a capillary blood glucose reading of 48mg/dL. Which of the following findings should the nurse expect?
Diaphoresis
A nurse is collecting data from a client who has Graves' disease. Which of the following findings should the nurse expect to display?
Difficulty sleeping
A nurse is assisting with the plan of care for a client who has type 2 DM. Which of the following interventions should the nurse include in the plan?
Encourage the client to control weight
A nurse is reviewing lab results for a client who has DM. Which of the following results indicates that the client is controlling the diabetes?
Fasting blood glucose 95 mg/dL
A nurse is checking a client with Graces' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider?
Fever
A nurse is checking lab values to determine if a client who has DM is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination?
Glycosyated hemoglobin levels
A nurse is assisting with the care of a client who has Addison's disease and comes to the ED reporting nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should expect the provider to prescribe which of the following medications?
Hydrocortisone
A nurse is assisting with the care of a client who has Addison's disease and was admitted with muscle weakness and dehydration, as well as nausea and vomiting for the past 2 days. Which of the following prescribed medications should the nurse plan to administer?
Hydrocortisone
A nurse is assisting with the care of a client who has been diagnosed with an Addisonian crisis and has a BP of 74/42 mmHg. Which of the following medication prescriptions should the nurse anticipate?
Hydrocortisone
A nurse is conducting a home visit with an older adult client who has DM and takes regular insulin SQ 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?
Hypoglycemia
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 nurse is collecting data form a client who has Addison's disease. Which of the following should the nurse expect?
Hypotension
A nurse is reinforcing teaching with a client who has hyperthyroidism about managing this disorder. Which of the following recommendations should the nurse include?
Increase her caloric intake with meals
A nurse is collecting data from 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 DM and is displaying manifestations of hyperglycemia. Which of the following findings indicate that the client has hyperglycemia?
Increased urination
A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism?
Involuntary muscle spasms
A nurse is reinforcing teaching with a client who has type 1 DM about hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
Irritability
A nurse is caring for a client who has DKA. Which of the following findings should the nurse expect?
Kussmaul respirations
A nurse is assisting with a plan for community health screening for a group of clients who are at the risk of type 2 DM. Which of the following client groups should the nurse include in the screening?
Men and women who are obese
A nurse is assisting with the plan of 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 in an urgent care center is collecting data from an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report to the provider as an indication of impending airway obstruction?
Nasal flaring
A nurse is caring for a client who has urolithiasis and requires further diagnostic testing after an initial assessment indicated hypercalcemia. The nurse should explain that which of the following structures controls calcium concentration?
Parathyroid gland
A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor?
Polyuria
A nurse is collecting data from a client who is recovering form a thyroidectomy and has harsh, high-pitched respiratory sounds. Which of the following actions should the nurse take?
Prepare for a tracheostomy
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following skin manifestations should the nurse expect to find?
Purple striae on the chest and abdomen
A nurse is preparing for the transfer of a client from the PACU following a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the client's bedisde?
Tracheostomy tray
A nurse is reinforcing teaching with a client who has Addison's disease about healthy snacks. Which of the following food choices by the client indicates an understanding of the teaching?
Turkey and cheese sandwich
A nurse if caring for a client who is scheduled to receive peritoneal dialysis. Which of the following actions should the nurse take?
Warm the dialysate solution to room temperature prior to administration
