med surg forgot

a nurse is providing teaching about food choices to a client who has diabetes mellitus. which of the following statements by the client indicates an understanding of the teaching a. i will eliminate sweet desert from my diet b. i should avoid using sucralose in my coffee c. consume alcohol between meals in moderation d. i should replace white bread with whole grain

. i should replace white bread with whole grain

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 intravenous fluid is contraindicated for this client a. whole blood b. lactated ringer's c. dextran 40 in 0.9% sodium chloride d. 0.4% sodium chloride

0.4% sodium chloride

a nurse in the emergency department is assessing a client who has pancreatitis. in which of the following laboratory results should the nurse expect to see an elevation a. amylase b. potassium c. calcium d. hematocrit

amylase

a nurse is planning diatary teaching to a client who has diabetes mellites. which of the following actions should the nurse plan to take first

ask the client to identify the kind of food she prefers

a nurse is reveiewing the lab values of a client who has diabetes ketoacidosis. which of the following lab values is consistent with diabetes ketoacidosis a. blood glucose 30 mg/dl---.> 250 b. negative urine ketones--P c. blood ph 7.38.> 7.3 d. bicarbonate level 12 mEq/l

bicarbonate level 12 mEq/l or < 15

a nurse in the emergency department is caring for a client who has a fruity breath odor, a dry mouth, and extreme thirst. which of the following assessments should the nurse make a. blood glucose level b. pupillary reaction to light c. deep tendon reflexes d. liver function tests

blood glucose level

a nurse is reviewing the laboratory reports of a client and notes an elevated thyroid-stimulating hormone level. which of the following findings should the nurse expect a. bradycardia b. tremors c. low-grade fever d. diaphoresis

bradycardia

a nurse is assessing a client who has addison' disease. which of the following skin manifestations should the nurse expect to find a. purple striae on the chest and abdomen b. butterfly rash accross the bridge of the nose c. bronze pigmentation of the skin d. jaundice of the face and sclera

bronze pigmentation of the skin--darkening of skin

a nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism. which of the following laboratory values should the nurse expect to decrease as a therapeutic effect of the procedure a. calcium b. sodium c. potassium d. phosphorus

calcium

a nurse is planning 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? a, check the client's blood glucose for hypoglycemia b. check the client's urine specific gravity c. weigh the client weekly d. insert an indwelling urinary catheter for the client

check the client's urine specific gravity for fluid volume overload

a nurse is caring for a client who is postoperative following a bilateral adrenalectomy. the nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effect a. compensation for decreased cortisol levels b. inhibition of glucose metabolism c. diuretic action to maintain urine output d. decreased susceptibility to infection.

compensation for decreased cortisol levels

a nurse in the emergency department is caring for a client who has addison's disease and report nausea, vomiting, diarrhea, and abdominal pain. to prevent abdominal crises, the nurse should prepare to administer which of the following medications a. calcium b. potassium c. iodine d. hydrocortisone

hydrocortisone

a nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. which of the following findings should the nurse expect a. kussmaul respirations b. diaphoresis c. decreased skin turgor d. ketonuria

diaphoresis

a nurse is assessing a client who has Grave's disease. which of the following findings should the nurse expect the client to display a. constipation--diarhea b. cold intolerance--heat c. difficulty sleeping d. anorexia

difficulty sleeping--axiety overproduction of thyroid hormone

a nurse is planning care for a client who has type 2 diabetes mellitus. which of the following interventions should the nurse include in the plan a. encourage the client to control weight b. inspect the clients feet once each week c. restrict the client's activity d. apply moisturizer between the client toes

encourage the client to control weight

a nurse is checking laboratory values to determine if a client with diabetes mellitus is adhering to the treatment plan. which of the following tests should the nurse use to make this determination a. glycosylated hemoglobin levels b. urine sugar and acetone levels c. glucose tolerance test d. fasting serum glucose

glycosylated hemoglobin levels

a nurse is caring for a client who has been diagnosed with an Addisonian crisis and has a blood pressure of 74/42 mmhg which of the following prescription should the nurse anticipate a. desmopressin b. hydrocortisone c. dopamine d. furosemide

hydrocortisone

a nurse is caring for a client with addison's disease who has been admitted with muscle weakness, dehydration, and nausea and vomiting for the past 2 days. which of the following prescribed medications should the nurse plan to administer a. rifampin b. loperamide c. hydrocortisone d. spironolactone

hydrocortisone

a nurse is monitoring a client who has grave's disease for the development of thyroid stom. the nurse should report which of the following findings to the provider a. constipation---diarrhea b. headache-- restless confusion c. bradycardia---tachycardia d. hypertension

hypertension

a nurse is conducting a home visit for an older adult client who has diabetes mellitus and takes regular insulin subcutaneously 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 a. dementia b. hypoglycemia c. infection d. transient ischemic attack

hypoglycemia

a nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH) -----(retain water and decrease urine outcome which) of the following findings should the nurse expect a. polyuria b. dehydration c. hyponatremia d. hyperthermia

hyponatremia

a nurse is assessing a client who has addison's disease which of the following findings should the nurse expect a. hypotension b. weight gain---weight loss c. sugar craving ---salt d. pale skin tone---increased pigmentation

hypotension

a nurse is teaching a client who has type 2 diabetes mellitus about foot care. which of the following statements by the client indicates an understanding of the teaching

i will be sure to wear cotton socks every day

a nurse is teaching a client who has hyperthyroidism about managing this disorder. which of the following recommendations should the nurse include a. reduce total hours of sleep b. keep the immediate environment warm c. increase caloric intake with meals d. gradually increase activity

increase caloric intake with meals

a nurse is assessing a client who has manifestations of acromegaly. which of the following findings should the nurse expect a. thinning of skeletal bone structure b. concave chest wall---barrel c. high-pitched voice d. increased head size

increased head size

a nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. which of the following findings indicate the client has hyperglycemia a. hunger b. increased urination c. cold, clammy skin d. tremors

increased urination

a nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. which of the following should the nurse nurse expects a. elevate blood pressure b. involuntary muscle spasms c. cold intolerance d. weight loss

involuntary muscle spasms

a nurse is caring for a client who has diabetes ketoacidosis (DKA) . which of the following findings should the nurse expect a. urine negative for ketones b. distended neck veins--flattened, dehydration, sunken eyeball c. kussmaul respirations d. elevated blood pressure---hypotension

kussmaul respirations--deep rapid respirations to exhale co2

a nurse is planning a community health screening for a group of client who are at risk for type 2 diabetes mellitus. which should the nurse include in the screening a. men who smoke b. men and women who are obese c. women who have hepatitis d. men and women who consume high-protein and low cabs food

men and women who are obese

a nurse is planning care for a client who is experiencing the Somogyi (high blood glucose in the morning after extrmely low ar night)effect and takes intermittent-acting insulin. which of the following actions the nurse include in the plan. a. move the evening intermediate-acting insulin dose to 90 min before dinner b. increase the client's morning caloric intake c. omit the client's evening snack d. monitor the client's nighttime blood glucose levels

monitor the client's nighttime blood glucose levels

a nurse is providing teaching to a client who has type 2 diabetes mellitus 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 effect of insulin

a nurse is caring for a client who has urolithiasis and requires further diagnostic testing after an initial test indicated hypercalcemia. which of the following structures control calcium concentration. a. pancreas b. thyroid gland c. anterior pituitary d. parathyroid gland

parathyroid gland

a nurse is caring for a client who has diabetes insipidus for which of the following findings should the nurse monitor a. proteinuria b. oliguria c. poluria---increase thirst, low specific gravity d. glycossuria

poluria---increase thirst, low specific gravity

a nurse is assessing a client who is recovering from thyroidectomy and has haesh, high-pitched respiratory sounds. which of the following actions should the nurse take a. hyperextend the neck b. prepare for a tracheostomy c. lower the head of the bed d. administer morphine

prepare for a tracheostomy

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 (select all that apply a. tachycardia and hypertension b. respiratory rate 16/min c. negative chvostek's sign d. laryngeal stridor and hoarseness e. positive trousseaus's sign---indication of hypocalcemia

tachycardia and hypertension laryngeal stridor and hoarseness positive trousseaus's sign---indication of hypocalcemia

a nurse is planning care for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH) (water intoxication--hypervolemia & hyponatremia) with mild manifestations. the nurse should expect the provider to prescribe which of the following medications a. chlorpropamide b. tolvaptan---promote water excretion c. vasopressin d. desmopressin

tolvaptan---promote water excretion

A nurse is accepting a transfer from the postanesthetic care unit (PACU) of a client who has had a subtotal thyroidectomy. which of the following pieces of equipment should the nurse have available at the bedside for this client? a. cardiac monitor b. defibrillator c. thoracotomy tray d. tracheostomy tray

tracheostomy tray

a nurse is providing teaching to a client who has addison's disease about healthy snack foods--high sodium low potassium. which of the following food choices by the client indicate understanding of the teaching a. sliced banana b. baked potato c. turkey and cheese sandwich d. plain yogurt with peaches

urkey and cheese sandwich

a nurse is teaching 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 lubricant when having sexual intercourse because of vaginal dryness

a nurse is preparing 24-hr urine specimen for a client who is suspected to have pheochromocytoma. which of the following lab tests from 24hr urine specimen should the nurse use to determine the client condition a. creatinine clearance. b. vanillyl mandelic acid (VMA) c. 17-hydroxycorticosteroids (17-OHCS) d. protein

vanillyl mandelic acid (VMA)

a nurse is caring for a client who is scheduled to receive peritoneal dialysis. which of the following actions should the nurse take a. warm the dialysate solution prior to administration b. cleanse the catheter site using a back and forth motion. beginning at the end of the catheter and moving inward---circular/outward c. place the drainage bag at the level of the client chest d. apply clean gloves and cleanse site with cold water

warm the dialysate solution prior to administration to prevent pain o abdominal cramping

a nurse is providing teaching about exercise to a client who has type 1 diabetes mellitus. which of the following statements should the nurse include

wear a medical alert identification tag when you exercise

a nurse is caring for a client who is receiving total parental nutrition (TPN) through a central line. which of the following actions should the nurse perform a. change the tubing every 12hr---24 b. check the client's blood glucose every 8 hr---4hr c. apply a new dressing to the IV site every 76 hr---24-72 d. weigh the client daily

weigh the client daily

a nurse is updating the plan of care for a client receiving total parental nutrition. which of the following actions should the nurse include in the plan? a weigh the client daily b. obtain a serum blood glucose every 4 hrs c. apply a new dressing to the client's IV site every 5 days d. change the IV tubing every 24hr e. infuse the TPN through a peripheral IV site----central line

weigh the client daily b. obtain a serum blood glucose every 4 hrs change the IV tubing every 24hr

a nurse is providing teaching to a client who has type 2 diabetes mellitus. the client state, i eat pasta every day. i can't imagine giving it up. which of the following responses should the nurse provider

you don't have to give up pasta; just adjust the amount you eat

a nurse is teaching a client about the prostate-specific antigen (PSA) test. which of the following directions should the nurse provide a. fast for 8 hrs after the PSA test --not required b. annual PSA should begin at 40---50 c. expected PSA value will decrease as you get older---increase d. you should not ejaculate for 24hrs prior to the psa test

you should not ejaculate for 24hrs prior to the psa test- can falsely elevate PSA level