eaq for muscleskel
Which is the target tissue for the parathyroid hormone? Intestines All body cells Mammary glands Sympathetic effectors
A
Which type of bone tumor is commonly seen in elderly clients? Endochroma Osteosarcoma Chondrosarcoma Osteochondroma
C
A client who had an above-the-knee amputation (AKA) has a pressure dressing on the end of the residual limb. The client asks, "Why do I have to have this tight dressing on my leg?" Which answer by the nurse is correct? "It decreases the swelling of the area." "It decreases the formation of scar tissue." "It prevents the formation of blood clots." "It reduces phantom limb pain."
A
A client who is scheduled for a muscle biopsy tells the nurse, "They better give me a general anesthetic. I don't want to feel anything." Which is the most therapeutic initial response by the nurse? "You seem to be worried about the test." "This test is done under local anesthesia." "Tell them when you have pain so they can take care of it." "You probably will not have pain so try not to think about it."
A
A home care nurse is visiting a client who had a below-the-knee amputation. Which client statement indicates to the nurse that further teaching is needed? "At night, I sleep with a pillow under my knees." "When I sit in a chair, I put my legs out straight on an ottoman." "I apply a firm, even bandage around the end of my affected leg every day." "I press the end of my affected leg against a soft surface several times during the day."
A
A nurse is planning to teach facts about hyperglycemia to a client with diabetes. What information should the nurse include in the discussion about what causes diabetic acidosis? Breakdown of fat stores for energy Ingestion of too many highly acidic foods Excessive secretion of endogenous insulin Increased amounts of cholesterol in the extracellular compartment
A
A nurse is providing postoperative care for a client one hour after an adrenalectomy. Maintenance steroid therapy has not begun yet. The nurse should monitor the client for which complication? Hypotension Hyperglycemia Sodium retention Potassium excretion
A
What intervention should the nurse implement when caring for a client 24-hours post-thyroidectomy? Check the sides of the operative site dressing and the back of neck. Support the head during mild range-of-motion (ROM) exercises. Encourage the client to ventilate feelings about the surgery. Advise the client that regular activities can be resumed immediately.
A
Which statement is true regarding cortisol? Cortisol metabolizes free fatty acids. Cortisol stimulates gluconeogenesis. Cortisol stimulates protein synthesis. Cortisol levels decline in stressful conditions.
B
Which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels? Diabetes insipidus Adrenal Cushing's syndrome Pituitary Cushing's syndrome Syndrome of inappropriate antidiuretic hormone
C
A client who has paraplegia often loses calcium from the skeletal system. The nurse concludes that what factor contributes to calcium loss in this client? Decreased activity Inadequate fluid intake Decreased calcium intake Inadequate kidney function
A
Which gland secretes melatonin? Pineal gland Thyroid gland Adrenal gland Parathyroid gland
A
Which hormone regulates blood levels of calcium? Parathormone Luteinizing hormone Thyroid stimulating hormone Adrenocorticotropic hormone
A
Which nursing intervention prevents footdrop in a client with osteomyelitis? Elevating the foot with the use of pillows Consistently flexing the affected extremity Encouraging the client to change positions Neutral positioning of the foot with the use of a splint
A
A client injures an amphiarthrodial joint. Which joint did the client injure? Knee joint Pelvic joint Elbow joint Cranial joint
B
Which clinical manifestation can a client experience during a fat embolism syndrome (FES)? Nausea Dyspnea Orthopnea Paresthesia
B
Which gland does the nurse state is an exocrine gland? Thyroid gland Salivary gland Pituitary gland Parathyroid gland
B
Which organ has only beta 1-receptors? Liver Heart Bladder Pancreas
B
Which drug can cause diabetes insipidus? Cabergoline Metyrapone Demeclocycline Aminoglutethimide
C
Which neurologic manifestation in a client is associated with hyperthyroidism? Confusion Hearing loss Tremors Slowness of speech
C
Which synovial joint movement is involved in turning the client's palm downward? Eversion Inversion Pronation Supination
C
Which type of drug-induced hormonal imbalance is likely to be observed in the client undergoing treatment with demeclocycline? Acromegaly Diabetes mellitus Diabetes insipidus Cushing's syndrome
C
While obtaining the client's health history, which factor does the nurse identify that predisposes the client to type 2 diabetes? Having diabetes insipidus Eating low-cholesterol foods Being 20 pounds (9 kilograms) overweight Drinking a daily alcoholic beverage
C
A client with type 1 diabetes is admitted to the hospital for major surgery. Before surgery, the client's insulin requirements are elevated but well controlled. What insulin requirements will the nurse anticipate for this client postoperatively? Decrease Fluctuate Increase sharply Remain elevated
D
What are the cardiovascular manifestations observed in a client with adrenal insufficiency? Fatigue Salt craving Weight loss Hyponatremia
D
Which cells does the nurse identify as producing thyrocalcitonin hormone? Islet cells Adrenal cells Pituitary cells Parafollicular cells
D
Which statement does the nurse know is true regarding a grade 2 goiter? A goiter mass is impalpable. A goiter is usually asymmetrical. A goiter mass moves up while swallowing. A goiter is invisible with the neck in normal position.
B
A 24-hour urine test is prescribed for a client who has a tentative diagnosis of pheochromocytoma. What should the nurse do first? Start the time of the test after discarding the first voiding. Discard the last voiding in the 24-hour time period for the test. Insert a urinary retention catheter to promote the collection of urine. Strain the urine following each voiding before adding the urine to the container.
A
A client is admitted with a diagnosis of chronic adrenal insufficiency. Which roommate should be avoided when assigning a room for this client? A young adult client with pneumonia An adolescent client with a fractured leg An older adult client who had a brain attack A middle-aged client who has cholecystitis
A
Which term should the nurse use to describe synovial joint movement that moves away from the midline of the body? Inversion Extension Pronation Abduction
D
After reviewing the client's laboratory reports, the physician concludes that the client has primary hypofunction of the adrenal gland. Which clinical manifestation is likely to be observed in that client? Edema at extremities Uneven patches of pigment loss Reddish-purple stretch marks on the abdomen "Buffalo hump" between shoulders on the back
B
In the postanesthesia care unit after a below-the-knee amputation, a client begins crying after feeling for the affected lower leg. How should the nurse respond? Administer medication to induce sleep. Allow the client to ventilate feelings of loss. Provide time for privacy by leaving the room. Do not address the behavior until the client is more alert.
B
A 90-year-old resident of a nursing home falls and fractures the proximal end of the right femur. The surgeon plans to reduce the fracture with an internal fixation device. What general fact about the older adult should the nurse consider when caring for this client? Aging causes a lower pain threshold. Physiologic coping defenses are reduced. Most confused states result from dementia. Older adults psychologically tolerate changes well.
B
A client has had a below-the-knee amputation of the leg. What is important for the nurse to consider when providing postoperative care for a client who had an amputation of a lower extremity? Strict bed rest is maintained for at least several days. The residual limb should not be elevated for the first 24 hours. Hemorrhage rarely occurs during the early postoperative period. Primary healthcare providers usually change the dressing on the residual limb within 48 hours.
B
A client injures an amphiarthrodial joint. Which joint did the client injure? Knee joint Pelvic joint Elbow joint Cranial joint
B
A client is diagnosed with hyperthyroidism, and surgery is scheduled because the client refuses ablation therapy. While awaiting the surgical date, what instruction should the nurse teach the client? Consciously attempt to calm down. Eliminate coffee, tea, and cola from the diet. Keep the home warm, and use an extra blanket at night. Schedule activities during the day to overcome lethargy.
B
A client returns from surgery after a right below-the-knee amputation with the residual limb elevated on a pillow to prevent edema. In which position should the nurse place the client after the first postoperative day? With the residual limb immobilized Turn client to prone position at least three times a day For short periods in the right side-lying position With the residual limb elevated for a total of three days
B
Why is Phalen's test performed in a client? To diagnose atrophy To diagnose bone tumor To detect rotator cuff injuries To detect carpal tunnel syndrome
D
A client has a tentative diagnosis of Cushing syndrome. What physical symptoms will the client exhibit? Fever and tachycardia Lethargy and constipation Hypertension and moon face Hyperactivity and exophthalmos
C
A client has an open reduction and internal fixation for a fractured hip. Postoperatively the nurse should place the client's affected extremity in which position? External rotation Slight hip flexion Moderate abduction Anatomic body alignment
C
A client has injured a short bone. Which is an example of a short bone? Tibia Femur Tarsals Humerus
C
Which diagnostic scan is used to detect diffuse or localized muscle weakness? Arthroscopy Radiography Myelography Electromyography
D
A nurse is providing postoperative teaching to a client who is scheduled to have an above-the-knee amputation. The client will use crutches during the postoperative period. Which activity will prepare the client for crutch walking? Lifting weights Changing bed positions Caring for the residual limb Performing phantom limb exercises
A
In which part of the client's body is the amphiarthroidial joint located? Pelvis Elbow Cranium Shoulder
A
Which adverse effect can be seen in a female client with gonadotropin deficiency and undergoing hormone replacement therapy? Thrombosis Hypotension Dehydration Increased thirst
A
A client who had a subtotal thyroidectomy asks how hypothyroidism may develop when the problem was hyperthyroidism. What should the nurse consider when formulating a response? Hypothyroidism is a gradual slowing of the body's function. A decrease in pituitary thyroid-stimulating hormone (TSH) will occur. Less thyroid tissue is available to supply thyroid hormone after surgery. Atrophy of tissue remaining after surgery reduces secretion of thyroid hormones.
C
When preparing a client for discharge after a thyroidectomy, the nurse teaches the signs of hypothyroidism. When teaching when to call the primary healthcare provider, what statement made by the client shows that teaching was effective? "I should call the primary healthcare provider for dry hair and an intolerance to cold." "I should call the primary healthcare provider for muscle cramping and sluggishness." "I should call the primary healthcare provider for fatigue and an increased pulse rate." "I should call the primary healthcare provider for tachycardia and an increase in weight."
A
Which bursae are found between the client's elbow and the skin? Olecranon Prepatellar Subacromial Trochanteric
A
Which catecholamine receptor is responsible for increased heart rate? Beta 1 receptor Beta 2 receptor Alpha 1 receptor Alpha 2 receptor
A
Which catecholamine receptor is responsible for increased heart rate? Beta 1 receptor Beta 2 receptor Alpha 1 receptor Alpha 2 receptor
A
Which condition results in elevated serum adrenocorticotropic hormone (ACTH) and urine cortisol levels? Diabetes insipidus Adrenal Cushing's syndrome Pituitary Cushing's syndrome Syndrome of inappropriate antidiuretic hormone
C
A client with malignant hot nodules of the thyroid gland has a thyroidectomy. What is the nurse's priority action immediately postoperative? Check the neck dressing and behind neck for excessive bleeding. Monitor the trachea for deviation to the right or left. Assess the patient's level of discomfort and medicate as prescribed. Encourage coughing and deep breathing to prevent atelectasis.
B
Which gland does the nurse state is an exocrine gland? Thyroid gland Salivary gland Pituitary gland Parathyroid gland
B
A client with hyperthyroidism asks the nurse about the tests that will be prescribed. Which diagnostic tests should the nurse include in a discussion with this client? Thyroxine (T 4) and x-ray films Thyroid-stimulating hormone (TSH) assay and triiodothyronine (T 3) Thyroglobulin level and PO 2 Protein-bound iodine and sequential multichannel autoanalyzer (SMA)
B
A client with malignant hot nodules of the thyroid gland has a thyroidectomy. What is the nurse's priority action immediately postoperative? Check the neck dressing and behind neck for excessive bleeding. Monitor the trachea for deviation to the right or left. Assess the patient's level of discomfort and medicate as prescribed. Encourage coughing and deep breathing to prevent atelectasis.
B
Which diagnostic test does the nurse consider to help in identifying the abnormalities of the sella turcica in hyperpituitarism? Skull x-ray AngIography Computer tomography Magnetic resonance image
A
Which treatment is beneficial for a client with muscle spasm? Thermotherapy Muscle massage Frequent position changes Muscle-strengthening exercise regime
A
Which treatment is beneficial for a client with muscle spasm? Thermotherapy Muscle massage Frequent position changes Muscle-strengthening exercise regimen
A
Which disease is caused by the deficiency of antidiuretic hormone? Acromegaly Diabetes insipidus Cushing's syndrome Syndrome of inappropriate antidiuretic hormone
B
Which disease is caused by the deficiency of antidiuretic hormone? Acromegaly Diabetes insipidus Cushing's syndrome Syndrome of inappropriate antidiuretic hormone
B
Which hormonal deficiency causes breast atrophy in female clients? Growth hormone Luteinizing hormone Thyroid-stimulating hormone Adrenocorticotropic hormone
B
Which hormone does the nurse state binds to the receptor site on the surface of a target cell? Estrogen Adrenaline Aldosterone Hydrocortisone
B
Which hormone increases the rate of protein synthesis in a client? Estrogen Thyroxine Parathormone Vitamin D
B
Which hormone increases the rate of protein synthesis in a client? Estrogen Thyroxine Parathormone Vitamin D
B
Which hormone secretion does the nurse state is an example of a positive feedback mechanism? Insulin Estradiol Parathormone Catecholamines
B
X-ray films reveal that a client has closed fractures of the right femur and tibia. In addition, multiple soft-tissue contusions are present. Which action is most important for the nurse to take? Perform a neurovascular assessment of the extremity. Reassure the client that these injuries are not that serious. Gather equipment needed for the application of skeletal traction. Prepare the client for a surgical reduction of the injured extremity.
A
A nurse is caring for a client with endocrine problems. Which lab finding will alert the nurse that aldosterone will be released? Hypokalemia Hypoglycemia Hyponatremia Hypochloremia
C
Which hormone aids in regulating intestinal calcium and phosphorous absorption? Insulin Thyroxine Glucocorticoids Parathyroid hormone
C
Which hormone secretion does the nurse state is an example of a positive feedback mechanism? Insulin Estradiol Parathormone Catecholamines
B
Which term should the nurse use to describe bone loss greater than normal but less than that caused by osteoporosis? Osteopenia Osteomyelitis Osteomalacia Osteoarthritis
A
Which synovial joint movement is described as turning the sole outward away from the midline of the body? <p>Which synovial joint movement is described as turning the sole outward away from the midline of the body?</p> Pronation Eversion Adduction Supination
B
Which clinical manifestation can a client experience during a fat embolism syndrome (FES)? Nausea Dyspnea Orthopnea Paresthesia
B
What is a goniometer used for? To assess range of motion To reduce phantom limb sensation To prevent hip flexion contractures To immobilize a joint during fracture
A
Which disorder of the foot is caused by continual pressure over bony prominences? Corn Plantar wart Hammer toe Hallux rigidus
A
Which feature in the client indicates hypersecretion of adrenocorticotrophic hormone? Moon face Lower jaw protrusion Heat intolerance Barrel-shaped chest
A
Which gland secretes melatonin? Pineal gland Thyroid gland Adrenal gland Parathyroid gland
A
Which hormone does the nurse state has both inhibiting and releasing action? Prolactin Somatostatin Somatotropin Gonadotropin
A
Which hormone does the nurse state has both inhibiting and releasing action? Prolactin Somatostatin Somatotropin Gonadotropin
A
Which hormone is released from the posterior pituitary gland? Oxytocin Prolactin Growth hormone Luteinizing hormone
A
Which hormone overproduction is associated with carpel tunnel syndrome in clients? Growth hormone Antidiuretic hormone Parathyroid hormone Aldosterone hormone
A
Which is the first line treatment for Paget disease? Oral alendronate 1500 mg of calcium Intravenous pamidronate Intravenous zoledronic acid
A
Which is the first line treatment for Paget disease? Oral alendronate 1500 mg of calcium Intravenous pamidronate Intravenous zoledronic acid
A
Which is the target tissue for the parathyroid hormone? Intestines All body cells Mammary glands Sympathetic effectors
A
Which radiographic test is used to view the entire skeleton? Bone scan Gallium and thallium scan Computed tomography (CT) Magnetic resonance imaging (MRI) scan
A
What is the nurse's primary consideration when caring for a client with rheumatoid arthritis? Surgery Comfort Education Motivation
B
Which hormonal deficiency causes diabetes insipidus in a client? Prolactin Thyrotropin Luteinizing hormone (LH) Antidiuretic hormone (ADH)
D
Which hormone is released from the pancreas? Oxytocin Prolactin Calcitonin Somatostatin
D
After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). What manifestations are exhibited with excessive levels of antidiuretic hormone? Increased blood urea nitrogen (BUN) and hypotension Hyperkalemia and poor skin turgor Hyponatremia and decreased urine output Polyuria and increased specific gravity of urine
C
Four hours after surgery, the blood glucose level of a client who has type 1 diabetes is elevated. What intervention should the nurse implement? Administer an oral hypoglycemic Institute urine glucose monitoring Give supplemental doses of regular insulin Decrease the rate of the intravenous infusion
C
Which statement does the nurse know is true regarding the effects of parathyroid hormone on bones for the maintenance of calcium balance? Increases bicarbonate and sodium excretion Enhances absorption of calcium and phosphorous Increases reabsorption of calcium and magnesium Increases net release of calcium into extracellular fluid
D
A client, visiting the health center, reports feeling nervous, irritable, and extremely tired. The client says to the nurse, "Although I eat a lot of food, I have frequent bouts of diarrhea and am losing weight." The nurse observes a fine hand tremor, an exaggerated reaction to external stimuli, and a wide-eyed expression. What laboratory tests may be prescribed to determine the cause of these signs and symptoms? Partial thromboplastin time (PTT) and prothrombin time (PT) T 3, T 4, and thyroid-stimulating hormone (TSH) Venereal disease research laboratory (VDRL) test and complete blood count (CBC) Adrenocorticotropic hormone (ACTH), antidiuretic hormone (ADH), and corticotropin-releasing factor (CRF)
B
A nurse is caring for a client who will have a below-the-knee amputation with an immediate postoperative prosthesis. The client asks the nurse the advantage of having an immediate prosthesis. What should the nurse explain is the advantage? Decreases phantom limb sensations Encourages a normal walking pattern Reduces the incidence of wound infection Allows for fitting of the prosthesis before discharge
B
When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report what clinical manifestations? Irritability, polydipsia, and polyuria Polyuria, polydipsia, and polyphagia Nocturia, weight loss, and polydipsia Polyphagia, polyuria, and diaphoresis
B
A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining large amounts of clear, colorless urine. What does the nurse identify as the most likely cause? Increased serum glucose Deficient renal perfusion Inadequate antidiuretic hormone (ADH) secretion Excess amounts of intravenous (IV) fluid
C
A nurse is reviewing several charts. Which condition is an autoimmune disorder? Addison's disease Cushing's syndrome Hashimoto's disease Sheehan's syndrome
C
Non-weight bearing with crutches has been prescribed for a client with a leg injury. The nurse provides teaching before ambulation is begun. To facilitate walking with crutches, what is the most important activity the nurse should teach the client? Sit up in a chair to help strengthen back muscles. Keep the unaffected leg in extension and abduction. Exercise the triceps, finger flexors, and elbow extensors. Use a trapeze frequently to strengthen the biceps muscles.
C
Non-weight bearing with crutches has been prescribed for a client with a leg injury. The nurse provides teaching before ambulation is begun. To facilitate walking with crutches, what is the most important activity the nurse should teach the client? Sit up in a chair to help strengthen back muscles. Keep the unaffected leg in extension and abduction. Exercise the triceps, finger flexors, and elbow extensors. Use a trapeze frequently to strengthen the biceps muscles.
C
The nurse is providing care to a client being treated for bacterial cystitis. What is the goal before discharge for this client? Understand the need to drink 4 L of water per day, an essential measure to prevent dehydration Be able to identify dietary restrictions and plan menus Achieve relief of symptoms and maintain kidney function Recognize signs of bleeding, a complication associated with this type of procedure
C
Which type of bone tumor is commonly seen in elderly clients? Endochroma Osteosarcoma Chondrosarcoma Osteochondroma
C
A client with a distal femoral fracture has a long leg cast applied. Which important element of a discharge program should the nurse focus on when teaching crutch-walking? Establishing a schedule for pain medication Maintaining a fixed schedule of daily activities Modifying the home environment to prevent accidents Understanding that a more sedentary lifestyle is necessary
C
A client with pain and paresthesia of the left leg is scheduled for an electromyogram. What should the nurse discuss with the client before the test is performed? Bed rest must be maintained after the procedure. The involved area will be shaved before the procedure. Needles will be inserted into the affected muscles during the test. Monitoring of the heart rate and rhythm will be done throughout the test.
C
When providing discharge teaching to a client who had a total hip replacement, what should the nurse instruct the client to avoid? Climbing stairs Stretching exercises Sitting in a low chair Lying prone for more than 15 minutes
C
After an open reduction and internal fixation of a fractured hip, the nurse is helping a client to get out of bed into a chair. What should the nurse do to best accomplish this transfer? Use a transfer board to slide the client from the bed to the chair. Ask the client to put weight equally on both legs and step to the chair. Have several people assist with lifting the client from the bed to the chair. Instruct the client to bear most of the weight on the unaffected leg and pivot to the chair.
D
Which hormone promotes bone resorption in a client? Estrogen Calcitonin Growth hormone Parathyroid hormone (PTH)
D
Which joint in the client's body is an example of a gliding joint? Wrist Elbow Shoulder Sacroiliac
D
Which procedure is preferred to find out the composition of a thyroid nodule and ascertain the need for further surgical intervention in a client? Mass spectrometry Computed tomography scans Glycosylated hemoglobin test Needle biopsy
D
Which structure connects the client's tibia to the femur at the knee joint? Fascia Bursae Tendons Ligaments
D
Why is Phalen's test performed in a client? To diagnose atrophy To diagnose bone tumor To detect rotator cuff injuries To detect carpal tunnel syndrome
D
A client reports their lips feel thicker, as well as joint pain and coarse facial features. What should the nurse suspect as the cause of the anterior pituitary hyperfunction? Excessive secretion of growth hormone Excessive secretion of prolactin hormone Excessive secretion of thyroid-stimulating hormone Excessive secretion of adrenocorticotropic hormone
A
A nurse is assessing a client with a cast to the extremity. Which assessment finding is the priority? Warmth Numbness Skin desquamation Generalized discomfort
B
Which diagnostic test is used for the direct visualization of ligaments, menisci, and articular surfaces of joints? Arthroscopy Muscle biopsy Ultrasonography Electromyography
A
Which joint in the human body is an example of a condyloid joint? Wrist joint Elbow joint Shoulder joint Sacroiliac joint
A
Which side effect should the nurse monitor for when administering androgen therapy? Baldness Headaches Gastric irritation Orthostatic hypotension
A
The nurse is caring for the client posttranssphenoidal hypophysectomy. When assessing the client, the nurse observes clear drainage from the nares. What could be the cause of this drainage? A cerebral spinal fluid leak from an opening to the brain. A normal occurrence for this client's procedure. The client is developing an infection. The client may have had a cold preoperatively, and the nurse will continue to monitor.
A
Which child is at the highest risk for blunt trauma associated with the indirect entry (hematogenous stage) of microorganisms? 8-year-old boy 10-year-old girl 13-year-old girl 14-year-old boy
A
Which diagnostic test does the nurse consider to help in identifying the abnormalities of the sella turcica in hyperpituitarism? Skull x-ray Angiography Computer tomography Magnetic resonance image
A
The nurse is preparing to initiate intravenous antibiotic therapy for a client who developed an infection along the incision after having a total knee replacement. Before starting the first dose of intravenous antibiotics, which task should the nurse ensure has been completed? Red blood cell count Wound culture Knee x-ray Urinalysis
B
Which individual is at risk of developing carpal tunnel syndrome? Housekeeper Software engineer Healthcare worker Professional athlete
B
Which statement is true regarding cortisol? Cortisol metabolizes free fatty acids. Cortisol stimulates gluconeogenesis. Cortisol stimulates protein synthesis. Cortisol levels decline in stressful conditions.
B
Which synovial joint movement is described as turning the sole outward away from the midline of the body? Pronation Eversion Adduction Supination
B
A client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis. What is the primary reason for instruction on exercise? To decrease insulin sensitivity To stimulate glucagon production To improve the cellular uptake of glucose To reduce metabolic requirements for glucose
C
A client who has had a subtotal thyroidectomy does not understand how hypothyroidism can develop when the problem was initially hyperthyroidism. On what fact should the nurse base her response? Hypothyroidism is a gradual slowing of the body's function. There will be a decrease in pituitary thyroid-stimulating hormone (TSH). There may not be enough thyroid tissue to supply adequate thyroid hormone. Atrophy of tissue remaining after surgery reduces secretion of thyroid hormones.
C
A nurse is caring for a client newly diagnosed with type 1 diabetes. When the primary healthcare provider tries to regulate this client's insulin regimen, the client experiences episodes of hypoglycemia and hyperglycemia, and 15 g of a simple sugar is prescribed. What is the reason this is administered when a client experiences hypoglycemia? Inhibits glycogenesis Stimulates release of insulin Increases blood glucose levels Provides more storage of glucose
C
Which diagnostic study is used to investigate the cause of an inflamed joint and determines a client's response to antiinflammatory drug therapy? Duplex venous Doppler Plethysmography Thermography Somatosensory evoked potential
C
Which drug can cause diabetes insipidus? Cabergoline Metyrapone Demeclocycline Aminoglutethimide
C
Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences? Irish Americans African Americans Chinese Americans Egyptian Americans
C
Which principle should the nurse consider when assisting a client with crutches to learn the four-point gait? Elbows should be kept in rigid extension. Most of the weight should be supported by axillae. The client must be able to bear weight on both legs. The affected extremity should be kept off the ground.
C
A client with cancer is scheduled for a bone scan to determine the presence of metastasis. The nurse evaluates that the teaching before the scheduled bone scan is effective when the client makes which comment? "X-rays will be taken to identify where I may have lost calcium from my bones." "Portions of my bone marrow will be removed and examined for cell composition." "A radioactive chemical will be injected into my vein that will destroy cancer cells present in my bones." "A substance of low radioactivity will be injected into my vein and my body inspected by an instrument to detect where it is deposited."
D
A nurse is caring for a client with a below-the-knee amputation. What should the nurse encourage the client to do to prepare the residual limb for a prosthesis? Abduct the residual limb when ambulating. Dangle the residual limb off the bed frequently. Soak the residual limb in warm water twice a day. Press the end of the residual limb against a pillow periodically.
D
A nurse performs full range-of-motion exercises on a client's extremities. When putting an ankle through range-of-motion exercises, what must the nurse perform? Flexion, extension, and rotation Abduction, flexion, adduction, and extension Pronation, supination, rotation, and extension Dorsiflexion, plantar flexion, eversion, and inversion
D
A primary healthcare provider prescribes a low-sodium, high-potassium diet for a client with Cushing syndrome. Which explanation should the nurse provide to the client about the need to follow this diet? "The use of salt probably contributed to the disease." "Excess weight will be gained if sodium is not limited." "The loss of excess sodium and potassium in the urine requires less renal stimulation." "Excessive aldosterone and cortisone cause retention of sodium and loss of potassium."
D
According to the common scale for grading muscle strength, what rating will be given to a client who can complete range of motion with some resistance? 1 2 3 4
D
The clinical findings of a client with diabetes mellitus show decreased glucose tolerance. Which complication is anticipated in the client? Cystitis Thin and dry skin Decreased bone density Frequent yeast infections
D
Which assessment finding in a client signifies a mild form of hypocalcemia? Seizures Hand spasms Severe muscle cramps Numbness around the mouth
D
