NCLEX Endocrine

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 the glucose if what symptom develops?

shakiness

A nurses caring for a client after a thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medicine has been prescribed to

treat hypoglycemic tetany

sildenafil (Viagra) is prescribed for a client to treat erectile dysfunction. A nurse reviews the clients medical record and would question the prescription if which of the following is noted in the clients history

use of nitroglycerin

A nurse is reinforcing teaching for a client regarding how to mix regular insulin and NPH insulin in the same syringe what actions are performed by the client indicates the need for further teaching

withdraw the NPH insulin first

List the priority of actions for a patient with type one diabetes mellitus throughout the day (6)

1. Check the clients blood glucose level. 2. Give the client half a cup of juice to drink. 3. Take the clients vital signs. 4. Retest the clients blood glucose level. 5. give the client a small snack of carbohydrate and protein. 6. document the clients complaints, the actions taken, and the outcome

The home healthcare nurse is visiting a client who was recently diagnosed with type two diabetes mellitus. The client is prescribed repaglinide (prandin) and metformin (glucophge) and ask the nurse to explain these medications. The nurse should reinforce which instructions to the client (4)

1. diarrhea can occur secondary to the 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 hypoglycemia episodes

A client is taking Humulin NPH insulin daily every morning. The nurse reinforced his instructions for the client and tell the client that the most likely time for a hypoglycemic reaction to occur is

4 to 12 hours after administration

A nurse is reviewing discharge teaching with a client you has Cushing's syndrome. Which statement made by the client indicates that the instructions related to dietary management were understood

I can eat foods that contain potassium

A community health nurse visit a client at home. Prednisone 10 mg orally daily has been prescribed for a client and the nurse reinforces teaching for the client about the medication. What statement made by the client indicates that further teaching is necessary

I can take aspirin or my antihistamine if I need it

A nurse provides dietary instructions to a client with diabetes mellitus regarding a prescribed diabetic diet. What statement is made by the client indicates there needs to be further teaching

I need to buy a special dietetic foods

A client with type one diabetes mellitus cause the nurse to report reoccurring episodes of hypoglycemia. Which statement by the client indicates a correct understanding of NPH insulin and exercise

I should not exercise in the late afternoon

when the nurse is teaching a client who has newly diagnosed type one diabetes Mellitus, What statement by the client would indicate that the teaching has been effective

I will notify my healthcare providers any blood glucose levels are greater than 250

A nurses caring for a postoperative parathyroidectomy client. Which of the following would require the nurses immediate attention

Laryngeal strider

A nurse is reinforcing instructions to a client with diabetes mellitus who is recovering from diabetic ketoacidosis regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize

Monitor blood glucose levels frequently

A client with diabetes mellitus this is a health care clinic. The clients diabetes mellitus previously had been well controlled with glyburid (diabeta) daily, but recently the fasting blood glucose level has been 180 to 200. What medication is added to the clients regimen may have contribute to the hypoglycemia

Prednisone

The healthcare provider prescribes exenatide (Byetta) for a client with type one diabetes mellitus who takes insulin. The nurse knows that what is the appropriate intervention

The medication is without an HCP is called to question the prescription for the client

glimepiride (amaryl) is prescribed for a client with diabetes mellitus. A nurse reinforced his instructions for the client and tells the client to avoid what while taking this medication

alcohol

A nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper footcare. What instructions should be included in the care plan

apply a moisturizing lotion to dry feet but do not apply it between the toes

demopressin acetate (DDVAP) is prescribed for the treatment of diabetes insipidus. The nurse monitors the client after medication administration for which therapeutic response

decreased urine output it (promotes renal conservation)

A client is admitted to the emergency department and they diagnose of myxedema coma is made. What nursing action with the nurse prepared to carry out initially

maintain a patent airway

when the nurse notes that a client with type one diabetes mellitus has lipodystrophy on both upper thighs, what information should the nurse of team from the client

plan of injection rotation

A nurse is monitoring a client who has been newly diagnosed with diabetes mellitus for signs of complications. What if exhibiting by the client would indicate hyperglycemia and thus warrant healthcare provider notification

polyuria

A nurse is collecting data regarding a client after a thyroidectomy and notes that the client has developed hoarseness and a week voice. What nursing action is appropriate

reassure the client that is usually a temporary condition

A home care nurse this is a client Recently diagnosed with diabetes mellitus who is taking Humulin NPH insulin daily. The client asked the nurse how to store the un open vitals of insulin the nurse tells the client to

refrigerate the insulin

A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which information to the nurse teach when carrying out plan for discharge

rotate the insulin injection sites systematically