ATI Endocrine (Quiz 4)

thyroidecomty - thyroid hormone replacement - which of the following instructions should nurse plan to take a. "Take this medication on an empty stomach." b. "Take this medication with an antacid." c. "Change position slowly while taking this medication." d. "Limit your fluid intake while taking this medication."

a. "Take this medication on an empty stomach."

postoperative - acute adrenal insufficiency - actions nurse should take a. Administer IV hydrocortisone sodium. b. Give oral spironolactone. c. Infuse 1 unit of platelets. d. Restrict daily fluid intake.

a. Administer IV hydrocortisone sodium.

pheochromocytoma - which of the following actions should nurse take a. Elevate the head of the client's bed. b. Palpate the client's abdomen. c. Monitor the client for hypotension. d. Check the client's urine specific gravity.

a. Elevate the head of the client's bed.

diabetes mellitus - taking insulin - results indicating therapeutic outcome of insulin therapy a. Fasting blood glucose 96 mg/dL b. Postprandial blood glucose 195 mg/dL c. Random blood glucose 210 mg/dL d. Preprandial blood glucose 60 mg/dL

a. Fasting blood glucose 96 mg/dL

24 hour postoperative - total thyroidectomy - finding nurse should report to provider a. Laryngeal stridor b. Productive cough c. Pain with hyperextension of the neck d. Hoarse, weak voice

a. Laryngeal stridor

autoimmune disease - adverse effects long term corticosteroid therapy - which of the following adverse effects should nurse include a. Osteoporosis b. Moon-shaped face c. Increased risk of infection d. Hearing loss d. Weight loss

a. Osteoporosis b. Moon-shaped face c. Increased risk of infection

propranolol IV bolus - thyroid storm - findings indicating client is having a therapeutic response a. Reduction of the effects of thyroid hormone on the heart b. Blockage of the release of thyroid hormone from the thyroid gland c. Increase in the heart's sensitivity to thyroid hormone d. Increase in the uptake of thyroid hormone by the thyroid gland

a. Reduction of the effects of thyroid hormone on the heart

SIADH - which finding should the nurse report to provider a. Sodium 110 mEq/L b. 2+ deep-tendon reflexes c. Potassium 3.7 mEq/L d. Urine specific gravity 1.025

a. Sodium 110 mEq/L

lab values - DKA - which of the following result should nurse expect a. pH 7.32, PaCO2 36 mm Hg, HCO3- 14 mEq/L b. pH 7.38, PaCO2 55 mm Hg, HCO3- 22 mEq/L c. pH 7.44, PaCO2 40 mm Hg, HCO3- 24 mEq/L d. pH 7.50, PaCO2 42 mm Hg, HCO3- 30 mEq/L

a. pH 7.32, PaCO2 36 mm Hg, HCO3- 14 mEq/L

diabetes insipidus - desmopressin nasal spray - instructions nurse should include in teaching a. "Depress the pump once before using the nasal spray for the first time." b. "Blow your nose gently prior to using the nasal spray." c. "Administer the nasal spray while in a side-lying position." d. "Notify the provider if you develop numbness or tingling around the mouth."

b. "Blow your nose gently prior to using the nasal spray."

glycosylated hemoglobin (HbA1c) testing - client statement indicating an understanding of teaching a. "I need to fast after midnight the night before the test." b. "This test's result is a good indicator of my average blood glucose levels." c. "A level of 8 to 10 percent suggests adequate blood glucose control." d. "I will use my hemoglobin A1c level to adjust my daily insulin doses."

b. "This test's result is a good indicator of my average blood glucose levels."

diabetes mellitus - reports feeling anxious - findings nurse should expect if client is hypoglycemic a. Rapid, deep respirations b. Cool, clammy skin c. Abdominal cramping d. Orthostatic hypotension

b. Cool, clammy skin

DI - nurse should expect which finding a. Decreased heart rate b. Increased hematocrit c. High urine specific gravity d. Low BUN level

b. Increased hematocrit

type 1 diabetes mellitus - instructions nurse should plan to include a. Consume no more than three servings of alcohol per day. b. Ingest food with alcohol to reduce alcohol-induced hypoglycemia. c. Increase insulin dosage before planned exercise. d. Rest for 3 days between periods of vigorous exercise.

b. Ingest food with alcohol to reduce alcohol-induced hypoglycemia.

Diabetes mellitus - peripheral neuropathy - nurse should recommend to prevent injuries to clients feet a. Examine the skin of the feet feet weekly for alterations in skin integrity. b. Monitor the temperature of bath water with a thermometer. c. Shop for shoes early in the day. d. Round the edges of toenails when trimming them.

b. Monitor the temperature of bath water with a thermometer.

Type 1 diabetes mellitus - teaching about how to prevent complications during illness - statement by client indicating an understanding of teaching a. "I should stop taking my insulin if I feel nauseous." b. "I will test my urine for protein when I start to feel ill." c. "I will call my doctor if my blood sugar is more than 250." d. "I should check my blood sugar level every 8 hours."

c. "I will call my doctor if my blood sugar is more than 250."

adrenal insufficiency - findings nurse should expect a. Moon-shaped face b. Weight gain c. Calcium 12.8 mg/dL d. Sodium 150 mEq/L

c. Calcium 12.8 mg/dL

diabetes mellitus - insulin injections - evening doses of insulin glargine and regular insulin - instructions nurse should include a. Inject the insulins intramuscularly. b. Shake the insulins vigorously prior to administration. c. Draw up the insulins into separate syringes. d. Expect the insulins to appear cloudy.

c. Draw up the insulins into separate syringes.

Cushing's disease - which of the following should the nurse expect a. Decreased blood pressure b. Weight loss c. Hirsutism d. Increased skin thickness

c. Hirsutism

propylthiouracil - indication med has been effective a. Increased ability to sweat b. Increased bowel movements c. Increased body weight d. Increased libido

c. Increased body weight Propylthiouracil (PTU) is an oral medication that is used to manage hyperthyroidism

Thyroidecomy - asses for which of the following as an indication of hypocalcemia a. Strong, bounding pulse b. Decreased bowel sounds c. Tingling and numbness of the hands and feet d. Diminished deep-tendon reflexes

c. Tingling and numbness of the hands and feet

hyperthyroidism - nurse should expect which finding a. Cold intolerance b. Lethargy c. Tremors d. Sunken eyes

c. Tremors

diabetic foot ulcer - statement by client indicating an understanding of teaching a. "I will let my feet air dry after washing." b. "I will wear sandals to allow air to circulate around my feet." c. "I will buy over-the-counter medicine to treat the calluses on my feet." d. "I will apply lotion to the dry areas of my feet but not between my toes."

d. "I will apply lotion to the dry areas of my feet but not between my toes."

DI - requires intranasal desmopressin - information nurse should include a. "Drink at least 3 liters of fluid per day." b. "Weigh yourself weekly while wearing similar clothing at the same time of day." c. "Notify the provider of a weight loss of 1 pound or more per week." d. "Report nocturia because it requires a dosage adjustment."

d. "Report nocturia because it requires a dosage adjustment."

vanillylmandelic acid test - pheochromocytoma - which of the following statements should nurse include in teaching a. "Start fasting at midnight prior to the day of the test." b. "Begin the 24-hour urine collection with the first morning urination." c. "Take low-dose aspirin for pain during the testing period." d. "Restrict coffee intake 2 to 3 days prior to the test."

d. "Restrict coffee intake 2 to 3 days prior to the test."

diabetes mellitus - expected finding of DKA a. Decreased urine output b. Weight gain of 0.45 kg (1 lb) in 24 hr c. Rapid, shallow respirations d. Blood glucose levels above 300 mg/dL

d. Blood glucose levels above 300 mg/dL

lab results - screening for primary Cushing's disease - nurse should expect an elevation in which lab finding a. Lymphocyte count b. Potassium c. Calcium d. Glucose

d. Glucose

lifelong hormone replacement - hypothyroidism - client ha snot been taking meds regularly - findings nurse should expect a. Increased urine output b. Persistent diarrhea c. Tachycardia d. Hypotension

d. Hypotension

type 2 diabetes mellitus - hyperglycemia hyperosmolar state (HSS) - lab findings nurse should expect a. Serum pH 7.32 b. Blood glucose 250 mg/dL c. Blood glucose 425 mg/dL d. Serum pH 7.45

d. Serum pH 7.45

Adrenocorticotropic hormone (ACTH) stimulation test - purpose of test is to asses which of the following disorders a. Diabetes insipidus c. Hyperthyroidism d. Pheochromocytoma e. Addison's disease

e. Addison's disease