Endocrine ATI Targeted Assessment
The purpose for an adrenocorticotropic hormone (ACTH) simulation test
Addison's disease (Results in absent or very low cortisol response)
A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following actions should the nurse take?
Administer IV hydrocortisone sodium
Teaching a client with DM expected findings of DKA
Blood glucose level above 300 mg/dL
Instructions for insulin glargine and regular insulin.
Draw up the insulins into separate syringes
Caring for pheochromocytoma
Elevate the head of the clients bed. (reduces BP and abdominal pressure)
Therapeutic outcome with client who has DM and is taking insulin
Fasting blood glucose 96 mg/dL
Expected lab elevation for primary cushions disease
Glucose
Expected finding w/ newly diagnosed Cushing's disease
Hirsutism
Teaching a client with diabetic foot ulcer about foot care
I will apply lotion to the dry areas of my feet, but not between my toes
Preventing complications during illness with type one diabetes Mellitus patient
I will call my doctor if my blood sugar is more than 250 mg/dL
Teaching type one diabetes mellitus
Ingest alcohol with food to reduce alcohol induced hypoglycemia
Findings to report after a total thyroidectomy
Laryngeal stridor
To prevent injuries to the clients feet with DM and peripheral neuropathy
Monitor the temperature of bathwater with a thermometer
Effects of long-term corticosteroid therapy with autoimmune disease
Osteoporosis, moon shaped face, increased risk of infection
Therapeutic response to propranolol IV bolus during a thyroid storm
Reduction of the effects of thyroid hormone on heart
Include in teaching a client with diabetes insipidus and requires intranasal desmopressin
Report nocturia because it requires a dosage adjustment
Teaching about vanillylmandelic acid test for a patient with pheochromocytoma
Restrict coffee intake 2 to 3 days prior to the test
Expected lab findings for Type 2 DM and hyperglycemic hyperosmolar state (HHS)
Serum pH of 7.45 (glucose levels will be above 600 mg/dL)
Finding to report in a client who has SIADH
Sodium 110 mEq/L
Expected finding with untreated hypothyroidism
hypotension
Expected findings with diabetes insipidus
increased hematocrit
Expected lab in DKA
pH 7.32, PaC02 36 mmHg, HCO3 14 mEq/L
Expected finding when assessing a client with hyperthyroidism
Tremors
Instructions for a new prescription of desmopressin nasal spray
Blow your nose gently prior to using the nasal spray
Expected finding with adrenal insufficiency
Calcium 12.8 mg/dL
Expected findings with anxious hypoglycemic patient
Cool, clammy skin
Teaching plan for a client with a thyroidectomy who is taking thyroid hormone replacement
Take this medication on an empty stomach
Glycosylated hemoglobin (HB A1 C) test
This test is a good indicator of my average blood glucose levels
Indication of hypocalcemia in a patient following a thyroidectomy
Tingling and numbness of the hands and feet
A client taking propylthiouracil should see an increase in
Weight
