endocrine disorders study set
Give the normal value for radioactive iodine a normally active thyroid remove from the blood stream: 10% to 15% 50% to 65% 5% to 10% 15% to 45%
15% to 45%
After several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse understands that which signs/symptoms are indicative of this disorder? Blurred vision and hot, dry skin Excessive thirst and urine output Diarrhea and decreased urine output Weight gain and increased urine specific gravity
Excessive thirst and urine output
A nurse is instructing the parents of a 5-year-old diabetic client on how to manage recurring hypoglycemia. Which instruction, as indicated by the physician, should be included in parent teaching? Learning to use a glucagon emergency kit. Avoiding giving peanut butter crackers or pieces of hard candy. Using chocolate bars to relieve the hypoglycemic condition. Placing glucose between the upper lip and teeth if the child is unconscious.
Learning to use a glucagon emergency kit.
Indicate if the following is ultra-rapid (U), rapid (R) or NPH (N): Humulin N
NPH(N)
The nurse is administering amitriptyline to a client diagnosed with diabetes. Which side effect of this disease is this medication used to treat? Retinopathy Peripheral neuropathy Autonomic neuropathy Kidney disease
Peripheral neuropathy
The nurse reinforces teaching to a client with diabetes mellitus regarding differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that glucose will be taken if which symptom develops? Fruity breath odor Polyuria Shakiness Blurred vision
Shakiness
Indicate if the following is ultra-rapid (U), rapid (R) or NPH (N): Novolin R
rapid(R)
The nurse is reinforcing discharge teaching to a client who has Cushing's syndrome. Which statement by the client indicates that the instructions related to dietary management were understood? "I am fortunate that I do not need to follow any special diet." "I can eat foods that contain potassium." "I am fortunate that I can eat all the salty foods I enjoy." "I need to limit the amount of protein in my diet."
"I can eat foods that contain potassium."
When the nurse is reinforcing instructions to a client who has been newly diagnosed with type 1 diabetes mellitus, which statement by the client would indicate that teaching has been effective? "I will adjust my insulin dose according to the level of glucose in my urine." "I will notify my primary health care provider if my blood glucose level is consistently greater than 250." "I will decrease my insulin dose during times of illness." "I will stop taking my insulin if I'm too sick to eat."
"I will notify my primary health care provider if my blood glucose level is consistently greater than 250."
The nurse is explaining to a client diagnosed with diabetes how to know when diabetes is controlled. Which is an accurate statement to use as a teaching point? "Your blood tests will reveal that the diabetes is cured." "Your blood glucose level will stay within 50 to 100 mg/dL." "You will maintain a weight that is heavier than that before diagnosis." "You will feel well when your diabetes is controlled."
"You will feel well when your diabetes is controlled."
The nurse administering insulin to clients in a nursing home recognizes the signs of an insulin that is unusable. Which insulin is safe to be administered? A vial of insulin that has been shaken A vial with insulin that has settled Insulin from a bottle that is frosted over A prefilled syringe that is milky white**
A prefilled syringe that is milky white*
A nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take? Administer insulin when breakfast arrives Check blood glucose immediately after breakfast Clarify the prescription because insulin should not be administered at this time. Hold breakfast for 1 hr after insulin administration
Administer insulin when breakfast arrives
A nurse is teaching a client with Addison's disease about appropriate snack foods. The nurse evaluates the teaching to be effective when the client identifies which of the following as an appropriate snack food? Cup of orange juice and half of a turkey sandwich American cheese with saltine crackers Raw vegetables with a low fat dip Sliced strawberries and bananas
American cheese with saltine crackers
The nurse is initiating thyroid hormone therapy for a client. What symptom related to therapy should the nurse teach the client to report immediately? Dizziness Nausea Fever Angina
Angina
Match the disorder with the related hormone: Diabetes Insipidus Cortisol Insulin Antidiuretic hormone Thyroxine
Antidiuretic hormone
The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care. Which instruction should be included in the plan of care? Applying moisturizer lotion to dry feet, but not between the toes Always have a podiatrist cut your toenails; never cut them yourself Avoid using soap to wash the feet Soak the feet in hot water
Applying moisturizer lotion to dry feet, but not between the toes
What information should be provided to the client before performing a radioactive iodine uptake test? Encourage reduction of the amount of iodized salt in food. Instruct the client to take the test after a regular breakfast. Ask the client to avoid eating ocean shellfish 1 week before the test. Inform the client about the side effects of radiation.
Ask the client to avoid eating ocean shellfish 1 week before the test.
A nurse is caring for a client with Addison's disease. For which of the following of the following skin manifestations should the nurse assess? Butterfly rash across the bridge of the nose Jaundice of the face and sclera Purple striae on the chest and abdomen Bronze pigmentation of exposed and unexposed skin
Bronze pigmentation of exposed and unexposed skin
A client is diagnosed with hyperparathyroidism associated with osteomalacia. When caring for this client, the nurse should monitor the level of which mineral? Potassium Magnesium Sodium Calcium
Calcium
The nurse is caring for a client diagnosed with Cushing syndrome. Which intervention is a primary nursing consideration in this situation? Teaching the client to count and limit carbohydrates Administering anticonvulsants to prevent seizures Checking electrolyte and glucose levels for changes Replacing fluids and adding sodium to the diet
Checking electrolyte and glucose levels for changes
A client is diagnosed with type 1 diabetes. Which accurately describes a consideration related to the occurrence of this disorder? It usually occurs in clients older than 30 years. Classic symptoms are nearly always present. The client is usually overweight. Hereditary factors are usually present.
Classic symptoms are nearly always present.
A nurse is caring for a client following an adrenalectomy. The nurse should know glucocorticoids are administered following the procedure to do which following? Inhibit glucose metabolism Compensate for a decrease after surgery Decrease susceptibility Act as a diuretic to maintain urine output
Compensate for a decrease after surgery
Match the disorder with the related hormone: Cushing Syndrome Cortisol Insulin Antidiuretic hormone Thyroxine
Cortisol
A 30-year-old diabetic client comes to the healthcare facility with vomiting, fever, and high blood glucose concentration. After further evaluation and blood tests, the client's condition is diagnosed as ketoacidosis. Which symptom should the nurse monitor when caring for the client? Decrease in pulse rate Dehydration Respiratory depression Hypertension
Dehydration
A nurse is reviewing the health record of a client who has hyperglycemic-hyperosmolar state (HHS). Which of the following factors can cause HHS? (Select all that apply) Evidence of recent myocardial infarction BUN 35 mg/dL Age 77 years Fluid volume excess Takes a calcium channel blocker
Evidence of recent myocardial infarction BUN 35 mg/dL Age 77 years Takes a calcium channel blocker
A nurse suspects that a client with diabetes mellitus may be non- compliant with the treatment plan. The nurse should know that a reliable test to evaluate if the client is routinely compliant with the prescribed regimen is which of the following? Urine sugar and acetone Glycosylated hemoglobin levels Glucose tolerance test Fasting serum glucose
Glycosylated hemoglobin levels
Which signs/symptoms should the nurse expect to note when collecting data on a client with Addison's disease? Hirsutism and excessive hunger Obesity and muscle hypertrophy Hypotension and vomiting Edema and weight gain
Hypotension and vomiting
Match the disorder with the related hormone: Diabetes Mellitus Cortisol Insulin Antidiuretic hormone Thyroxine
Insulin
The following is correct about glucagon: It is another name for glucose It is available in oral form It causes liver to release glucose It is a treatment for hyperglycemia
It causes liver to release glucose
The nurse is reinforcing instructions to a client with diabetes mellitus who is recovering from diabetic ketoacidosis (DKA) regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize? Monitor blood glucose level frequently Eat six small meals daily Test the urine ketone level Receive appropriate follow-up health care
Monitor blood glucose level frequently
A nurse is caring for a client with Cushing's syndrome due to chronic corticosteroid use. The nurse assess the client for the development of complications related to Cushing's syndrome including which of the following? Osteoporosis Myxedema Diabetes insipidus Aplastic anemia
Osteoporosis ?
A nurse is instructing a 25-year-old diabetic client regarding preventive foot care measures. Which information should be included in client teaching? Massage between the toes with a good quality lotion. Avoid any kind of physical exercise to prevent injury. Use heating pads and hot water bags to increase the circulation. Place lamb's wool between overlapping toes to prevent irritation.
Place lamb's wool between overlapping toes to prevent irritation.
The nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper thighs. Which further information should the nurse obtain from the client during data collection? Consistency of aspiration Angle at which the medication is administered Plan for injection rotation Preparation of the injection site
Plan for injection rotation
The nurse is teaching the parents of a juvenile diagnosed with type 1 diabetes the three "polys" of diabetes symptoms. Which describes excessive hunger? Polydipsia Polyuria Polycythemia Polyphagia
Polyphagia
The nurse is collecting data regarding a client after a thyroidectomy and notes the development of a hoarse and weak voice. Which nursing action is appropriate? Notify the registered nurse immediately Administer calcium gluconate Check for signs of bleeding Reassure the client that this is usually a temporary condition
Reassure the client that this is usually a temporary condition
A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which teaching information should the nurse reinforce upon discharge? Increase the amount of insulin before unusual exercise Rotate the insulin injection sites systematically. Monitor the urine acetone level to determine the insulin dosage . Keep insulin vials refrigerated at all times
Rotate the insulin injection sites systematically.
A nurse is instructing a client about the pathophysiology of acromegaly. The nurse explains to the client that acromegaly occurs as a result of excessive production of which of the following? Somatotropin Prolactin Androgen Aldosterone
Somatotropin
The primary health care provider (PHCP) prescribes exenatide for a client with type 1 diabetes mellitus who takes insulin. The nurse knows that which is the most appropriate intervention? The medication is withheld and the PHCP is called to question the prescription for the client The insulin is withdrawn from the Penlet into an insulin syringe to prepare for administration. The client is monitored for gastrointestinal (GI) side effects after administration of the medication The medication is administered within 60 minutes before the morning and evening meal
The medication is withheld and the PHCP is called to question the prescription for the client
A client is undergoing tests to confirm a diagnosis of hyperthyroidism. What test should be ordered for this client? TSH stimulation test Thyroid scan Thyroid suppression test TRH stimulation test
Thyroid scan
Match the disorder with the related hormone: Graves Disease Cortisol Insulin Antidiuretic hormone Thyroxine
Thyroxine
The nurse is caring for a client after a thyroidectomy and notes that calcium gluconate is prescribed. The nurse determines that this medication has been prescribed for which reason? Prevent cardiac irritability Treat hypocalcemic tetany Treat thyroid storm Stimulate the release of parathyroidism
Treat hypocalcemic tetany
Which client complaint should alert the nurse to a possible hypoglycemic reaction? Anorexia and blurred vision Muscle cramps and elevated temperature Tremors and double vision Hot,dry and weakness
Tremors and double vision
A nurse is reviewing the laboratory findings for a client who might have hyperthyroidism. The nurse should identify that an elevation in which of the following substances indicates hyperthyroidism? Triiodothyronine Urine osmolality Plasma-free metanephrine Urine cortisol
Triiodothyronine
Indicate if the following is ultra-rapid (U), rapid (R) or NPH (N): Novolog
Ultra rapid(U)
Which test is the most used diagnostic urine test for the assessment of adrenal medulla function? Histamine administration 24-hour urine specimen Urinary metanephrine. Clonidine suppression test
Urinary metanephrine.
A 25-year-old client with symptoms of excessive thirst and an increase in urine is diagnosed with diabetes insipidus. Which hormone level should the nurse monitor? Glucagon Insulin Vasopressin Thyroxine
Vasopressin
A nurse is caring for a client who has acromegaly. Which of the following findings should the nurse expect? Muscle rigidity Sunken eyes Sluggish deep tendon reflexes Visual disturbances
Visual disturbances
The nurse is caring for a client with pheochromocytoma. The client is scheduled for an adrenalectomy. During the preoperative period,the priority nursing action should be to monitor which criterion? Vital signs Urine for glucose and acetone Blood urea nitrogen (BUN) level Intake and Output
Vital signs
A nurse is caring for a client with hyperparathyroidism who has undergone surgical removal of the parathyroid glands. The nurse knows that improvement in the client's condition is indicated by a decrease in the serum phosphorus potassium calcium sodium
calcium
