Endocrine

A nurse is reinforcing teaching with a client who has DM about food choices. Which of the following client statements indicates the teaching has been understood? A. "I will need to eliminate sweet deserts from my diet" B. "I should avoid using sucralose in my coffee." C. "I should consume alcohol between meals in moderation." D. "I should replace white bread with whole grain bread"

"I should replace white bread with whole-grain bread"

A nurse is reinforcing teaching with a client who has type 2 DM about foot care. Which of the following statements by the client indicates an understanding of the teaching? A. "I will apply moisturizer between my toes." B. " I will soak my feet daily." C. "I'll be sure to wear cotton socks every day." D. "I'll use a heating pad to warm my feet"

"I'll be sure to wear cotton socks every day"

A nurse is reinforcing teaching with a client who has type 2 DM about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching? A. "My cells are resistant to the effects of insulin." B. "My body breaks down sugars too efficiently." C. "My pancreas does not produce insulin." D. "My body produces antibodies against pancreatic beta cells."

"My cells are resistant to the effects of insulin"

A nurse is reinforcing teaching with a client who had a vaginal hysterectomy with a bilateral oophorectomy. Which of the following pieces of information should the nurse include in the teaching? A. "Plan to use some type of birth control for up to 6 weeks after surgery." B. " Use a water-based lubricant when having sexual intercourse" C. "Expect to have an increase in bloody vaginal drainage during the first 10 days after surgery." D. "Plan to start some type of aerobic exercise such as swimming within a week after surgery."

"Use a water based lube when having sex"

A nurse is reinforcing teaching with a client who has type 1 DM about exercise. Which of the following statements should the nurse include in the teaching? A. "You should exercise during a peak insulin time." B. "Wear a medical alert identification tag when you exercise." C. "Exercise can decrease the effects of insulin and cause the blood glucose levels to increase." D. "You will get the most benefit from exercise when your glucose levels are higher than normal"

"Wear a medical alert identification tag when you exercise"

A nurse is reinforcing teaching with a client who has type 2 DM. The client states "I eat pasta every day. I can't imagine giving it up." Which of the following responses should the nurse make? A. "Let's discuss this with your doctor; giving up pasta might not be necessary" B. "Is there another favorite dish you can substitute?" C. "You don't have to give up pasta; just adjust the amount you eat" D. " You can use no-added-salt tomato products on your pasta"

"You do not have to give up pasta; just adjust the amount you eat."

A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an adenoma. Which of the following findings should the nurse report to the provider? A. Tachycardia and hypertension B. Respiratory rate 16/min C. Negative Chvostek's sign D. Laryngeal stridor and hoarseness E. Positive Trousseau's sign

-Tachycardia & HTN -Laryngeal stridor and hoarseness -Positive Trousseau's sign

A nurse is contributing to the plan of care for a client who is scheduled to receieve TPN. Which of the following actions should the nurse recommend including in the plan? A. Weigh the client daily B. Obtain a serum blood glucose every 4 hours C. Apply a new dressing to the client's IV site every 5 days D. Change the IV tubing every 24 hours E. Monitor the TPN through a peripheral IV site

-Weigh the client daily -Obtain a serum blood glucose q4h -Change IV tubing q24h

A nurse is planning to administer fluids to a client who has 25% total body surface area burns. The client has no prior medical history. Which of the following IV fluids should the nurse identify as contraindicated for this client? A. Whole blood B. Lactated Ringer's C. Dextran 40 in 0.9% sodium chloride D. 0.45% sodium chloride

0.45% sodium chloride

A nurse is reinforcing dietary teaching with a client who has DM. Which of the following actions should the nurse take first? A. Obtain sample menus from the dietitian to give to the client B. Ask the client to identify the types of food she prefers. C. Identify the recommended range of the client's blood glucose level D. Discuss long term complications that can result from nonadherence to the dietary plan

Ask the client to identify the types of food she prefers.

A nurse is reviewing the lab values for a client who has hyperglycemic hyperosmolar nonketotic syndrome. Which of the following lab values is consistent with hyperglycemic hyperosmolar nonketotic syndrome? A. Blood glucose 320 mg/dL B. Positive urine ketones C. Blood pH7.34 D. Blood osmolality 350 mOsm/kg

Blood glucose 320 mg/dL

A nurse is collecting data from a client who develops a fruits breath odor, dry mouth and extreme thirst. Which of the following additional data should the nurse expect? A. Blood glucose using a glucometer B. Pupillary reaction to light C. Deep tendon reflexes D. Liver function laboratory values

Blood glucose using a glucometer

A nurse is reviewing the lab reports for a client and notes an elevated thyroid stimulating hormone (TSH) level. When collecting data from the client, which of the following findings should the nurse expect? A. Bradycardia B. Tremors C. Low-grade fever

Bradycardia

A nurse is caring for a client who is postop following a parathyriodextomy to treat hyperparathyroidism. Which of the following lab values should the nurse expect to decrease the therapeutic effect of the procedure? A. Phosphorous B. Sodium C. Potassium D. Calcium

Calcium

A nurse is preparing a 24-hour urine specimen for a client with suspected pheochromocytoma. Which of the following lab tests from the 24-hour urine specimen should the nurse use to determine the client's condition? A. Creatinine clearance B. Catecholamine metabolites C. 17 hydroxycorticosteroids (17 OHCS) D. Protein

Catecholamine metabolites

A nurse is assisting with the plan of care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care? A. Check the client's blood glucose for the hypoglycemia B. Check for hypertension C. Weigh the client weekly D. Insert an indwelling urinary catheter

Check for hypertension

A nurse is caring for a client who is postop following a bilateral adrenalectomy. The nurse should expect to administer glucorticoids following the procedure to enhance which of the following therapeutic effects? A. Compensate for decreased cortisol levels B. Inhibits glucose metabolism C. Act as a diuretic to maintain urine output D. Decrease susceptibility

Compensate for decreased cortisol levels

A nurse is caring for a client who has type 1 DM and a capillary blood glucose reading of 48mg/dL. Which of the following findings should the nurse expect? A. Kussmaul respirations B. Diaphoresis C. Decreased skin turgor D. Ketonuria

Diaphoresis

A nurse is collecting data from a client who has Graves' disease. Which of the following findings should the nurse expect to display? A. Constipation B. Cold intolerance C. Difficulty sleeping D. Anorexia

Difficulty sleeping

A nurse is assisting with the plan of care for a client who has type 2 DM. Which of the following interventions should the nurse include in the plan? A. Encourage the client to control weight B. Inspect the client's feet once each week C. Restrict the client's activity D. Apply moisturizer between the client's toes

Encourage the client to control weight

A nurse is reviewing lab results for a client who has DM. Which of the following results indicates that the client is controlling the diabetes? A. HbA1c 8.5% B. Postprandial blood glucose 190 mg/dL C. Casual blood glucose 205 mg/dL D. Fasting blood glucose 85 mg/dL

Fasting blood glucose 95 mg/dL

A nurse is checking a client with Graces' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider? A. Constipation B. Headache C. Bradycardia D. Fever

Fever

A nurse is checking lab values to determine if a client who has DM is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination? A. Glucose tolerance test B. Urine sugar and acetone C. Glycosylated hemoglobin lebels D. Fasting serum glucose

Glycosyated hemoglobin levels

A nurse is assisting with the care of a client who has Addison's disease and comes to the ED reporting nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should expect the provider to prescribe which of the following medications? A. Calcium B. Potassium C. Iodine D. Hydrocortisone

Hydrocortisone

A nurse is assisting with the care of a client who has Addison's disease and was admitted with muscle weakness and dehydration, as well as nausea and vomiting for the past 2 days. Which of the following prescribed medications should the nurse plan to administer? A. Rifampin B. Loperamide C. Hydrocortisone D. Spironolactone

Hydrocortisone

A nurse is assisting with the care of a client who has been diagnosed with an Addisonian crisis and has a BP of 74/42 mmHg. Which of the following medication prescriptions should the nurse anticipate? A. Desmopressin B. Hydrocortisone C. Dopamine D. Furosemide

Hydrocortisone

A nurse is conducting a home visit with an older adult client who has DM and takes regular insulin SQ before each meal. The client appears disoriented and weak and has slurred speech. Which of the following conditions should the nurse consider first when responding to these manifestations? A. Dementia B. Hypoglycemia C. Infection D. Transient ischemic attack

Hypoglycemia

A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect? A. Polyuria B. Dehydration C. Hyponatremia D. Hyperthermia

Hyponatremia

A nurse is collecting data form a client who has Addison's disease. Which of the following should the nurse expect? A. Hypotension B. Weight gain C. Sugar craving D. Pale skin tone

Hypotension

A nurse is reinforcing teaching with a client who has hyperthyroidism about managing this disorder. Which of the following recommendations should the nurse include? A. Reduce her total hours of sleep B. Keep her immediate environment warm C. Increase her caloric intake with meals D. Gradually increase her activity

Increase her caloric intake with meals

A nurse is collecting data from a client who has manifestations of acromegaly. Which of the following findings should the nurse expect? A. Thinning of skeletal bones structure B. Concave chest wall C. High pitched voice D. Increased head size

Increased head size

A nurse is caring for a client who has type 2 DM and is displaying manifestations of hyperglycemia. Which of the following findings indicate that the client has hyperglycemia? A. Hunger B. Increased urination C. Cold, clammy skin D. Tremors

Increased urination

A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism? A. Elevated blood pressure B. Involuntary muscle spasms C. Cold intolerance D. Weight loss

Involuntary muscle spasms

A nurse is reinforcing teaching with a client who has type 1 DM about hypoglycemia. Which of the following manifestations should the nurse include in the teaching? A. Irritability B. Urinary frequency C. Dry mucous membrane D. Excess thrist

Irritability

A nurse is caring for a client who has DKA. Which of the following findings should the nurse expect? A. Urine negative for ketones B. Distended neck veins C. Kussmaul respirations D. Elevated blood pressure

Kussmaul respirations

A nurse is assisting with a plan for community health screening for a group of clients who are at the risk of type 2 DM. Which of the following client groups should the nurse include in the screening? A. Men who smoke B. Men and women who are obese C. Women who have hepatitis D. Men and women who consume high protein and low carbohydrate foods

Men and women who are obese

A nurse is assisting with the plan of care for a client who is experiencing the Somogyi effect and takes intermittent-acting insulin. Which of the following actions should the nurse include in the plan? A. Move the client's evening intermediate acting insulin dose to 90 minutes before dinner B. Increase the client's morning caloric intake C. Omit the client's evening snack D. Monitor the client's nighttime blood glucose levels

Monitor the client's nighttime blood glucose levels

A nurse in an urgent care center is collecting data from an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report to the provider as an indication of impending airway obstruction? A. Bradycardia B. Respiratory depression C. Nasal flaring D. Barking cough

Nasal flaring

A nurse is caring for a client who has urolithiasis and requires further diagnostic testing after an initial assessment indicated hypercalcemia. The nurse should explain that which of the following structures controls calcium concentration? A. Pancreas B. Thyroid gland C. Anterior pituitary gland D. Parathyroid gland

Parathyroid gland

A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor? A. Proteinuria B. Oliguria C. Polyuria D. Glycosuria

Polyuria

A nurse is collecting data from a client who is recovering form a thyroidectomy and has harsh, high-pitched respiratory sounds. Which of the following actions should the nurse take? A. Hyperextend the client's neck B. Prepare for a tracheostomy C. Lower the head of the bed D. Administer morphine

Prepare for a tracheostomy

A nurse is collecting data from a client who has Cushing's syndrome. Which of the following skin manifestations should the nurse expect to find? A. Purple striae on the chest and abdomen B. Butterfly rash across the bridge of the nose C. Bronze skin pigmentation D. Jaundice of the face and sclera

Purple striae on the chest and abdomen

A nurse is preparing for the transfer of a client from the PACU following a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the client's bedside? A. Cardiac monitor B. Defibrillator C. Thoracotomy tray D. Tracheostomy tray

Tracheostomy tray

A nurse is reinforcing teaching with a client who has Addison's disease about healthy snacks. Which of the following food choices by the client indicates an understanding of the teaching? A. Sliced bananas B. Baked potato C. Turkey and cheese sandwich D. Plain yogurt with peaches

Turkey and cheese sandwich

A nurse if caring for a client who is scheduled to receive peritoneal dialysis. Which of the following actions should the nurse take? A. Warm the dialysate solution to room temperature prior to administration B. Cleanse the catheter site using a back and forth motion beginning at the end of the catheter and moving inward C. Place the drainage bag at the level of the client's chest D. Apply clean gloves and cleanse the client's catheter site with cold water

Warm the dialysate solution to room temperature prior to administration