Patho elsavier quiz

Which condition results in elevated serum adrenocorticotropic hormone and urine cortisol levels?

Pituitary cushing syndrome

Which type of shock would the nurse monitor for in a client with a ruptured abdominal aortic aneurysm?

Hypovolemic

Which finding in a client with Graves disease would suggest an exacerbation of the disorder? (Select all that apply)

A 10- pound weight loss Very fast-paced talking Hyperactive bowel sounds Heart rate 120 beats/min Blood pressure 170/86 mm Hg

The nurse is caring for a client with the clinical manifestations of hypotension associated with a diagnosis of Addison's disease. Which hormone can be impaired in its production because of this disease?

Aldosterone

Which clinical manifestations would the nurse expect to find in a client with hypokalemia? (Select all that apply)

Anorexia Leg cramps

Which finding would the nurse expect when assessing a client who has lost a large amount of blood after an automobile collision?

Apical heart rate of 142 beats/minute

Which clinical indicator would the nurse monitor in a client with end-stage renal disease?

Azotemia

Which complication would the nurse monitor in a client with hyperparathyroidism?

Bone pain

Which finding are consistent with hypercalcemia after prolonged immobility (select all that apply)

Bone pain Depressed deep tendon reflexes

Which nursing assessment finding is consistent with fluid volume overload from high-flow intravenous fluid replacement? (Select all that apply)

Bounding pulse Presence of dependent edema Neck vein distention in the upright position

A client who experienced extensive burns is receiving intravenous fluids to replace fluid loss. The nurse would monitor for which initial symptoms of fluid overload?

Crackles in the lungs

Which electrolyte deficiency triggers the secretion of renin?

Sodium

Which hormone regulates blood levels of calcium?

parathyroid hormone (PTH)

Which unique response is associated with diabetic ketoacidosis that is not exhibited with hyperglycemia hyperosmolar nonketotic syndrome (HHNS)?

Kussmauls respirtions

When a client is admitted with dehydration, which clinical manifestations would the nurse expect to find? (Select all that apply)

Oliguria Hypotension Tenting skin turgor

Which clinical finding is commonly associated with hyperglycemia? (Select all that apply)

Polyuria Polydipsia Polyphagia

For a client admitted with metabolic acidosis, which two body systems would the nurse assess for compensatory changes?

Respiratory and urinary

Which sign of Cusings syndrome would the nurse expect to find in a client with a pituitary tumor?

Retention of sodium and water

When monitoring a client for hyponatremia, which assessment findings would the nurse consider significant? (Select all that apply)

Seizures Confusion

The nurse assesses bilateral +4 peripheral edema while assessing a client with heart failure and peripheral vascular disease. Which is the pathophysiological reason for the excessive edema?

Shift of fluid into the interstitial spaces

Which body mechanism related to infectious processes is impaired as a result of Addisons disease?

Stress response

A client with Crohn's disease is admitted to the hospital with abdominal pain, fever, poor skin turgor, and having experienced 10 liquid bowel movements in the past 24 hours. The nurse suspects that the client is dehydrated based on which assessment findings? (Select all that apply)

Sunken eyes Dry mucous membranes

Which reason describes the purpose of restricting sodium for a client with hypertension

To prevent reabsorption of water in the distal tubules

Which result would the nurse expect to find when assessing the laboratory values for a client with type 2 diabetes

Urine negative for ketones and positive glucose in the blood

Which additional assessment finding will the nurse expect when the blood pressure for a client with a possible ruptured spleen after a motor vehicle accident is 100/60 mm Hg

Weakened peripheral pulses

A client with parathyroid disorder reports nausea, vomiting, weight loss, and epigastric pain. Which electrolyte disturbance would be responsible for the clients clinical manifestations

Hypercalcemia

Which common cause of diabetic ketoacidosis would the nurse consider when caring for a postoperative client with diabetes?

Presence of infection

When assessing a client with diabetes insipidus which sigh would the nurse anticipate finding? ( Select all that apply)

Excessive thirst Dry mucous membranes Decreased urine specific gravity

A client is admitted with severe diarrhea that resulted in hypokalemia. The nurse would monitor for which clinical manifestation of electrolyte deficiency? (Select al that apply)

Leg cramps Muscle weakness

An older client is admitted to the hospital for rehydration therapy after 3 days of diarrhea. In addition to sodium which electrolyte would the nurse be most concerned about?

Potassium

The nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. Which serum blood level would the nurse monitor?

Potassium

The nurse reviews the medical records of a client with ascites. Which client condition is a contributing factor to the development of ascites?

Diminished plasma protein level

Which clinical finding would the nurse anticipate when admitting a client with an extracellular fluid volume excess?

Distended jugular veins

Which clinical indicator is the nurse most likely to identify when taking the admission history of a client with right ventricular failure? (Select all that apply)E

Edema Ascites

Which medication will the nurse expect the health care provider to prescribe a client who had thyroidectomy and is pale with spasms of the hand when taking the blood pressure?

Calcium

Which symptom would the nurse monitor for when caring for a client who has hyponatremia?

Change in level of consciousness

Upon assessing an older adult client with a diagnosis of dehydration, which finding would the nurse identify as an early sign of dehydration?

Change in mental status

Which explanation would the nurse include when teaching a client with heart failure about the reason for low-sodium diet?

Decreased fluid retention

While providing care for a client who sustained a severe head injury in an accident the nurse observes the client is constantly passing urine and dehydrated. Which condition would the nurse suspect as the cause of the clients condition?

Decreased secretion of antidiuretic hormone

A student with type 1 diabetes asks the nurse which primary hormone causes the blood glucose level to rise. Which hormone would the nurse report?

Glucagon

Which sign or symptom would the nurse expect when assessing a client with type 1 diabetes who is experiencing hypoglycemia? ( Select all that apply)

Headache Tachycardia Cool, clammy skin

Which condition would the nurse expect to see in the laboratory reports of a client who has Cushing syndrome?

Hypokalemia

Which manifestations are exhibited with syndrome of inappropriate secretion of antidiuretic hormone?

Hyponatremia and decreased urine output

A client is admitted with a head injury and has large amounts of clear, colorless urine draining from the urinary catheter. Which physiological response is possibly causing the increased urine output

Inadequate antidiuretic hormone secretion

A client develops an intestinal obstruction. A nasogastric tube is inserted and connected to low, continuous suction. The nurse monitors the client for fluid volume deficit. Which clinical finding would the nurse expect if the client becomes dehydrated?

Inelastic skin turgor

What is the primary fluid shift that occurs with diabetes mellitus?

Intracellular to intravascular because of hyperosmolarity

Which clinical indicator is most commonly used to determine whether a client has fluid deficit when reporting vomiting and diarrhea for 3 days?

Loss of body weight

Which sign would the nurse expect to observe in a client with small cell carcinoma of the lung who develops syndrome of inappropriate antidiuretic hormone (SIADH) (Select all that apply)

Oliguria Seizures Vomiting

Which clinical manifestations would the nurse expect when a client develops internal bleeding after abdominal surgery? ( Select all that apply)

Pallor Tachycardia

Which finding would the nurse expect when assessing a client hospitalized for dehydration? (Select all that apply)

Postural hypotension Skin on forehead remains tented after being pinched

A client is admitted with dehydration. Which findings should the nurse expect the client to exhibit? (Select all that apply)

Rapid thready pulse Elevated specific gravity

Which manifestations is associated with syndrome of inappropriate antidiuretic hormone? ( Select all that apply)

Weight gain Hyponatremia

Which clinical manifestation indicate to the nurse that the client has an inadequate fluid volume (select all that apply)

Decreased urine Hypotension Dry mucous membranes Poor skin turgor

Which nursing assessment finding indicates dehydration in an infant?

Decreased urine output

Which finding would the nurse expect for a client who has just developed the syndrome of inappropriate secretion of antidiuretic hormone?

Decreased urine volume

Which disorder is caused by the deficiency of antidiuretic hormone?

Diabetes insipidus

an adolescent with a history of type 1 diabetes is admitted in ketoacidosis. Which cause would the nurse suspect as precipitating this episode of ketoacidosis?

Infection

Which fluid shift will the nurse take into consideration when assessing a client with type 1 diabetes who is experiencing a fluid imbalance?

Intracellular to intravascular as a result of hypoproteinemia

Which statement by a client who has chronic kidney failure treated with continuous ambulatory peritoneal dialysis indicates an understanding of therapy?

It uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion

Which type of respiratory pattern would the nurse expect in a client with metabolic acidosis?

Kussmaul breathing

Which clinical sign is the most important indication of an accurate degree of dehydration?

Weight loss

Which factor would a nurse identify as precipitating hyponatremia? ( Select all that apply)

Wound drainage Diuretic therapy Gastrointestinal suction Inappropriate antidiuretic hormone secretion