Endocrine/GI

A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?

Dysphagia

A nurse is talking with a client whose thyroid stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test?

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

A nurse in an ER is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dl The nurse should anticipate which of the following prescriptions from the provider?

0.9% sodium chloride IV bolus

A nurse is caring for a client who has diabetes insipidous and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?

A decrease in urine output

Which signs and symptoms in a client who has hyperthyroidism indicate to the nurse possible progression to a thyroid storm?

Abdominal pain and nausea Elevated temperature Tachycardia Elevated systolic blood pressure

.A nurse assesses a client who has diabetes mellitus and notes the client is awake and alert, but shaky, diaphoretic, and weak. Five minutes after administering a half-cup of orange juice, the client's clinical manifestations have not changed. Which action should the nurse take next?

Administer another half-cup of orange juice.

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? (Select all that apply.)

Administer glucagon 1 mg subcutaneously Be sure the bed side rails are in the up position Notify the primary health care provider immediately Monitor the client's blood glucose level.

A client with syndrome of inappropriate antidiuretic hormone (SIADH) is admitted with a serum sodium level of 105 mEq/L (105 mmol/L). Which request by the health care provider does the nurse carry out first?

Administer infusion of 150 mL of 3% NaCl over 3 hours.

A client is experiencing an attack of acute pancreatitis. Which nursing intervention is the highest priority for this client?

Administer opioid analgesic medication

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

Assess orthostatic blood pressure

A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia?

Blurred vision tachycardia moist, clammy skin

The nurse is caring for a client with adrenal insufficiency. What priority physical assessment should the nurse perform?

Cardiac assessment

A nurse is caring for a client who came to the emergency department with abdominal distention and is now on the medical=surgical unit with an NG tube in place to low gastric suction. The client is reporting anxiety, discomfort, and a feeling of bloating. Which of the following actions is the nurse's priority?

Check to see if the suction equipment is working

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?

Check urine specific gravity

The nurse is caring for a client with a long history of peptic ulcer disease. What assessment findings would the nurse anticipate if the client experiences upper gastrointestinal (GI) bleeding?

Decreased blood pressured Dizziness Hematemesis Decreased urinary output

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

Depression and withdrawal

A client who has peptic ulcer disease is prescribed quadruple drug therapy for Helicobacter pylori infection. What health teaching related to bismuth would the nurse include

Do not take aspirin or aspirin products of any kind while on bismuth.

A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments is the nurse's priority.

Gag reflex

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Gallstones

A nurse assesses a client who is prescribed levothyroxine (Synthroid) for hypothyroidism. Which assessment finding should alert the nurse that the medication therapy is effective?

Heart rate is 76 beats/min and regular

Diabetes Inspidus

Hypotension Increased urinary output Poor skin turgor

The nurse documents the vital signs of a client diagnosed with acute pancreatitis:Apical pulse = 116 beats/minRespirations = 28 breaths/minBlood pressure = 92/50 What complication of acute pancreatitis would the nurse suspect that the client might have?

INTERNAL BLEEDING

A nurse admits a client to the emergency department who reports nausea and vomiting that worsens when he lies down. Antacids did not help. The provider suspects acute pancreatitis. Which of the following laboratory test results should the nurse expect to see?

Increased serum amylase

a nurse is assessing a client who is taking levothyroxine, a thyroid supplement. the nurse should recognize that which of the following findings as a manifestation of

Insomnia

The nurse is caring for a client with peptic ulcer disease who has been vomiting profusely at home before coming to the emergency department. For which acid-base imbalance will the nurse expect for this client?

Metabolic Alkalosis

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

Moon face Petechiae Muscle Atrophy Abdominal Striae

Which statements regarding hyperthyroidism are accurate?

Most common form is Graves disease Produces symptoms of a hypermetabolic state Is much more common among women than among men

A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?

Oliguria

A nurse is caring for a client who is in a myxedema coma. Which of the following actions should the nurse take?

Place the client on aspiration precautions

Which assessment is a priority for the nurse to make when a client with diabetic ketoacidosis who is being monitored while receiving an insulin infusion begins to show an irregular heart beat with inverted T-waves

Potassium Level

A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the ER confused, flushed and with acetone odor on the breath. Diabetes ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?

Regular Insulin

A client is admitted to the emergency department with possible acute pancreatitis. What is the nurse's priority assessment at this time?

Respiratory Assessment

Which changing trends in a client's serum laboratory values indicate to the nurse that thyroid hormone replacement therapy for hypothyroidism is effective?

Rising thyroid hormone (TH) levels; declining thyroid-stimulating hormone (TSH) levels

A client with peptic ulcer disease is in the emergency department and reports the pain has gotten much worse over the last several days. The client's blood pressure when lying down was 122/80 mm Hg and when standing was 98/52 mm Hg. What action by the nurse is most appropriate?

Start a large-bore IV with normal saline.

A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

Teach the parents about cortisol replacement therapy

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

Urine specific gravity 1.002

A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which the following laboratory findings indicate a therapeutic effect of the medication?

Urine specific gravity 1.015

A client who is 1 day postoperative following a thyroidectomy reports severe muscle spasms of the lower extremities. Which action should the nurse implement?

Verify the most recent calcium level.

A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?

Weigh the client daily

A nurse has received change-of-shift report and is delegating tasks to the AP. The nurse should tell the AP to complete which of the following tasks first?

perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast

A nurse is caring for a client who has acute pancreatitis. After treating the clients pain, which of the following should the nurse address as the priority intervention?

with hold oral fluids and food