Endocrine Critical Care

A nurse is assessing a client who has diabetes insipidus. Which of the findings should the nurse expect? A. Dehydration B. Polyphagia C. Hyperglycemia D. Bradycardia

A. Dehydration

A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A. Urine specific gravity 1.002 B. Bounding peripheral pulses C. Bradycardia D. Moist mucous membranes

A. Urine specific gravity 1.002

A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching? A. "Test your blood glucose level every 8 hours." B. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL." C. "Withhold your usual daily dose of insulin." D. "Drink 240 to 360 milliliters of calorie-free liquids every 8 hours."

B. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL."

A nurse is caring for a client who has DKA. Which of the following manifestations should the nurse expect? A. Malignant hypertension B. Acetone odor to breath C. Cheyne-stokes breathing D. Blood glucose level below 40 mg/dL

B. Acetone odor to breath

A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect? A. Diarrhea B. Facial edema C. Tachycardia D. Heat intolerance

B. Facial edema

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client? A. Radioactive iodine B. Levothyroxine C. Sumatriptan D. Levofloxacin

B. Levothyroxine

A nurse is collecting the medical history from a client who has manifestations of SIADH. The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH? A. Osteoarthritis B. Lung cancer C. Liver cirrhosis D. Dyspepsia

B. Lung Cancer

A nurse is assessing a client who had a craniotomy and has developed SIADH. Which of the following manifestations should the nurse anticipate? A. Hypernatremia B. Oliguria C. Weight loss D. Increased thirst

B. Oliguria

A nurse is caring for a client who has SIADH and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate? A. Maintain an IV of 0.45% sodium chloride B. Restrict fluid intake to 1,000 mL per day C. Provide a diet containing 2g of sodium per day D. Administer desmopressin acetate 0.2 mg orally

B. Restrict fluid intake to 1,000 mL per day

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? A. A decrease in blood sugar B. A decrease in blood pressure C. A decrease in urine output D. A decrease in specific gravity

C. A decrease in urine output

Which of the following is NOT a medical treatment for DKA and HHS? A. IV regular insulin B. Isotonic fluids C. Bicarbonate D. IV potassium solution

C. Bicarbonate

A nurse is talking with a client whose TSH level will be measured. Which of the following statements by the nurse explains the purpose of this test? A. "This test measures the amount of thyroid hormone that attaches to a protein in your blood." B. "This test detects antithyroid antibodies in your blood." C. "This test measures the absorption of iodine and how it relates to the thyroid gland." D. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."

D. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."

A nurse in an ED is caring for a client who has DKA and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? A. Glucocorticoid medications B. Dextrose 5% in 0.45% sodium chloride C. Oral hypoglycemic medications D. 0.9% sodium chloride IV bolus

D. 0.9% sodium chloride IV bolus

A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care? A. Measure blood glucose every 4 hours B. Administer a diuretic C. Initiate fluid restrictions D. Check urine specific gravity

D. Check urine specific gravity

A nurse is assessing a client who has thyrotoxicosis after taking too high a level of levothyroxine. Which of the following manifestations should the nurse expect? A. Drowsiness B. Bradycardia C. Dry skin D. Heat intolerance

D. Heat intolerance

Hyperosmolar hyperglycemic state would have all of the following signs and symptoms EXCEPT? A. Dry mucous membranes B. Polyuria C. Blood glucose >600 mg/dL D. Kussmaul's breathing

D. Kussmaul's breathing

A nurse is caring for a client who is in a myxedema coma. Which of the following actions should the nurse take? A. Turn the patient every 4 hours B. Check the patient's blood pressure every 2 hours C. Initiate measures to cool the client D. Place the client on aspiration precautions

D. Place the client on aspiration precautions

A nurse is caring for an adolescent client who has a long history of DM and is being admitted to the ED confused, flushed, and with an acetone odor on the breath. DKA is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? A. NPH insulin B. Insulin glargine C. Insulin detemir D. Regular insulin

D. Regular insulin