endocrine

A nurse assesses a client on the medical-surgical unit. Which statement made by the client alerts the nurse to assess the patient for hypothyroidism?

"I am always tired, even with 12 hours of sleep"

After teaching a client who is newly diagnosed with type 2 diabetes mellitus, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?

"I should decrease my intake of protein and eliminate carbs from my diet"

Which statement illustrates that the client with Addison's disease needs further instructions from the nurse?

"I will be sure to stop taking my meds when I have an infection"

A nurse cares for a client with diabetes mellitus who asks, "Why do I need to administer more than one injection of insulin each day?" How would the nurse respond?

"a single dose of insulin each day would not match your blood insulin levels and your food intake patterns"

A client with adrenal insufficiency has a prescription for 2 weeks of high-dose prednisone therapy. When teaching the client about prednisone, which information is most important for the nurse to include?

"do not stop taking the prednisone suddenly, it should be decreased gradually"

Which is the nurse's best response to the parents of a 10-year-old child newly diagnosed with type 1 diabetes mellitus who are concerned about the child's continued participation in soccer?

"give the child an extra 15-30 grams of carbs before soccer practice"

A nurse teaches a client with diabetes mellitus about sick-day management. Which statement would the nurse include in this client's teaching?

"monitor your blood glucose levels at least every 4 hours while sick"

A nurse cares for a client who has hypothyroidism as a result of Hashimotothyroiditis. The client asks, "How long will I need to take this thyroid medication?" How would the nurse respond?

"you'll need thyroid pills for life because your thyroid wont start working again"

A nurse is teaching a client with diabetes mellitus who asks, "Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL (3.3 mmol/L)?" How would the nurse respond?

"your brain needs to constant supply of glucose because it cannot store it"

The staff nurse is observing a nursing student providing teaching to a 5 year-old-client who has a diagnosis of diabetes mellitus. The nurse knows the student is providing appropriate teaching when the student states, "Insulin acts like

a wagon that carriers sugar into the cells of the body

The nurse is caring for a client who has severe hypoglycemia and is experiencing a seizure. What actions will the nurse take at this time?

admin glucagon 1mg subcut, monitor the clients blood glucose levels, notify the primary health care provider, and be sure the bed side rails are in the up position

A nurse cares for a client experiencing diabetic ketoacidosis who presents with Kussmaul respirations. What action would the nurse take?

admin of intravenous insulin

A nurse assesses a client who has diabetes mellitus and notes that the client is awake and alert, but shaky, diaphoretic, and weak. Five minutes after administering a half-cup (120 mL) of apple juice, the client's signs and symptoms have not changed. What action would the nurse take next?

administer another half cup (120mL) of apple juice

Which children admitted to the pediatric unit would the nurse monitor closely for development of syndrome of inappropriate antidiuretic hormone (SIADH)?

an infant with suspected meningitis, a school age child with head trauma, and a school age child returning from surgery for removal of a brain tumor

Which information will the nurse teach a client who has been newly diagnosed with Graves' disease?

antithyroid meds may take several months for full effect

Which nursing assessment is most important during initiation of thyroid replacement with levothyroxine?

apical pulse rate

A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the first postoperative day before discharge, the client states, "I feel numbness and tingling around my mouth." What action does the nurse take?

assess for muscle twitching

child is hospitalized after a serious motor vehicle crash and has developed increased urination. What action by the nurse takes priority?

assess the daily serum sodium level

Which nursing interventions are appropriate for a child with type 1 diabetes who is experiencing deficient fluid volume related to abnormal fluid losses through diuresis and emesis?

begin IV fluids replacement with normal saline, maintain strict intake and output monitoring, maintain IV access

A nurse assesses a client who is recovering from a subtotal thyroidectomy and observes the development of stridor. What is the priority action for the nurse to take?

contact RRT and prepare for intubation

The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what common complication will the nurse monitor?

dehydration

A nurse plans care for a client with hypothyroidism. Which priority problem does the nurse address first for this client?

depression and withdrawal

New parents ask the nurse, "Why is it necessary for our baby to have newborn blood testing?" The nurse explains that the priority outcome of mandatory newborn screening for inborn errors of metabolism is

early identification of serious genetically transmitted metabolic diseases

A client with type 1 diabetes mellitus reports that the insulin pump malfunctioned over a day ago. The client's skin turgor is poor, and the client is reporting polyphagia and polydipsia. Which lab values should the nurse expect when assessing this client?

elevated glucose and elevated serum osmolarity levels

The nurse is caring for a newly admitted client who is diagnosed with hyperglycemic-hyperosmolar state (HHS). What is the nurse's priority action at this time?

establish intravenous access to provide fluids

A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. What action would the nurse take first?

examine the clients feet for sign of injury

What is the most appropriate intervention for the parents of a 6-year-old child with precocious puberty?

explain the importance of the child having relationships with same age peers

A child is diagnosed with hypothyroidism. The nurse should expect to assess which symptoms associated with hypothyroidism?

fatigue cold intolerance dry, thick skin

What is the best nursing action when a child with type 1 diabetes mellitus is sweating, trembling, and pale?

give the child a glass of apple juice

A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed an intensified insulin regimen: · Fasting blood glucose: 75 mg/dL (4.2 mmol/L) · Postprandial blood glucose: 200 mg/dL (11.1 mmol/L) · Hemoglobin A1C level: 5.5% How would the nurse interpret these laboratory findings?

good control of blood glucose

A nurse assesses a client who is prescribed levothyroxine for hypothyroidism. Which assessment finding alerts the nurse that drug therapy is effective?

heart rate is 76 beats/min and regular

A nurse teaches a client with hyperthyroidism. Which dietary modifications should the nurse include in this client's health teaching?

increase calorie intake increased proteins increased carbs

The nurse assesses a client with diabetic ketoacidosis. Which assessment finding would the nurse correlate with this condition?

increased rate and depth of respiration

Which sign is the nurse most likely to assess in a child with hypoglycemia?

irritability and serum glucose less than 60

A nurse cares for a client who presents with bradycardia secondary to hypothyroidism. Which medication does the nurse prepare to administer?

levothyroxine

A nurse teaches a client with Cushing disease. Which dietary requirements would the nurse include in this client's health teaching?

low sodium low calories low carbs

A nurse is caring for a client with elevated triiodothyronine and thyroxine, and normal thyroid-stimulating hormone levels. What actions does the nurse take?

monitor the apical pulse and initiate telemetry monitoring

The nurse is caring for a client admitted with myxedema coma. Which prescription is contraindicated for this client?

morphine

The nurse is caring for a client who has diabetes mellitus type 1 and is experiencing hypoglycemia. Which assessment findings will the nurse expect?

nervousness and blurred vision

A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values would the nurse identify as potential ketoacidosis in this client?

pH 7.28 HCO3− 18 mEq/L PCO2 28 mm Hg, PO2 98 mm Hg

A nurse assesses a client who potentially has hyperaldosteronism. Which serum laboratory values would the nurse associate with this disorder?

pH 7.28 potassium 2.5 sodium 150

A nurse assesses a client with Cushing disease. Which assessment findings would the nurse expect?

petechiae muscle atrophy moon face

A client is admitted with a possible diagnosis of diabetes insipidus (DI). What assessment findings would the nurse expect?

poor skin turgor increased urinary output hypotension

A nurse assesses a client with diabetes mellitus. Which assessment finding would alert the nurse to decreased kidney function in this client?

presence of protein in the urine

The nurse is preparing to give tolvaptan for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). For which potentially life-threatening adverse effect would the nurse monitor?

rapid onset hypernatremia

An infant has just been diagnosed with Tay-Sachs disease. What action by the nurse is most appropriate?

refer the family to a support group

A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The client's serum sodium level is 114 mEq/L (114 mmol/L). What nursing action would be appropriate?

restrict the clients fluids intake to 600mL/day

A nurse provides diabetic education at a public health fair. Which disorders would the nurse include as complications of diabetes mellitus?

stroke kidney failure blindness

What should the nurse include in the teaching plan for parents of a child with diabetes insipidus who is receiving DDAVP?

the child should have free access to water and toilet facilities at school

What is the primary concern for a 7-year-old child with type 1 diabetes mellitus who asks his mother not to tell anyone at school that he has diabetes?

the child's safety

The nurse is planning health teaching for a client starting on levothyroxine. What health teaching about this drug would the nurse include?

the need to report chest pain and dyspnea when starting the drug

A client is being treated for diabetes insipidus (DI) with synthetic vasopressin (desmopressin). What is the priority health teaching that the nurse provides regarding drug therapy?

the need to weigh every day and report weight gain

What is the priority nursing goal for a 14-year-old with Graves' disease?

verbalizing the importance of adherence to the medication regimen