Endocrine Disorders
A nurse is reinforcing teaching with a lent who has diabetes mellitus about food choices. Which of the following client statements indicates the teaching has been understood?
"I should replace white bread with whole-grain bread"
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
"I'll be sure to wear cotton socks every day"
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching
"My cells are resistant to the effects of insulin"
A nurse is reinforcing teaching with a client who had a vaginal hysterectomy with a bilateral oophorectomy. Which of the following pieces of information should the nurse include in the teaching?
"Use a water-based lubricant when having sexual intercourse"
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about exercise. Which of the following statements should the nurse include in the teaching?
"Wear a medical alert identifications tag when you exercise"
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The client states, "I east pasta every day. I can't imagine giving it up. " Which of the following responses should the nurse make?
"You don't have to give up pasta; just adjust the amount you eat"
A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an adenoma. Which of the following findings should the nurse report to the provider?
-Tachycardia and hypertension -Laryngeal stridor and hoarseness -Positive Trousseau's sign
A nurse is contributing to the plan of care for a client who is scheduled to receive total parenteral nutrition (TPN). Which of the following actions should the nurse recommend including in the plan?
-Weight the client daily -Obtain a serum blood glucose every 4 hours -Change the IV tubing every 24 hours
A nurse is planning to administer fluids to a client who has 25% total body surface area burns. The client has no prior medical history. Which of the following intravenous fluids should the nurse identify as contraindicated for this client?
0.45% sodium chloride
A nurse is reinforcing dietary teaching with a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Ask the client to identify the types of foods she prefers
A nurse is reviewing the laboratory values for a client who has hyperglycemic hyperosmolar nonketotic syndrome. Which of the following laboratory values is consistent with hyperglycemic hyperosmolar nonketotic syndrome?
Blood glucose 320 mg/dL
A nurse is collecting data from a client who develops a fruity breath odor, dry mouth, and extreme thirst. Which of the following additional data should the nurse collect?
Blood glucose using a glucometer
A nurse is reviewing the laboratory reports for a client and notes and elevate thyroid stimulating (TSH) level. when collecting date from the client, which of the following findings should the nurse expect?
Bradycardia
A nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism. Which of the following laboratory values should the nurse expect to decrease as a therapeutic effect of the produce?
Calcium
A nurse is preparing a 24-hour urine specimen for a client with suspected pheochromocytoma. Which of the following laboratory tests from the 24-hour urine specimen should the nurse use to determine the client's condition?
Catecholamine metabolites
A nurse is assisting with the plan of care for a client who has Cushing's syndrome due to chronic corticosteroid use. Which of the following actions should the nurse include in the plan of care?
Check for hypertension
A nurse is caring for a client who is postoperative following a bilateral adrenalectomy. The nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects?
Compensate for decreased cortisol levels
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect?
Diaphoresis
A nurse is collecting data from a client who has Grave's disease. Which of the following findings should the nurse expect the client to display?
Difficulty sleeping
A nurse is assisting with the plan of care for a client who has type 2 diabetes mellitus. Which of the following interventions should the nurse include in the plan?
Encourage the client to control weight
A nurse is reviewing laboratory results for a client who has diabetes mellitus. Which of the following results indicates that the client is controlling the diabetes?
Fasting blood glucose 95 mg/dL
A nurse is checking a client with Grave's disease for the development of thyroid storm. The nurse should report which of the following findings to the provider?
Fever
A nurse is checking laboratory values to determine if a client who has diabetes mellitus is adhering to the treatment plan. Which of the following test should the nurse use to make this determination?
Glycosylated hemoglobin levels
A nurse is assisting with the care of a client who has Addison's disease and comes to the emergency department reporting nauseas, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should expect the provider to prescribe which of the following medications?
Hydrocortisone
A nurse is assisting with the care of a client who has Addison's disease and was admitted with muscle weakness and dehydration, as well as nausea and vomiting for the past 2 days. Which of the following prescribed medications should the nurse plan to administer?
Hydrocortisone
A nurse is assisting with the care of a client who has been diagnosed with an Addisonian crisis and has a blood pressure of 74/42 mmHg. Which of the following medication prescriptions should the nurse anticipate?
Hydrocortisone
A nurse is conducting a home visit with an older adult client who has diabetes mellitus and takes regular insulin subcutaneously before each meal. The client appears disoriented and weak and has slurred speech. Which of the following conditions should the nurse consider first when responding to these manifestations?
Hypoglycemia
A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect?
Hyponatremia
A nurse is collecting data form a client who has Addison's disease. Which of the following findings should the nurse expect?
Hypotension
A nurse is reinforcing reading with a client who has hyperthyroidism about managing this disorder. Which of the following recommendations would the nurse include?
Increase her calorie intake with meals
A nurse is collecting date form a client who has manifestations of acromegaly. Which of the following findings should the nurse expect?
Increased head size
A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings indicate that the client has hyperglycemia?
Increased urination
A nurse is monitoring a client following a thyroidectomy. Which of the following findings should the nurse identify as an indication of hypoparathyroidism?
Involuntary muscle spasms
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
Irritability
A nurse is caring for a client who has diabetic Ketoacidosis (DKA). Which of the following findings should the nurse expect?
Kussmaul respirations
A nurse is assisting with a plan for community health screening for a group of clients who are at risk of type 2 diabetes mellitus. Which of the following client groups should the nurse include in the screening?
Men and women who are obese
A nurse is assisting with the plan of care for a client who is experiencing the Somogyi effect and takes intermittent-acting insulin. Which of the following actions should the nurse include in the plan?
Monitor the client's nighttime blood glucose levels
A nurse in an urgent care center is collecting data from an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report to the provider as an indication of impending airway obstruction?
Nasal flaring
A nurse is caring for a client who has urolithiasis and requires further diagnostic testing after an initial assessment indicated hypercalcemia. The nurse should explain that which of the following structures controls calcium concentration?
Parathyroid gland
A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor?
Polyuria
A nurse is collecting data from a client who is recovering from a thyroidectomy and has harsh, high-pitched respiratory sounds. Which of the following actions should the nurse take?
Prepare for a tracheostomy
A nurse is collecting data from a client who has Cushing's syndrome. Which of the following skin manifestations should the nurse expect to find?
Purple striae on the chest and abdomen
A nurse is preparing for the transfer of a client from the postanesthesia care unit (PACU) following a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse have available at the client's bedside?
Tracheostomy tray
A nurse is reinforcing teaching with a client who has Addison's disease about healthy snacks. Which of the following food choices by the client indicates an understanding of the teaching?
Turkey and cheese sandwich
A nurse is caring for a client who is scheduled to receive peritoneal dialysis. Which of the following actions should the nurse take?
Warm the dialysate solution to room temperature prior to administration
