PVN 142 Endocrine
Which information about diagnosis of type 1 and type 2 diabetes using C-peptide levels is accurate?
3 ng/mL indicates type 2 diabetes
Which prescription for a patient with diabetes insipidus would the nurse question?
infuse 0.9% NaCI at a rate of mL/hr.
Which action may cause lipohypertrophy in a client who is receiving insulin injections?
Administering insulin into the same site each time
While the nurse is at the bedside of a client in acute renal failure, the client states, "My healthcare provider said that I will be getting some insulin. do I also have diabetes?" What is the best nursing response?
"No, the insulin will help your body handle the increased potassium level."
A nurse is preparing to administer insulin to a client with diabetes. In which order should the nurse perform the actions associated with insulin administration?
1.Wash hands with soap and water 2.Rotate the vial of insulin between the palms of the hands 3.Wipe the top of the insulin vial with an alcohol swab 4.Instill air into the vial of insulin equal to the desired dose 5.Withdraw the correct amount of insulin from the inverted vial
A client with type 1 diabetes mellitus has a finger stick glucose level 258 mg/dL at bedtime. A prescription for sliding scale regular insulin (Novolin R) exists. Waht should the nurse do?
Administer the insulin as prescribed
Daily Humulin R insulin has been prescribed for a client with type 1 diabetes. The nurse administers the insulin at 8 am. When should the nurse monitor the client for a potential insulin reaction?
Before lunch
When a client is receiving total parenteral nutrition, what is important for the nurse to assess?
Blood glucose
A nurse is caring for a client who has 20-year history of type 2 diabetes. Which physiological changes will the nurse assess for that are associated with a long history of diabetes?
Blurry, spotty, or hazy vision
A nurse is caring for a client with a diagnosis of diabetic ketoacidosis. What information should the nurse include when teaching the client about the causes of diabetic acidosis?
Breakdown of fat stores for energy
A nurse is planning to teach facts about hyperglycemia to a client with diabetes. What information should the nurse include int he discussion about what causes diabetic acidosis?
Breakdown of fat stores for energy
A client with diabetes is being taught to self-administer a subcutaneous injection of insulin. Identify the preferred site for the self-administration of this drug.
C- abdomen
A nurse enters the room of a patient with type 1 diabetes who received an insulin inection 30 minutes ago nd finds the patient unresponsive in bed. Which action should the nurse take first?
Check the patient's blood glucose level
Following surgery, total parenteral nutrition is instituted via a central venous infusion. During the fourth hour of the infusion the client complains of nausea, fatigue, and a headache. The hourly urine output is twice the amount of the previous hour. After contacting the primary healthcare provider, what is the next action the nurse should take?
Check the serum glucose level
A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. What is the nurse's primary responsibility two days after surgery when preparing the client to eat dinner?
Checking the client's serum glucose level
The health care provider prescribes an oral hypoglycemic for the patient with type 2 diabetes. What will the nurse need to consider when developing the teaching plan?
Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control.
A nurse is assessing a client with hypothyroidism. Which clinical manifestations should the nurse expect the client to exhibit? Select all that apply.
Cool skin Constipation Periorbital edema Decreased appetite
Which medical condition is treated by intravenous administration of calcium gluconate?
Hypoparathyroid tetany
A patient arrives at the clinic with complains of anxiety, insomnia, and mood distrubances. On assesment, the nurse notes the patient has a moon face, kyphosis, pendulous abdomen, and thin arms, and laboratory results show hypolalemia, and increased cortisol levels. the nurse anticipates which diagnosis will be made?
Cushing syndrome
Which signs and symptoms would the nurse expect to find a patient with Addison's disease?
Darkened skin on the knuckles, elbows, and palmar creases
After thyroidectomy, the patient has sudden spasms in the wrist. Which blood test result would he nurse expect to see?
Decreased calcium levels
Which drug can cause diabetes insipidus?
Demeclocycline Prolonged administration of demeclocycline may cause diabetes insipidus, as this drug decreases the production of antidiuretic hormone by the kidneys. Cabergoline inhibits the release of growth hormone and prolactin by stimulating dopamine receptors in the brain. Metyrapone and aminoglutethimide decrease cortisol production.
A client who has just had an adrenalectomy is told about a death in the family and becomes very upset. The nurse notifies the health care provider about the client becoming upset. What is the primary reason the nurse chose to notify the health care provider?
Despite steroid therapy, the ability to cope with stress will be decreased
Which disorder is caused by secretion of insufficient amounts of antidiuretic hormone (ADH)?
Diabetes Insipidus
A nurse is caring for a patient after a traumatic brain injury. The patient's urine output is 15 L for the past 24 hours and the specific gravity of the urine is 1.002. The nurse anticipates which diagnosis will be made for this patient?
Diabetes insipidus
Which signs of a serious long-term complication would the nurse observe for in a patient who was diagnosed with acromegaly 15 years ago?
Dyspnea
Which intervention would be most appropriate for the patient with hypothyroidism?
Encourage fluids
Which intervention would the most appropriate for the patient with hypothyroidism?
Encourage fluids
The nurse is collecting data regarding the elimination patterns of a patient for endocrine disorders. Which finding warrants further investigation?
Frequent urination during the night
Which major side effect is associated with octreotide (Sandostatin)
Gallbladder disease
While observing a patient who is on oral hypoglycemic drugs and is conscious, the nurse finds the patient has tremors, with rapid and shallow breathing patterns. Which nursing intervention would be most important in this situation?
Give a concentrated praparation of dextrose tablets
While observing a patient who is on oral hypoglycemic drugs and in conscious, the nurse finds the patient has tremors, with rapid and shallow breathing patterns. Which nursing intervention would be most important in this situation?
Give a concentrated preparation of dextrose tablets
Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. What intervention should the nurse implement?
Give supplemental doese of regular insulin
A nurse identities that the client is experiencing a hypoglycemic reaction. Which nursing intervention should the nurse implement to relieve the symptoms associated with this reaction?
Giving 4 oz of fruit juice
A registered nurse assess a client's electronic medical record (EMR) and observes increased blood pressure, severe myopia, and blood glucose levels. Which type of eye disorder will the the nurse most likely observe written in the EMR?
Glaucoma
Which term is defined as a chemical messenger that travels through the bloodstream to its target organ?
Hormone
The nurse identifies a 5-cm nodule on the upper arm of a client with type 1 diabetes. The client says to the nurse, "That is where I give myself insulin shots." The nurse concludes that the nodule, which is neither warm nor painful, is a result of what?
Lipodystrophy
Which health problem should the nurse consider is most likely to precipitate acute hypoglycemia in a client?
Liver disease
A client is diagnosed with type 2 diabetes, and the health care provider prescribes an oral hypoglycemic. For what side effect should the nurse teach this client to monitor?
Low blood sugar
A patient who is suffering from insulin deficiency has asked the nurse about the function of insulin. Which response by the nurse would be appropriate
Lowers blood glucose levels
A patient who is suffering from insulin deficiency has asked the nurse about the function of insulin. Which response by the nurse would be appropriate?
Lowers blood glucose levels
A client with type 1 diabetes consistently has high glucose levels on awakening in the morning. What should the nurse instruct the client to do to differentiate between the Somogyi effect and the dawn phenomenon?
Measure the blood glucose level between 2am and 4am
Which hormone is prescribed to regulate sleep?
Melatonin
A client with a history of type diabetes is diagnosed with heart failure. Digoxin (Lanoxin) is prescribed. What should the nurse do when administering the medication?
Monitor the client for atrial fibrillation and first-degree heart block
The nurse is caring for a patient with an enlarged lower jaw, bulged forehead, bulbous nose, thick lips, and speech difficulties. Which medication does the nurse expect the health care provider to presribe?
Octreotide (Sandostatin)
The nursing teacher is teaching a class of hormones. Which statement by the trainee nurse about the regulation of calcium and vitamin D in the body is correct?
PTH increases bone resorption
Which organ or gland exerts control over other glands?
Pituitary gland
Which sign or laboratory value would the nurse expect to see in a patient with Addison's disease?
Postural hypotension
A school aged child is receiving 45 units of intermediate-acting insulin at 7:00am and 7:00 pm. What will the nurse tell the parents regarding a bedtime snack?
Provide a bedtime snack to prevent hypoglycemia during the night
A school-aged child is receiving 45 minutes of intermediate-acting insulin at 7:00 am and 7:00 pm. What will the nurse tell the parents regarding a bed time snack?
Provide a bedtime snack to prevent hypoglycemia during the night
What is the nursing priority when administering care to a client with severe hyperthyroidism?
Provide a calm, nonstimulating environment
A client who has type 1 diabetes is admitted to the hospital for major surgery. Before surgery the client's insulin requirements are elevated but well controlled. Postoperatively, the nurse anticipates that the client's insulin requirements will do what?
Remain elevated
A health care provider writes prescriptions addressing the needs of a client with Addison disease. Which outcome does the nurse conclude is the main focus of treatment for this client?
Restoration of electrolyte balance
What should a nurse teach the client to do to avoid lipodysthrophy when self-administering insulin therapy?
Rotate injection sites
What should a nurse teach the client to do to avoid lipodystrophy when self-administering insulin Therapy?
Rotate injection sites.
What should a nurse teach the client to do to avoid lipodystrophy when self-administering insulin therapy?
Rotate injection sites.
Which drug is prescribed to treat thyroid storm?
SAturated solution of potassium iodine (SSKI)
The nurse provides education related to manifestations of hyperglycemia to a client with type 1 diabetes. Which signs and symptoms identified by the client indicate that the teaching was effective? Select all that apply.
Thirst Fruity breath odor Excessive urination
A client with hyperthyroidism asks the nurse about the tests that will be prescribed. which diagnostic tests should the nurse include in a discussion with this client?
Thyroid stimulating hormone (TSH) assay and triiodothyronine (T3)
What is the purpose of providing a balanced evening snack for a client who is receiving insulin?
To counteract late insulin activity
A client is diagnosed as having type 2 diabetes. What is a priority teaching goal for the client?
To identify pending hypoglycemia or hyperclycemia
A nurse plans to set up emergency equipment at the bedside of a client in the immediate postoperative period after a thyroidectomy. What should the nurse include in the bedside setup?
Tracheostomy set and oxygen
Which of these response to inflating a blood-pressure cuff above the client's systolic pressure and leaving it in place for 3 minutes would confirm a diagnosis of hypoparathyroidism?
Trousseau's sign
Which drug is useful in the management of diabetes insipidus?
Vasopressin (Pitressin)
A nurse caring for a 78-year-old female patient with type 2 diabetes knows this patient is at an increased risk for infection. Which intervention would be most beneficial for the prevention of infection?
Wash the patient's perineum thoroughly twice a day
Which class of oral hypoglycemic acts by reducing hepatic glucose production?
binuanides
A nurse is caring for a client who has a 20 year history of type 2 diabetes. Which physiological changes will the nurse assess for that are associated with a long history of diabetes?
blurry, spotty, or lazy vision
At 4:30 PM, a client who is receiving human insulin (Humulin N) every morning states, "I feel very nervous." The nurse observes that the client's skin is moist and cool. What is the nurse's most accurate interpretation of what the client is likely experiencing?
hypoglycemia
Which statement by a patient indicates understanding of the cause of type 2 diabetes?
"Over time, the cells in my body have become resistant to insulin for glucose uptake."
Which statement by a patient indicates understanding type 2 diabetes?
"Over time, the cells in my body have become resistant to insulin glucose uptake."
A client with type 1 diabetes asks what causes the several brown spots on the skin. What would be the best response by the nurse?
"Those brown spots result from small blood vessel damage; the blood contains iron, which leaves a brown spot."
Which instruction would the nurse give a patient to prevent thyroid-related problems?
"Use iodized salt when preparing food."
Which questions would the nurse ask a patient with possible growth hormone deficiency?
-"Do you have frequent headaches?" -"Do you have visual disturbance?"
A nurse is planning care for a patient with hypothyroidism. Which intervention would most be most important for hte nurse to implement to keep the patient as comfortable as possible?
Increase room temperature of 74 F
Which imbalance causes Cushing syndrome?
Increased corticosteroids
A patient on diuretic therapy for the treatment of fluid overload is also on sodium and potassium supplement therapy. The nurse would instruct the patient to avoid foods that are rich in which component?
Sodium
A patient on diuretic therapy for the treatment of fluid overload is also on sodium and potassium supplement threrapy. The nurse would instruct the patient to avoid foods that are rich in which component
Sodium
A client's cells are deprived of oxygen during a cardiac arrest. What medication should the nurse be prepared to adminsiter?
Sodium bicarbonate
An insulin pump is instituted for a client with type 1 diabetes. The nurse plans discharge instructions. Which short-term goal is the priority for this client?
"Demonstrate correct use of the insulin pump"
A client with type 2 diabetes, who is taking an oral hypoglycemic agent, is to have a serum glucose test early in the morning. The client asks the nurse, "What do I have to do to prepare for this test?" Which statement by the nurse reflects accurate information?
"Do not ingest anything before the test."
A client with diabetes asks how exercise will affect the insulin and dietary needs. How should the nurse respond?
"Exercise increases the need for carbohydrates and decreases the need for insulin."
Which statement would the nurse include when instructing a student nurse about the method of preparing the insulin dose?
"Gently rotate the insulin vial between hands for even mixing"
During a follow-up visit, a patient with hypothyroidism reports severe sleep disturbances and frequent headaches. Which statement by the patient helps the nurse understand the reason for the patient's condition?
"I take the medication every evening with adequate water."
A nurse is caring for a patient who has undergone a thyroidectomy. Which signs or symptoms should be reported the registered nurse (RN) for further evaluation? Select all that apply
-Heart rate of 160 beats/min -Numbness in the fingers -Noticable twitching during blood pressure assessment
A nurse is caring for a patient who has undergone a thyroidectomy. Which signs or symptoms should be reported immediately to the registered nurse (RN) for further evaluation? Select all that apply
-Heart rate of 160 beats/min -Numbness in the fingers -Noticeable arm twitching during blood pressure assessment
An adolescent is found to have type 1 diabetes. The nurse plans to teach the adolescent that dietary control and exercise can help regulate the disorder. What additional information should the nurse include in the teaching plan? Select all that apply
-Insulin therapy -Blood glucose monitoring -Adherence to the treatment regimen
The nurse is teaching a diabetic client about the advantages of using an insulin pump. What information will the nurse include in the teaching? Select all that apply
-It can improve hemoglobin A1c levels -It allows clients to exercise without eating more carbohydrates
The nurse anticipates a patient with a thyroid disorder will have issues with which functions? Select all that apply
-Metabolism -Nervous system activity -Growth and development
A client with type 1 diabetes is transported via ambulance to the emergency department of the hospital. The client has dry, hot, flushed skin and a fruity odor to the breath and is having Kussmaul respirations. Which complication does the nurse suspect that the client is experiencing?
Ketoacidosis
A nurse is providing education to a patient who has been newly diagnosed with hypothyroidism and will begin thyroid hormone replacement. Which statement by a patient with hypothyroidism indicates an understanding of the best way to take the thyroid hormone replacement mediaction?
"I will take the pill with a glass of water before breakfast."
A nurse is providing education to a patient who has been newly diagnosed with hypothyroidism and will begin thyroid hormone replacement. Which statement by a patient with hypothyroidism indicates an understanding of the best way to take the thyroid hormone replacement medication?
"I will take the pill with a glass of water before breakfast."
A client newly diagnosed with type 1 diabetes receives teaching about insulin. The client states, "I hate shots. Why can't I take the insulin in pill form?" What is the nurse's best response?
"Insulin is poorly absorbed and its action is erratic when taken by mouth."
A client newly diagnosed with type 2 diabetes is receiving glyburide (Micronase) and asks the nurse how this drug works. How should the nurse respond?
"It stimulates the pancreas to produce insulin."
The nurse is educating a student nurse about the pituitary gland. Which statement by the student nurse indicates the need for further teaching?
"Oxytocin and vasopressin are released form the anterior pituitary (adenohypophysis)"
A female client receiving cortisone therapy for adrenal insufficiency expresses concern she is developing facial hair. How should the nurse respond?
"The drug contains a hormone that causes male characteristics."
Which questions would the nurse ask a patient with possible growth hormone deficiency? Select all that apply
-"Do you have frequent headaches?" -"Do you have visual disturbances?"
The nurse is teaching a client with diabetes about foot care. Which statements made by the client indicates the client understands which activities would be beneficial to prevent infection? Select all that apply
-"I will apply lotion to my feet daily." -"I will assess the skin on my feet for redness, abrasions, and open areas daily."
A nurse is caring for a client who has had type 1 diabetes for 25 years. The client states, "I have been really bad for the last 15 years. I have not paid attention to my diet and have done little to control my diabetes." What common complications of diabetes might the nurse expect to identify when assessing this client? Select all that apply
-leg ulcers -loss of visual acuity -decreased sensation in the feet -thick, yellow toenails
The nurse anticipates a patient with a thyroid disorder will have issues with which functions? Select all that apply
-metabolism -nervous system activity -Growth and development
A health care provider prescribes 36 units of NPH (Novolin N) and 12 unites of regular insulin (Novolin R). The nurse plans to administer these drugs in one syringe. Identify the steps in this procedure in priority order. (Start with the number of the picture that represents the first stem and end whit the number by the picture that represents the last step.)
1,3,2,4
A nurse is assessing a client experiencing a diabetic coma. What unique response associated with diabetic coma that is not exhibited with hyperglycemic hyperosmolar nonketonic syndrome (HHNS) should the nurse identify when assessing this client?
Kussmaul respiration
A client with type 1 diabetes self-administers Novolin N insulin every morning at 8 am. The nurse evaluates that the client understands the action of the insulin when the client says she should be alert for signs of hypoglycemia between what hours?
2 pm and 8 pm
levothyroxine (Synthroid) 12.5 mcg orally each day is prescribed for a client with hypothyroidism. Six weeks later, the health care provider increases the client's dose to 25 mcg daily and gives the client a prescription to be filled at the pharmacy. The client asks the nurse whether the original pill prescription can be completed before starting the new dose. How many of the original pills should the nurse instruct the client to take daily? Record your answer using a whole number
2 tablets
Which action should the nurse take for effective postoperative care who has undergone thyroidectomy?
Advise the patients to rest the voice for 48 hours after surgery
A nurse is preparing a patient with hyperthyroidism for ablation therapy. Which information disclosed by the patient would prompt the nurse to contact the health care provider immediately?
Allergic to shellfish
After a subtotal gastrectomy a client demonstrates signs of dumping syndrome. About 90 minutes after the initial attack, the client reports feeling shaky. What does the nurse determine is the cause of the latter effect?
An overproduction of insulin that occurs in response to the rise in blood glucose
What other name can the nurse use for vasopressin?
Antidiuretic hormone
A client with type 1 diabetes receives Humulin R insulin in the morning. Shortly before lunch the nurse identifies that the client is diaphoretic and trembling. What is the nurse's appropriate action?
Assess the client's blood glucose level
A patient with exophthalmos from Graves' disease complains of dry eyes. Which eye complication is the patient at risk for?
Corneal ulcer
A nurse is supervising care of a patient with syndrome of inappropriate antidiuretic hormone (SIADH) by unlicensed personnel (UAP). Which action by the UAP would merit immediate intervention?
Encouraging the client to drink fluids frequently
Which signs and symptoms might the nurse observe in a patient with Cushing syndrome? Select all that apply.
Facial fullness Periobital edema excessive facial hair
Which disease process can lead to a pathologic fracture?
Hyperparathyroidism
A client has a tentative diagnosis of Cushing syndrome. What is the most likely finding on the nursing assessment?
Hypertension and moon face
A nurse knows that a patient with diabetes insipidus is at risk for which life-threatening complication?
Hypobvolemic shock
A client with type 1 diabetes receives 30 units of Humulin N insulin at 7 am. At 3:30 pm the client becomes diaphoretic, weak, and pale. What does the nurse associate these physiological responses with?
Hypoglycemic reaction
An adult is admitted to the hospital with a diagnosis of hypothyroidism. Which findings would the nurse most likely elicit during the nursing assessment?
Hypothermia and constipation
A postoperative patient who has diabetes insipidus is unconscious and his urine output is higher than expected. Which complication does the nurse expect if there is a delay in treatment?
Hypovolemic shock
A nurse is caring for two clients newly diagnosed with diabetes. One client has type 1 diabetes and the other client has type 2 diabetes. What does the nurse determine as the main difference between newly diagnosed type 1 and type 2 diabetes?
In type 1 diabetes long-term complications are not present at the time of diagnosis
Which feature is associated with Cushing syndrome?
Increased susceptibility to infection
A nurse is caring for a client who has had type 1 diabetes for 25 years. The client states, "I have been really bad for the last 15 years. I have not paid attention to my diet and have done little to control my diabetes." What common complications of diabetes might the nurse expect to identify when assessing this client? Select all that apply.
Leg ulcers Loss of visual acuity Thick, yellow toenails Decreased sensation in the feet
Which medication does the nurse expect the health care provider to prescribe to a patient whose thyroid-stimulating hormone (TSH) level is 8 mcg/mL
Levothyroxine (Levothroid)
Which side effects of bromocriptine (Parlodel) would require the patient to seek immediate medical attention? Select all that apply
-Chest pain -Dizziness -Watery nasal discharge
Which significant risk factors for coronary heart disease carry a greater risk for women than for men? Select all that apply
-Diabetes mellitus -Low levels of high-density lipoprotein (HDL) cholesterol
A nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. What interventions should the nurse include that will decrease the risk of complications?
-Examining the feet daily -Wearing well-fitting shoes -F=Performing regular exercise
A nurse prepares to administer metformin (Glucophage XR) to an older adult who has asked that it be crushed because it is difficult to swallow. The nurse explains that this drug cannot be crushed because of what reason?
It is released slowly
A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining large amounts of clear,colorless urine. What does the nurse identify as the most likely cause?
Inadequate andtidiuretic hormone (ADH) secretion
The nurse is observing the skin and hair of a patient for endocrine disorders. Which finding is a cause for conern?
Skin over the finger joints and elbows shows hyperpigmentation.
The nurse is caring for a client with type 1 diabetes. Which signs or symptoms of insulin reaction should the nurse be most concerned should they occur? Select all that apply
-Headaches -Diaphoresis
A nurse is caring for a client recently diagnosed with type 1 diabetes. When assessing the client for insulin reaction, what will the nurse look for? Select all that apply
-Headaches -Diaphoresis -Nervousness
A client with diabetes who is receiving long-term corticosteroid therapy is admitted to the hospital with leg ulcers. What increased risk does the nurse consider when assessing this client?
Inadequate wound healing
A patient with protruding eyes complains of weight loss despite increased caloric intake, insomnia, shortness of breath, and racing heart. Imbalance in which laboratory would the nurse anticipate?
Increased triiodothyronine (t3) hormone
A client with type 2 diabetes is taking one oral hypoglycemic tablet daily. The client asks whether an extra pill should be taken before exercise. What is the best response by the nurse.
"No, but you should observe for signs of hypoglycemia while exercising."
The nurse is observing the skin and hair of a patient for endocrine disorders. Which finding is a cause for concern?
Skin over the finger joints and elbows shows hyperpigmentation.
A nurse administers a tube of glucose gel to a client who is hypoglycemic. What should the nurse consider about this reversal of hypoglycemia?
It provides a glucose substitute for rapid replacement of deficits.
Which medication does the nurse expect the health care provider to prescribe to a patient whos thyroid-stimulating hormone (TSH) level is 8 mcg/mL?
Levothyroxine (Levothyroid)
A client tells the nurse during the admission history that an oral hypoglycemic agent may be prescribed by the health care provider?
Reduced insulin production
A client is admitted to the hospital for a thyroidectomy. In which position should he nurse maintain the client after this surgery?
Semi-Fowler
A nurse in the post-anesthesia care unit is caring for a client who just had a thyroidectomy. Which client response is it most important for hte nurse to monitor?
Signs of respiratory obstruction
The nurse is providing immediate care to a client who had a thyroidectomy. The nurse should monitor the client for which manifestations?
Signs of respiratory obstruction
Which statement made by a 28-year-old client diagnosed with type 1 diabetes indicates that further education is necessary regarding the teaching plan?
"Once I reach my target weight there is a good change that I will be able to switch from insulin to an oral medication to control my blood sugar."
Which future complications would the nurse monitor for in a patient with acromegaly who has undergone surgery to remove a tumor in the pituitary gland?
-vision loss -colon polyps -heart failure
Which future complications would the nurse monitor for in a patient with acromegly who has ungergone surgery to remove a tumor in the pituitary gland? Select all that apply
-vision loss -colon polyps -heart failure
A nurse is caring for a client newly diagnosed with type 1 diabetes. When the health care provider tries to regulate this client's insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia, and 15 g of a sumple sugar is prescribed What is the reason this administered when a client experiences hypoglycemia?
Increase blood glucose levels
The nurse is teaching a client newly diagnosed with diabetes about the importance of glucose monitoring. Which blood glucose levels should the nurse identify as hypoglycemia?
68 mg/dL (3.8 mmo/L)
A client suspected to have hyperpituitarism is sent by the primary healthcare provider to undergo a suppression test. Which laboratory value would indicate a positive result?
6ng/mL
The healthcare provider prescribes daily fasting blood glucose level for a client with diabetes mellitus. The goal of treatment is that the client will have glucose levels within wich range?
70 to 105 mg/dL of blood
A nurse is caring for a client newly diagnosed with type 1 diabetes. When the health care provider tries to regulate this client's insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia, and 15 g of simple sugar is prescribed. What is the reason this is administered when a client experiences hypoglycemia?
Increases blood glucose levels
A client with hyperthyroidism is to receive methimazole. What instructions does the nurse provide?
Initial improvement will take several weeks.
Which insulin should the nurse prepare for the emergency treatment of ketoacidosis?
Insulin Aspart (Novolog)
A nurse is caring for a client with type 1 diabetes, and the health care provider prescribes one tube of glucose gel. What is the primary reason for the administration of glucose gel to this client?
Insulin-induced hypoglycemia
A client with diabetes was taught to self-administer insulin. Which sites should the client choose for fast absorption?
Abdomen
A nurse is caring for a 9-year-old patient who is 7 feet tall and weighs 200 pounds. The nurse anticipates the patient will undergo surgical removal of a tumor from which gland?
Anterior pituitary
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis. What is the initial intervention that thr nurse should expect the health care provider to prescribe for this client?
Intravenous (IV) fluids
A nurse travels to another country on a medical mission trip and sees several patients with goiters. The nurse knows these patients likely have a dietary deficiency of which substance?
Iodine
The nurse administers 10% intravenous calcium gluconate slowly to a patient with hypoparathyroidism. Which complication ma be prevented by administering the medication slowly?
Cardiac arrest
A nurse is caring for two clients newly diagnosed with diabetes. One client has type 1 diabetes, and the other client has type 2 diabetes. When determining the main difference between the type 1 and type 2 diabetes, the nurse recognizes what clinical presentation about type 1?
Complications are not present at the time of diagnosis.
A patient comes to the clinic with a history of bipolar disorder (for which she takes lithium), menopause 3 years ago, and vitamin D deficiency. The nurse knows this patient is at risk for which disrder?
Hyperparathyroidism
A patient with syndrome of inappropriate antidiuretic hormone (SIADH) becomes lethargic and confused and develops nausea and vomiting. The nurse anticipates that laboratory results will reveal which electrolyte imbalance?
Hyponatremia
Which hormonal disorder may be suspected when positive Chvostek and Trousseau signs are assessed?
Hypoparathyroidism
While a nurse is teaching a client with diabetes about food choices, the client states. "I do not like broccoli." Which food should the nurse suggest to substitite for broccoli?
Green beans
A patient arrives at the clinic with an enlarged lower jaw, forhead, and hands, deeper voice, and amenorrhea. The nurse anticipates this patient has an elevated serum level of which hormone?
Growth hormone
Which drug is prescribed to treat thyroid storm?
Saturated solution of potassium iodine (SSKI)
A healthcare provider prescribes propylthiourcil (PTU) for a client with hyperthyroidism. Two months after being started on the medication, the clients calls the nurse and complains of feeling tired and looking pale. What should the nurse do?
Schedule the client for an appointment
Which type of drug does the nurse anticipate will be prescribed for a patient newly diagnosed with acromegarly?
Somatostatin analogue
A nurse working in the diabetes clinic is evaluating a client's success with managing the medical regimen. Which is the best indication that a client with type 1 diabetes is successfully managing the disease?
Stabilization of the serum glucose
The nurse provides a list of appropriate food choices to a client with newly diagnosed diabetes. The client reviews the list and says, "I do not like and refuse to eat asparagus, broccoli, and mushrooms." In response, the nurse teaches the client about the food exchange list. The nurse evaluates that the teaching is understood when the client states that instead of asparagus, broccoli, and mushrooms, the client can eat waht?
String beans, beets, or carrots
Hydrocortisone is prescribed for a client with Addison disease. Before discharge, the nurse teaches the client about this medication. What will the nurse include as a therapeutic effect of the drug?
Supports a better response to stress
A client who is taking an oral hypoglycemic daily for type 2 diabetes develops the flu and is concerned about the need for special care. What should the nurse advise the client?
Take the oral medication, drink fluids and monitor capillary glucose levels.
A Patient with acromegaly is prescribed with bromocriptine mesylate (Parlodel) therapy. Which information does the nurse give to the patient about this treatment?
The drug must be stopped during pregnancy
A patient with acromegly is prescribed with bromocriptine mesylate (Parlodel) therapy. Which information does the nurse give to the patient about this treatment?
The drug must be stopped during pregnancy
A nurse is providing teaching to a patient about a new diagnosis of diabetes mellitus type 2. Which statement about diabetes mellitus type 2 is true?
The main problem in this disease seems to be abnormal resistance to insulin action.
Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. What intervention should the nurse implement?
give supplemental doses of regular insulin
A client with untreated type 1 diabetes mellitus may lapse into a coma because of acidosis. An increase in which component in the blood is a direct cause of this type of acidosis?
ketones
Which organ or gland exerts control over the other glands?
pituitary gland
What should a nurse teach the client to do to avoid lipodystrophy when self-administering insulin therapy?
rotate injection sites
