Health and Illness final
A nurse cares for a patient newly diagnosed with Graves' disease. The patient's mother asks, "I have diabetes mellitus. Am I responsible for my daughter's disease?" How does the nurse respond?
"An association has been noted between Graves' disease and diabetes"
After teaching a young adult patient who is newly diagnosed with type 1 diabetes mellitus, the nurse assesses the patient's understanding. Which statement made by the patient indicates a correct understanding of the need for eye examinations?
"Diabetes can cause blindness, so I should see the ophthalmologist yearly"
A nurse assesses a patient diagnosed with adrenal hypo-function. Which patient statement would the nurse correlate with this diagnosis.
"I have a terrible craving for potato chips"
A nurse collaborates with an UAP to provide care for a patient who is prescribed a 24-hour urine specimen collection. which statement would the nurse include when delegating this activity to the UAP?
"Note the time of the patient's first void and collect urine for 24 hours."
A nurse assesses patients who are at risk for DM. Which patient is at greatest risk?
48 year old American- Indian
A nurse assesses a patient who is recovering from a total thyroidectomy and notes the development of stridor. What action does the nurse take first?
Contact the provider and prepare for intubation
A nurse cares for a patient who is prescribed a drug that blocks a hormone's receptor site. Which therapeutic effect would the nurse expect?
Decreased hormone activity
A nurse assesses a patient who is prescribed a medication that stimulates beta1 receptors. Which assessment findiing's would alert the nurse to urgently contact the healthcare provider?
Heart rate of 50 beats/min
A nurse cares for a patient with a deficiency of aldosterone. Which assessment finding would the nurse correlate with this deficiency?
Increased urine output
An emergency nurse cares for a patient who is experiencing an acute adrenal crisis. What action would the nurse take first?
Obtain intravenous access
A nurse prepares to palpate a patient's thyroid gland. What action would the nurse take when performing this assessment?
Place the patient in a sitting position with the chin tucked down.
A patient with hyperaldosteronism is being treated with spironolactone (Aldactone) before surgery. Which precautions does the nurse teach this patient?
Read the label before using salt substitutes
A nurse cares for a patient who possibly has syndrome of inappropriate antidiuretic hormone. The patient's serum sodium level is 114 mEq/L. What action should the nurse take first?
Restrict the patient's fluid intake to 600mL/day
A nurse plans care for a patient with Cushing's disease. Which action would the nurse include in this patient's plan of care to prevent injury?
Use a lift sheet to change the patient's position
A nurse is teaching a patient with diabetes mellitus who asks, "Why is it necessary to maintain my blood glucose levels no lower than about 60 mg? How would the nurse respond?
Your brain needs a constant supply of glucose because it cannot store it
A nurse assesses a patient who has a 15- year history of diabetes and notes decreased tactile sensation in both feet. What action should the nurse take first?
Assess tactile sensation in the patient's hands
A nurse cares for a patient experiencing diabetic keto-acidosis who presents with Kussmaul respirations. What action would the nurse take?
Administration of intravenous insulin
A nurse evaluates laboratory results for a male patient who reports fluid secretion from his breasts. Which hormone value would the nurse assess first?
Anterior pituitary hormones
A nurse plans care for an older adult who is admitted to the hospital for pneumonia. The patient has no known drug allergies and no significant health history. Which action would the nurse include in this patient's plan of care?
Offer fluids every hour or two
A nurse reviews laboratory results for a patient with DM who presents with polyuria, lethargy, and a blood glucose of 560 mg. Which laboratory result would the nurse correlate with the patient's polyuria?
Serum osmolarity: 375 mOsm/kg- dehydrated
A nurse cares for a patient with excessive production of thyrocalcitonin (calcitonin), For which electrolyte imbalance would the nurse assess?
Calcium
A nurse assesses a patient who takes lithium. Which assessment finding should alert the nurse to a side effect of this therapy?
Bradycardia and loss of eyebrow hair
