Endo

A client admitted to the emergency department has ketones in the blood and urine. Which situation associated with this physiological finding should be the nurse's focus when collecting additional data about this client? 1.Starvation 2.Alcoholism 3.Bone healing 4.Positive nitrogen balance

1.Starvation

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? 1.Hypothyroidism is a gradual slowing of the body's function. 2.A decrease in pituitary thyroid-stimulating hormone (TSH) will occur. 3.Less thyroid tissue is available to supply thyroid hormone after surgery. 4.Atrophy of tissue remaining after surgery reduces secretion of thyroid hormones.

3.Less thyroid tissue is available to supply thyroid hormone after surgery.

A nurse is assessing a client with diabetic ketoacidosis. Which clinical manifestations should the nurse expect? (Select all that apply.) 1.Dry skin 2.Abdominal pain 3.Kussmaul respirations 4.Absence of ketones in the urine 5.Blood glucose level of less than 100 mg/dL

1.Dry skin 2.Abdominal pain 3.Kussmaul respirations

A nurse is assessing a client with hypothyroidism. Which clinical manifestations should the nurse expect the client to exhibit? (Select all that apply.) 1.Cool skin 2.Photophobia 3.Constipation 4.Periorbital edema 5.Decreased appetite

1.Cool skin 3.Constipation 4.Periorbital edema 5.Decreased appetite

A nurse is assessing a client with a diagnosis of diabetes insipidus. For which signs indicative of diabetes insipidus should the nurse assess the client? (Select all that apply.) 1.Excessive thirst 2.Increased blood glucose 3.Dry mucous membranes 4.Increased blood pressure 5.Decreased serum osmolarity 6.Decreased urine specific gravity

1.Excessive thirst 3.Dry mucous membranes 6.Decreased urine specific gravity

The nurse develops a teaching plan for a client with diabetes who has been diagnosed with lower extremity arterial disease (LEAD). The nurse includes measures to increase arterial blood flow to the extremities, including: 1.Exercises that promote muscular activity 2.Meticulous care of minor skin breakdown 3.Elevation of the legs above the level of the heart 4.Soaking the feet in hot water each day

1.Exercises that promote muscular activity

A nurse is assessing a female client with Cushing syndrome. Which clinical findings can the nurse expect to identify? (Select all that apply.) 1.Hirsutism 2.Menorrhagia 3.Buffalo hump 4.Dependent edema 5.Migraine headaches

1.Hirsutism 3.Buffalo hump

A client has been diagnosed with hyperthyroidism. The nurse expects the client to exhibit which clinical manifestations? (Select all that apply.) 1.Dry skin 2.Slow pulse 3.Weight gain 4.Nervousness 5.Increased appetite

4.Nervousness 5.Increased appetite

A nurse mixes a short-acting and an intermediate-acting insulin in the same syringe to administer to a client with diabetes. List the actions in the order the nurse should perform them. 1.Withdraw the prescribed amount of intermediate-acting insulin. 2.Put air into the intermediate-acting insulin vial. 3.Withdraw the prescribed amount of short-acting insulin. 4.Put air into the short-acting insulin vial. 5.Don a pair of clean gloves

1.Put air into the intermediate-acting insulin vial. 2.Put air into the short-acting insulin vial. 3.Withdraw the prescribed amount of short-acting insulin. 4.Withdraw the prescribed amount of intermediate-acting insulin. 5.Don a pair of clean gloves

A client with diabetes states, "I cannot eat big meals; I prefer to snack throughout the day." What information should the nurse include in a response to this client's statement? 1.Regulated food intake is basic to control. 2.Salt and sugar restriction is the main concern. 3.Small, frequent meals are better for digestion. 4.Large meals can contribute to a weight problem

1.Regulated food intake is basic to control.

A client has been taking levothyroxine (Synthroid) for hypothyroidism for three weeks. The nurse suspects that a decrease in dosage is needed when the client exhibits which clinical manifestations? (Select all that apply.) 1.Tremors 2.Bradycardia 3 .Somnolence 4.Heat intolerance

1.Tremors 4.Heat intolerance

The nurse is providing teaching to a client who recently has been diagnosed with type 1 diabetes. The nurse reinforces the importance of monitoring for ketoacidosis. What are the signs and symptoms of ketoacidosis? (Select all that apply.) 1.Decreased urinary output 2.Excessive thirst 3.Hyperactivity 4.Fruity-scented breath 5.Confusion

2.Excessive thirst 4.Fruity-scented breath 5.Confusion

The nurse is caring for a client with type 1 diabetes. For which signs or symptoms of insulin reaction should the nurse particularly be observant? (Select all that apply.) 1.Lethargy 2.Headache 3.Diaphoresis 4.Excessive thirst 5.Deep respirations

2.Headache 3.Diaphoresis

A nurse is caring for a client with a diagnosis of Cushing syndrome. What is the most common cause of Cushing syndrome that the nurse should consider before assessing this client for physiological responses? 1.Pituitary hypoplasia 2.Hyperplasia of the adrenal cortex 3.Deprivation of adrenocortical hormones 4.Insufficient adrenocorticotropic hormone (ACTH) production

2.Hyperplasia of the adrenal cortex

A client who had a subtotal thyroidectomy returns to the unit from the postanesthesia care unit. What is the priority nursing action at this time? 1.Monitor for hypoglycemia. 2.Observe for signs of tetany. 3.Place a sandbag under the neck. 4.Teach the need to support the head

2.Observe for signs of tetany.

After surgical clipping of a cerebral aneurysm, the client develops the syndrome of inappropriate secretion of antidiuretic hormone (ADH). For which manifestations of excessive levels of ADH should the nurse assess the client? (Select all that apply.) 1.Polyuria 2.Weight gain 3.Hypotension 4.Hyponatremia 5.Decreased specific gravity

2.Weight gain 4.Hyponatremia

What clinical indicators should a nurse expect when assessing a client with hyperthyroidism? (Select all that apply.) 1.Dry skin 2.Weight loss 3.Tachycardia 4.Restlessness 5.Constipation 6.Exophthalmos

2.Weight loss 3.Tachycardia 4.Restlessness 6.Exophthalmos

A nurse is caring for a client admitted to the hospital for diabetic ketoacidosis. Which clinical findings related to this event should the nurse document in the client's clinical record? (Select all that apply.) 1.Sweating 2.Retinopathy 3.Acetone breath 4.Increased arterial bicarbonate level 5.Decreased arterial carbon dioxide level

3.Acetone breath 5.Decreased arterial carbon dioxide level

For which client response should the nurse monitor when assessing for complications of hyperparathyroidism? 1.Tetany 2.Seizures 3.Bone pain 4.Graves disease

3.Bone pain

A nurse is collecting information about a client who has type 1 diabetes and is being admitted because of diabetic ketoacidotic coma. Which factors can predispose a client to this condition? (Select all that apply.) 1.Taking too much insulin 2.Getting too much exercise 3.Excessive emotional stress 4.Running a fever with the flu 5.Eating fewer calories than prescribed

3.Excessive emotional stress 4.Running a fever with the flu

A client is admitted with a head injury. The nurse identifies that the client's urinary retention catheter is draining large amounts of clear, colorless urine. What does the nurse identify as the most likely cause? 1.Increased serum glucose 2.Deficient renal perfusion 3.Inadequate antidiuretic hormone (ADH) secretion 4.Excess amounts of intravenous (IV) fluid

3.Inadequate antidiuretic hormone (ADH) secretion

A client is taught how to recognize indications of a hypoglycemic reaction. Which signs and symptoms identified by the client indicate to the nurse that the teaching was effective? (Select all that apply.) 1.Fatigue 2.Nausea 3.Weakness 4.Nervousness 5.Increased thirst 6.Increased perspiration

3.Weakness 4.Nervousness 6.Increased perspiration

A client with hyperthyroidism refuses radioactive iodine therapy and a subtotal thyroidectomy is scheduled. The nurse reviews the preoperative plan of care and questions which prescription? 1.High protein, high carbohydrate diet 2.Iodine preparations 3.Antithyroid drugs 4.Drugs to increase the blood pressure

4.Drugs to increase the blood pressure

A nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication should the nurse expect to be prescribed for this client on the day of surgery and in the immediate postoperative period? 1.Methimazole (Tapazole) 2.Pituitary extract (Pituitrin) 3.Regular insulin (Novolin R) 4.Hydrocortisone succinate (Solu-Cortef)

4.Hydrocortisone succinate (Solu-Cortef)

A client with a tentative diagnosis of Cushing syndrome has an increased cortisol level. For what response should the nurse assess this client? 1.Hypovolemia 2.Hyperkalemia 3.Hypoglycemia 4.Hypernatremia

4.Hypernatremia

A nurse is assessing a malnourished client with a history of cirrhosis. The client is experiencing nausea, ascites, and gastrointestinal bleeding. The primary cause of the client's ascites is a decrease in: 1.Vitamins to maintain cell coenzyme functions 2.Iron to maintain adequate hemoglobin synthesis 3.Sodium to maintain its concentration in tissue fluid 4.Plasma protein to maintain adequate capillary-tissue circulation

4.Plasma protein to maintain adequate capillary-tissue circulation

An obese client must self-administer insulin at home. The nurse should teach the client to use what technique? 1.Pinch the tissue and inject at a 45-degree angle 2.Pinch the tissue and inject at a 60-degree angle 3.Spread the tissue and inject at a 45-degree angle 4.Spread the tissue and inject at a 90-degree angle

4.Spread the tissue and inject at a 90-degree angle

After a head injury a client develops a deficiency of antidiuretic hormone (ADH). What should the nurse consider about the response to secretion of ADH before assessing this client? 1.Serum osmolarity increases 2.Urine concentration decreases 3.Glomerular filtration decreases 4.Tubular reabsorption of water increases

4.Tubular reabsorption of water increases

Which is the best advice the nurse can give regarding foot care to a client diagnosed with diabetes? 1.Remove corns on the feet 2.Wear shoes that are larger than the feet 3.Examine the feet weekly for potential sores 4.Wear synthetic fiber socks when exercising

4.Wear synthetic fiber socks when exercising

Which clinical findings should the nurse expect when assessing a client with hyperthyroidism? (Select all that apply.) 1.Diarrhea 2.Listlessness 3.Weight loss 4.Bradycardia 5.Decreased appetite

1.Diarrhea 3.Weight loss

A nurse is caring for a client after a thyroidectomy. For which signs of thyroid storm should the client be monitored? (Select all that apply.) 1.Increased heart rate 2.Increased temperature 3.Decreased respirations 4.Increased pulse deficit 5.Decreased blood pressure

1.Increased heart rate 2.Increased temperature

A nurse teaches a client who has had a thyroidectomy for thyroid cancer to observe for signs of surgically induced hypothyroidism. What should be included in the teaching plan? (Select all that apply.) 1.Dry skin 2.Lethargy 3.Insomnia 4.Tachycardia 5.Sensitivity to cold

1.Dry skin 2.Lethargy 5.Sensitivity to cold

A nurse is caring for a client who had an adrenalectomy. For what clinical response should the nurse monitor while steroid therapy is being regulated? 1.Hypotension 2.Hyperglycemia 3.Sodium retention 4.Potassium excretion

1.Hypotension

Several hours after administering insulin, the nurse is assessing a client for an adverse response to the insulin. Which client responses are indicative of a hypoglycemic reaction? (Select all that apply.) 1.Confusion 2.Tremors 3.Anorexia 4.Glycosuria 5.Diaphoresis

1.Confusion 2.Tremors 5.Diaphoresis

While assessing a client during a routine examination, a nurse in the clinic identifies signs and symptoms of hyperthyroidism. Which signs are characteristic of hyperthyroidism? (Select all that apply.) 1.Diaphoresis 2.Weight loss 3.Constipation 4.Protruding eyes 5.Cold intolerance

1.Diaphoresis 2.Weight loss 4.Protruding eyes

A client with diabetes asks how exercise will affect insulin and dietary needs. The nurse should respond, "Exercise: 1.Increases the need for carbohydrates and decreases the need for insulin." 2.Increases the need for insulin and increases the need for carbohydrates." 3.Decreases the need for insulin and decreases the need for carbohydrates." 4.Decreases the need for carbohydrates but does not affect the need for insulin."

1.Increases the need for carbohydrates and decreases the need for insulin."

A nurse concludes that a client has a hypoglycemic reaction to insulin. Which clinical findings support this conclusion? (Select all that apply.) 1.Irritability 2.Glycosuria 3.Dry, hot skin 4.Heart palpitations 5.Fruity odor of breath

1.Irritability 4.Heart palpitations

A nurse is caring for a client recently diagnosed with type 1 diabetes. For what signs and symptoms of an insulin reaction should the nurse assess this client? (Select all that apply.) 1.Headache 2.Diaphoresis 3.Nervousness 4.Excessive thirst 5.Kussmaul respirations

1.Headache 2.Diaphoresis 3.Nervousness

When preparing a client for discharge after a thyroidectomy, the nurse teaches the signs of hypothyroidism. The nurse evaluates that the client understands the teaching when the client says, "I should call my health care provider if I develop: 1.Dry hair and an intolerance to cold." 2.Muscle cramping and sluggishness." 3.Fatigue and an increased pulse rate." 4.Tachycardia and an increase in weight."

1.Dry hair and an intolerance to cold."

The nurse is assessing a client with hyperthyroidism. Which clinical indicators are consistent with this diagnosis? (Select all that apply.) 1.Emotional lability 2.Dyspnea on exertion 3.Abdominal distension 4.Decreased bowel sounds 5.Hyperactive deep tendon reflexes

1.Emotional lability 2.Dyspnea on exertion 5.Hyperactive deep tendon reflexes

A nurse is caring for a client who is admitted to the hospital with the diagnosis of primary hyperparathyroidism. Which action should be included in this client's plan of care? 1.Ensuring a large fluid intake 2.Providing a high-calcium diet 3.Instituting seizure precautions 4.Encouraging complete bed rest

1.Ensuring a large fluid intake

A nurse is caring for a client newly admitted with a diagnosis of pheochromocytoma. Which clinical findings does the nurse expect when assessing this client? (Select all that apply.) 1.Headache 2.Palpitations 3.Diaphoresis 4.Bradycardia 5.Hypotension

1.Headache 2.Palpitations 3.Diaphoresis

A client is admitted to the hospital for an adrenalectomy. The nurse is providing postoperative care before the client's replacement steroid therapy is regulated fully. The nurse should monitor the client for: 1.Hypotension 2.Hyperglycemia 3.Sodium retention 4.Potassium excretion

1.Hypotension

A nurse is providing postoperative care for a client one hour after the client had an adrenalectomy. Maintenance steroid therapy has not begun yet. The nurse should monitor the client for which complication? 1.Hypotension 2.Hyperglycemia 3.Sodium retention 4.Potassium excretion

1.Hypotension