Endocrine

A client is admitted to a medical unit with a diagnosis of Addison disease. The client is emaciated and reports muscular weakness and fatigue. Which disturbed body process does the nurse determine is the root cause of the client's clinical manifestations?rotein anabolism

Protein anabolism

A client admitted to the emergency department has ketones in the blood and urine. Which situation associated with this physiologic finding should be the nurse's focus when collecting additional data about this client?

Starvation

A female client receiving cortisone therapy for adrenal insufficiency expresses concern about why she is developing facial hair. How should the nurse respond?

The drug contains a hormone that causes male characteristics."

A client states, "I keep my insulin in the refrigerator because that is where my parents kept it." What reason should the nurse include when explaining that insulin should be stored at room temperature?

Absorption is enhanced and local irritation is decreased.

Which clinical findings should the nurse expect when assessing a client with hyperthyroidism? Select all that apply.

Tachycardia Exophthalmos

Which clinical findings should the nurse expect when assessing a client with hyperthyroidism? Select all that apply .

Diarrhea Weight loss

A client is receiving total parenteral nutrition. The nurse assesses for which client response that indicates hyperglycemia?

Polyuria

A client is admitted with a diagnosis of chronic adrenal insufficiency. When assigning a room, which roommate should be avoided because of the newly admitted client's condition?

a young adult with pneumonia

A nurse, caring for a client with uncontrolled diabetes, suspects that a client is experiencing hypoglycemia in response to insulin administration. What clinical manifestations lead the nurse to this conclusion? Select all that apply.

headache confusion profuse sweating

A client newly diagnosed with type 1 diabetes receives information 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."

What is the most important test the nurse should check to determine whether a transplanted kidney is functioning?

Serum creatinine level

A client is admitted for hypertension, and serum electrolyte studies have yielded abnormal results. The scheduled workup includes a scan for an aldosteronoma. The nurse concludes that this scan is prescribed to rule out disease of the:

Adrenal cortex

A nurse is caring for a client with a tentative diagnosis of pheochromocytoma who is receiving chlorpromazine (Thorazine). A 24-hour urine specimen to assess the presence of vanillylmandelic acid (VMA) is prescribed to assist in the confirmation of the diagnosis. What information should the nurse include in the client teaching regarding this test? Select all that apply .

All urine excreted over the 24-hour period must be saved and refrigerated. Avoid coffee, chocolate, and citrus fruit for three days before and during the test

The nurse provides postoperative care to the client following subtotal thyroidectomy by: Select all that apply.

Assessing for frequent swallowing Ambulating the client the evening of surgery Assessing for facial spasms, apprehension, or tingling of the lips, fingers, or toes Ensuring that oxygen, suction equipment, and a tracheosomy tray are at the bedside

After a surgical thyroidectomy a client exhibits carpopedal spasm and some tremors. The client complains of tingling in the fingers and around the mouth. What medication should the nurse expect the primary health care provider to prescribe after being notified of the client's adaptations?

Calcium gluconate

Several hours after administering insulin, the nurse is assessing a client for an adverse response to the insulin. Which client responses are indicative of a hypoglycemic reaction? Select all that apply .

Confusion Tremors Diaphoresis

A client returns from surgery after a thyroidectomy. What should the nurse do to assess unilateral injury of the laryngeal nerve?

Evaluate the client's speech.

A client is admitted to the hospital with diabetic ketoacidosis. The nurse concludes that the client's elevated ketone level is caused by incomplete oxidation of which nutrient?

Fats

The parents of a young man suspected of having Cushing syndrome expresses anxiety about their son's condition. What should the nurse tell the parents to help them better understand the illness?

He may have mood swings or depression as a result of his illness.

A nurse is caring for a client with a history of hyperthyroidism who now is experiencing thyroid crisis (thyroid storm). What does the nurse consider to be the most likely precipitating factor in the client's current health problem?

High levels of the hormone triiodothyronine

The nurse is performing an assessment and notes that the client has exophthalmos and complains of double vision. These assessment findings are found with which condition?

Hyperthyroidism

A nurse is developing a discharge plan for a client who was hospitalized with severe cirrhosis of the liver. The plan should include the:

Importance of reporting personality changes to the health care provider

Which is an independent nursing action that should be included in the plan of care for a client after an episode of ketoacidosis?

Monitoring for signs of hypoglycemia as a result of treatment

After stabilization of an acute adrenal insufficiency (Addisonian crisis), intravenous medications are decreased gradually, and the client now is receiving hydrocortisone by mouth. What instruction should the nurse include when performing discharge teaching?

Take the medication with food.

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 client is admitted with a head injury. The nurse identifies that the client's urinary retention catheter is draining large amounts of clear, colorless urine. What does the nurse identify as the most likely cause?

Inadequate ADH secretion

A client with type 2 diabetes has been receiving insulin in the hospital while being treated for sepsis. The client's infection is resolving, and the health care provider writes a prescription to discontinue the 7 AM dose of insulin and administer glyburide (Micronase) 5 mg twice daily (8 AM and 8 PM). The nurse on the day shift (8 AM to 4 PM) administers the Micronase at 8:30 AM. When recording its administration in the client's record, the nurse sees that the insulin had already been administered at 7 AM. What initial action should the nurse take?

Monitor for signs of hypoglycemia.

A nurse administers the prescribed regular insulin (Novolin R) to a client in diabetic ketoacidosis. In addition, the nurse anticipates that the intravenous (IV) solution prescribed will contain potassium to replenish potassium ions in the extracellular fluid that are being:

Moved into the intracellular fluid compartment because of the generalized anabolism induced by insulin and glucose

Propylthiouracil (PTU) is prescribed for a client diagnosed with hyperthyroidism. The client asks the nurse, "Why do I have to take this medication if I am going to get the atomic cocktail?" The nurse explains that the medication is being prescribed because it decreases the:

Production of thyroid hormones.

The nurse is providing immediate postoperative care to a client who had a thyroidectomy. The nurse should monitor the client for which clinical manifestation?

Signs of respiratory obstruction