Endocrine- NCLEX

A client is taking Humulin NPH insulin daily every morning. The nurse reinforces instructions to the client and should tell the client that which is the MOST LIKELY time for a hypoglycemic reaction to occur? 1. 2 to 4 hours after administration 2. 6 to 14 hours after administration 3. 16 to 18 hours after administration 4. 18 to 24 hours after administration

2. 6 to 14 hours after administration

The nurse is reinforcing instructions to a client with diabetes mellitus who is recovering from diabetic ketoscidosis regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize? 1. eat six small meals daily 2. test the urine ketone level 3. monitor blood glucose level frequently

3. monitor blood glucose level frequently

The home care nurse is visiting a client who was recently diagnosed with type 2 diabetes mellitus. The client, prescribed repaglinide and metformin, ask the nurse to explain these medications. The nurse should reinforce which instructions to the client? SELECT ALL THAT APPLY 1. diarrhea can occur secondary to metformin 2. the repaglinide is not taken if a meal is skipped 3. the repaglinide is taken 30 minutes before eating 4. candy or another simple sugar is carried and used to treat mild hypoglyemia episodes 5. muscle pain is an expected side effect of metformin and may be treated with acetaminophen

1. diarrhea can occur secondary to metformin 2. the repaglinide is not taken if a meal is skipped 3. the repaglinide is taken 30 minutes before eating 4. candy or another simple sugar is carried and used to treat mild hypoglyemia episodes

The nurse educator is asking the nursing student to recall the signs/symptoms of hypothyroidism. The nurse educator determines that the student understands this disorder if which are included in the students response? SELECT ALL THAT APPLY 1. dry skin 2. irritability 3. palpitations 4. weight loss 5. constipation 6. cold intolerance

1. dry skin 5. constipation 6. cold intolerance

The nurse is monitoring a client who has been newly diagnosed with diabetes mellitus for signs of complications. Which statement made by the client would indicate hyperglycemia and thus warrant PHCP notification? 1. i am urinating a lot 2. my pulse is really slow 3. i am sweating for no reason 4. my bp is really high

1. i am urinating a lot

The home care nurse visits a client at home who has been prescribed prednisone 5 mg orally daily. The nurse reinforces teaching for the client about the medication. Which statement made by the client indicates a need for FURTHER teaching? 1. i can take aspirin or my antihistamine if I need it 2. I need to take the medication everyday at the same time 3. I need to avoid coffee , tea, cola, and chocolate in my diet

1. i can take aspirin or my antihistamine if I need it

The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication?SELECT ALL THAT APPLY 1. insomnia 2. weight loss 3. bradycardia 4. constipation 5. mild heat intolerance

1. insomnia 2. weight loss 5. mild heat intolerance

The nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe. Which action performed by the client indicates the need for FURTHER teaching ? 1. withdraws the NPH insulin first 2. withdraws the regular insulin first 3. injects air into NPH insulin vial first 4. injects an amount of air equal to the desired dose of insulin into the vial

1. withdraws the NPH insulin first

A nurse reinforces teaching with 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? 1. polyuria 2, shakiness 3.blurred vision 4. fruity breath odor

2, shakiness

The nurse is caring for a postoperative parahyroidectomy client. Which would require the nurse's IMMEDIATE attention? 1. incisional pain 2. laryngeal stridor 3. difficulty voiding 4. abdominal cramps

2. laryngeal stridor

A client is admitted to the ER and a diagnosis of myxedema coma is made. Which action should the nurse prepare to carry out INITIALLY? 1. warm the client 2. maintain a patient airway 3. monitor IV fluids 4. administer thyroid hormone

2. maintain a patient airway

A client with diabetes mellitus visits a health care clinic. The clients diabetes previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 to 200. Which medication added to the clients regimen, may have contributed to the hyperglycemia? 1. atemolol 2. prednisone 3. phenelzine 4. allopurinol

2. prednisone

The PHCP prescribes exenatide for a client with type 1 diabetes mellitus who take insulin. The nurse knows that which is the most APPROPRIATE intervention ? 1. the medication is administered within 60 minutes 2. the medication is withheld and the PHCP is called to question the prescription for the client 3. the client is monitored for GI side effects after administration of the medication

2. the medication is withheld and the PHCP is called to question the prescription for the client

The nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diabetic diet. Which statement made by the client indicates the need for FURTHER teaching ? 1. ill eat a balanced meal plan 2. i need to drink diet soft drinks 3. i need to buy special dietetic foods

3. i need to buy special dietetic foods

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 ? 1. treat thyroid storm 2. prevent cardiac irritability 3. treat hypocalcemic tetany 4. stimulate the release of parathyroid hormone

3. treat hypocalcemic tetany

A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia. Which statement by the client indicates a correct understanding of Humulin N insulin and exercise? 1. i should not exercise after lunch 2. i should not exercise after breakfast 3. i should not exercise in the late evening 4. i should not exercise in the late afternoon

4. i should not exercise in the late afternoon

A nurse is collecting data regarding a client after a thyroidectomy and notes that the client has developed hoarseness and a weak voice. Which nursing action is appropriate? 1. check for signs of bleeding 2. administer calcium gluconate 3. notify the RN 4. reassure the client that this is usually a temporary condition

4. reassure the client that this is usually a temporary condition

Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions for the client and tells the client to avoid which while taking this medication? 1. alcohol 2. organ meats 3. whole- grain cereals 4. carbonated beverages

1. alcohol

Desmopressin acetate is prescribed for the treatment of diabetes insipidus. The nurse monitors the client after medication administration for which therapeutic response? 1. decreased urinary output 2. decreased blood sugar 3. decreased peripheral edema 4. decreased blood glucose level

1. decreased urinary output

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? 1. i can eat foods that contain potassium 2. i will need to limit the amount of protein in my diet 3. i am fortunate that i can eat all the salty foods I enjoy

1. i can eat foods that contain potassium