ati endocrine

13.A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor? A. airway patency B. temperature C. urination D. pain control

A. airway patency

8.A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client? A. chvostek's sign B. babinski's sign C. brudzinski's sign D. kernig's sign

A. chvostek's sign

3. A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A. dehydration B. polyphagia C. hyperglycemia D. bradycardia

A. dehydration

9.A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis? A. provide a quiet low stimulus environment B. administer aspirin as prescribed for any signs of hyperthermia C. keep the client NPO D. observe the client carefully of signs of hypocalcemia

A. provide a quiet low stimulus environment

10.A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? A. thyroid stimulating hormon TSH B. free T4 C. serum T4 D. serum T3

A. thyroid stimulating hormone TSH

5.A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A. urine specific gravity 1.002 B. bounding peripheral pulses C.bradycardia D. moist mucous membranes

A. urine specific gravity 1.002

19.A nurse is planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan? a. instruct the client to deep breathe every 4 hr. b. check the clients voice every 2 hours c. place the head of the clients bed in the flat position d. hyperextend the clients neck

B. check the clients voice every 2 hours

1.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? A. hypernatremia B. oliguria C. weight loss D. increased thirst

B. oliguria

2.A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate? A. maintain an IV of 0.45% sodium chloride B. restrict fluid intake to 1000 ml per day C. provide a diet containing 2 G of sodium per day D. administer desmopressin acetate 0.2 mg orally

B. restrict fluid intake to 1000 ml per day

18.A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client? a. take this medication until your symptoms are gone and then discontinue b. tremors nervousness and insomnia may indicate your dose is to high c. symptoms improve immediately after starting the medication d. the medication decreases the overproduction of the thyroid hormone thyroxine

B. tremors nervousness and insomnia may indicate your dose is too high

4.A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective? A. a decrease in blood sugar B. a decrease in blood pressure C. a decrease in urine output D. a decrease in specific output

C. a decrease in urine output

11.A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil to treat hyperthyroidism. The nurse should understand that this client is at increased risk for which of the following conditions? A. excessive bleeding B. ecchymosis C. infection D. hyperglycemia

C. infection

6.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? a. measure blood glucose levels every 4 hour B. administer a diuretic C. initiate fluid restrictions D. check urine specific gravity

D. check urine specific gravity

12.A nurse is caring for a client who is 8 hr postoperative following a subtotal thyroidectomy. In which of the following positions should the nurse keep the client? A. high fowler's with neck extend B. high fowler's with neck in a neutral position C. semi fowlers with neck extended D. semi fowlers with neck in a neutral position

D. semi fowlers with neck in a neutral position

30.A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.) a. adminiter furosemide b. administer warfarin c. implement a low sodium diet d. measure the clients abdominal girth e. encourage weight lifting during physical therapy

a. administer furosemide c. implement a low sodium diet d. measure the clients abdominal girth

24.A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis? a. alcohol b. caffeine c. cocaine d. inhalants

a. alcohol

25.A nurse is planning care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse include in the plan of care? a. decrease the clients fluid intake b. increase the clients saturated fat intake c. increase the clients sodium intake d. decrease the clients carbohydrate intake

a. decrease the clients fluid intake

26.A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood? a. elevated blood urea nitrogen BUN b. elevated HbA1c c. decreased chloride d. decreased bilirubin

a. elevated blood urea nitrogen BUN

27.A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer? a. vitamin K b. heparin c. warfarin d. ferrous sulfate

a. vitamin K

22.A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream? a. glucose b. ammonia c. potassium d. bicarbonate

b. ammonia

14.A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client? a. radioactive iodine B. levothyroxine c. sumatriptan d. levofloxacin

b. levothyroxine

28.A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client? a. moist skin b. spider angiomas c. tarry stools d. blood in the urine

b. spider angiomas

17.A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take? a. check the pedal pulses b. verify the most recent calcium level c. request prescription for a relaxant d. administer an oral potassium supplement

b. verify the most recent calcium level

7.A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of oxytocin. Which of the information should the nurse include? a. this medication will help prevent nausea and vomiting B. your contractions will become stronger and more frequent C. i will remove the elctronic fetal monitor once contractions are regular D. you push the button on the control device to administer more medications

b. your contractions will become stronger and more frequent

20.A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications? a. impaired skin integrity b. fluid retention c. pathologic fractures d. dysphagia

c pathologic fractures

16.A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication? a. decrease in appetite b. increase in weight c. increase in energy d. decrease in body temperature

c. increase in engery

23.A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level? a. administer diuretics b. restrict the clients intake of fluids c. reduce the clients intake of protein d. administer vitamin K

c. reduce the clients intake of protein

15.A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings? a. exophthalmos b. palpitations c. weight gain d. diaphoresis

c. weight gain

21.A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism? a. a client who has a vitamin D of 25 b. a client who has a magnesium of 1.8 c. a client who has a calcium of 9.8 d. a client who has a phosphate of 5.7

d. a client who has a phosphate of 5.7

29.A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching? a. excessive alcohol consumption b. hepatitis C c. hepatotoxic medications d. obstruction of the bile duct

d. obstruction of the bile duct