Endo

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

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 glove

The nurse is assessing a client with hyperthyroidism. For which signs and symptoms should the nurse assess the client? (Select all that apply.) 1.Amenorrhea 2.Hypotension 3.Facial edema 4.Flushed appearance 5.Short attention span

1.Amenorrhea 4.Flushed appearance 5.Short attention span

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.

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

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

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

The nurse concludes that a client with type 1 diabetes is experiencing hypoglycemia. Which responses support this conclusion? (Select all that apply.) 1.Vomiting 2.Headache 3.Tachycardia 4.Cool clammy skin 5.Increased respirations

2.Headache 3.Tachycardia 4.Cool clammy skin

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 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 5.Decreased blood pressure

1. Tremors 4.Heat intolerance

A nurse is caring for a male client with a diagnosis of Cushing syndrome. Which clinical manifestations does the nurse expect to identify? (Select all that apply.) 1.Polyuria 2.Obese trunk 3.Hypotension 4.Sleep disturbance 5.Thin arms and legs

2.Obese trunk 4.Sleep disturbance 5.Thin arms and legs

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

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

The health care provider prescribes propylthiouracil (PTU) for a client with hyperthyroidism. The nurse explains that this drug: 1.Increases the uptake of iodine 2.Causes the thyroid gland to atrophy 3.Interferes with the synthesis of thyroid hormone 4.Decreases the secretion of thyroid-stimulating hormone (TSH)

3.Interferes with the synthesis of thyroid hormone

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

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 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

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

A nurse is assessing a client with Cushing syndrome. Which signs should the nurse expect the client to exhibit? (Select all that apply.) 1.Hirsutism 2.Round face 3.Pitting edema 4.Buffalo hump 5.Hypoglycemia

1.Hirsutism 2.Round face 4.Buffalo hump

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

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."

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 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

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 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 who has had type 1 diabetes for 25 years. The client states, "I have been really bad for the last 15 years. I have not paid attention to my diet and have done little to control my diabetes." What signs of common complications of diabetes might the nurse expect to identify when assessing this client? (Select all that apply.) 1.Leg ulcers 2.Loss of visual acuity 3.Thick, yellow toenails 4.Increased growth of body hair 5.Decreased sensation in the feet

1.Leg ulcers 2.Loss of visual acuity 3.Thick, yellow toenails 5.Decreased sensation in the feet

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