Critical endocrine dysfunction

A nurse is providing care for a client who has DKA. the client states "I manage my diabetes very carefully. i dont understand why this happened." Which of the following statements should the nurse make

"DKA was likely caused by the respiratory infection you had last week"

A nurse is providing care for a client who has diabetes insipidus. which of the following manifestations indicate that the client is experiencing water intoxication as a result of DI?

-Ataxia, -Seizures -vomiting -delirium

A nurse is providing instructions for a client who has syndrome of inappropriate antidiuretic hormone regarding the side effects of conivaptan. Which of the following symptoms should the nurse teach the client to report ( select all that apply)

-Dizziness -pain at IV site -Dry mouth -Excessive thirst

A nurse is providing care to a client who has syndrome of inappropriate antidiuretic hormone and a serum sodium of 118 mEq/L. The client is recieving an iv of 3% saline. Which of the following interventions should the nurse expect to be prescribed?

-Fluid restriction -Urine specific gravity monitoring -Mental status assessing every 2 hours

A nurse is providing care for a client who has diabetic ketoacidosis. the nurse should monitor the client for which of the following neurological manifestations of DKA

-Headache -blurred vision -lethargy

A nurse is providing care for a client who has hyperosmolar hyperglycemic syndrome. Which of the following findings should the nurse expect?

-Hyperglycemia -dehydration -insulin resistance

A nurse is caring for a client who has diabetic ketoacidosis. Which of the following circumstances put a client at greater risk for developing DKA?

-Infection -Excessive alcohol -corticosteroid use

A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone secretion. which of the following intravenous fluids should the nurse anticipate administering

0.9% sodium chloride

A nurse is explaining the process of AKI in clients who have DKA to a newly licenses nurse. Put pathophychological events in order of occurrence.

1. Hyperglycemia 2.Osmotic diuresis 3.Hypovolemia 4. Decreased perfusion to kidneys 5. AKI

The prescription is for 100 mL of 3% saline solution to be infused over 4 hrs. What is the flow rate for the iv?

25 ml/hr

A nurse is providing care for a client who has diabetic ketoacidosis. Which of the following manifestations indicates a respiratory effect of DKA?

Acidosis

A nurse is providing discharge education for a client who has HHS. Which of the following events should the nurse advise the client to report?

An episode of dizziness

The nurse providing care for several clients on a medical surgical unit. Which client is at high risk for SIADH?

Client who has meningitis

A nurse is caring for a client with diabetes insipidus in the emergency department. Click to highlight the findings that require immediate follow up.

Excessive thirst and inability to drink, polyuria, polydipsia, nocturia, lethargy, weakness, pale and dry mucous membranes, prolonged capillary refill, tachycardia, and hypernatremia. not right....idk

A nurse is providing discharge instructions to a client who has SIADH with a prescription for tolcaptan. Which of the following items should the nurse reinforce to the client to avoid while taking this medication

Grapefruit

A nurse is providing care for a dehydrated client who has hyperglycemia related to DKA. Which of the following explains dehydration

High osmolality of the blood due to hyperglycemia.

A nurse is providing discharge instructions to a client who has hyperosmolar hyperglycemic syndrome. Which of the following statements indicates the client has understood the teaching?

I will drink at least 8oz glasses of water every day

A nurse is providing care for a client who has type 2DM. Which of the follwoing medications would put the client at an increased risk for developing HHS?

Metolazone

A nurse is presenting on the topic of hypernatremia to a group of newly licensed nurses. identify the correct sequence of the bodys physiological responses to elevated sodium levels

Osmoreceptors regulate ADH. An increase in osmolality stimulates the osmoreceptors, resulting in release of ADH. Decreased osmolality will prevent the release of ADH. ADH is stored in the posterior pituitary and is released when stimulated by the osmoreceptors. ADH travels via the bloodstream to the kidneys when it is released, where it acts on the renal tubules. The renal tubules and collecting ducts release less water (antidiuresis). When the kidneys retain more water, the blood osmolarity decreases and stabilizes.

A nurse is providing care for a client who has acquired nephrogenic diabetes insipidus. Which of the following is the most likely cause?

Pregnancy

A nurse is providing care for a client who has HHS. Which of the following lab values is consistent with a diagnosis of HHS rather than DKA.

Serum osmolality greater than 320 mOsm/kg

A nurse is caring for a client who has recently had a stroke. Which of the following laboratory findings requires immediate intervention?

Serum sodium 125 mEq/L

A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone secretion. which of the following conditions is the most likely cause for SIADH

Small cell lung cancer

A nurse is providing care for a client who is 2 days postoperative following the removal of a pituitary tumor. Which of the following manifestations requires intervention?

The client reports nausea and vomiting

A nurse is educating a client who has type 1 diabetes mellitus. Which of the following statements indicates the client understands the teaching

When i dont have enough insulin in my body, glucagon will be released.

A nurse is caring for a client who has diabetic ketoacidosis and is manifesting polyuria. Which of the following findings contributes to the alteration that is causing polyuria

hyperglycemia

A nurse is providing care for a client who has diabetes insipidus. The nurse should monitor the client for which of the following cardiovascular effects?

hyperosmolality

A nurse is caring for a client in the ED who presents with manifestations of DKA. The nurse should anticipate treating the client with which of the following interventions?

initiate regular insulin drip, Administer normal saline IV bolus, obtain iv access, administer prescribed antibiotics.

A nurse is caring for a client with complications of hyperthyroidism in the ED. A nurse is reviewing the clients recent assessment findings 5 days after being admitted.

when evaluating outcomes for a client who is receiving treatment for thyroid storm, it is important to review changes in lab values, assessment findings, and diagnostic tests that indicate the client's worsening or improving status. Clients who develop hyperthyroidism should be monitored for manifestations of thyroid storm, which include elevated temperature, tachycardia, hypotension, systolic hypertension, nausea and vomiting, and changes in level of consciousness (confusion or disorientation). These findings may indicate the development of thyroid storm. Laboratory tests will show a decreased thyroid-stimulating hormone level. T4 and T3 levels are usually elevated. Antibody testing may be necessary if an autoimmune process, like Graves' disease, is suspected. Electrocardiogram (ECG) may be used to evaluate a client who reports palpitations or who is experiencing atrial fibrillation. **Not right... idk