Endocrine

Starvation

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?

The tumor must be removed to prevent heart and kidney damage.

A client who is scheduled to have surgery to remove an aldosterone-secreting adenoma asks the nurse what will happen if surgery is not performed. On what information should the nurse base a response?

Prevent infection at the surgical site.

A client with a diagnosis of Graves disease refuses to have radioactive iodine (RAI) therapy, and a subtotal thyroidectomy is performed. What should the nurse do postoperatively to reduce the risk of thyroid storm?

A small part of the gland is left intact.

A client with a small nodule of the thyroid gland is to have a subtotal thyroidectomy. The client asks the nurse for clarification about what this surgery involves. What information should the nurse include in a response to the question?

Seizures

A nurse is assessing a client with a suspected pituitary tumor. Which assessment finding is consistent with a pituitary tumor?

weight gain and cold intolerance

A nurse is caring for a client with an underactive thyroid gland. Which responses should the nurse expect the client to exhibit as a result of decreased levels of triiodothyronine (T 3) and thyroxine (T 4)? .

Excessive emotional stress and Running a fever with the flu

A nurse is collecting information about a client with type 1 diabetes who is being admitted because of diabetic ketoacidotic coma. Which factors can predispose a client to this condition? .

hypernatremia, hypertension, and metabolic alkalosis

The laboratory reports of a client with adrenal adenoma show high urine aldosterone levels and a low specific gravity of urine. The serum potassium is found to be 2.8 mEq/L (2.8 mmol/L). Which other findings will be present upon assessment?

Have you noticed thickening of your lips

The nurse is assessing a client suspected of having hypersecretion of growth hormone. Which question should the nurse ask the client?

Edema and hyponatremia

The nurse is providing care for a client with small-cell carcinoma of the lung who develops the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). What clinical findings correspond with the secretion of antidiuretic hormone (ADH)?

weightloss, tachycardia, restlessness, and exophthalmos

What clinical indicators should a nurse assess when caring for a client with hyperthyroidism? .

Diabetes Insipidus

Which type of drug-induced hormonal imbalance is likely to be observed in the client undergoing treatment with demeclocycline?

Tetany

is associated with severe hypocalcemia; that condition can be caused by hypoparathyroidism

Lethargy

is found in clients with hypothyroidism.

Hyperreflexia

is observed in clients with hyperthyroidism and hypoparathyroidism