Endocrine Final!!!!!!!!!!!!!!!!!!!!!!!!!!1
A nurse is caring for a client who is newly diagnosed with diabetes mellitus and is prescribed glipizide (Glucotrol). When instructing the client about this medication, the nurse should describe its method ofaction with which of the following statements?
" Glucotrol stimulates your pancreas to release adequate insulin."
The nurse is reinforcing teaching for a client who has Diabetes has a prescription for insulin. Which of the following statements by the client indicates understanding of the teaching of storage of insulin?
"I can keep the vial of insulin, in use, at room temperature"
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for prednisone. What statement by the client will show the client understands the side effects?
"I should expect to feel hungrier while on this medication"
A nurse is reinforcing teaching on glucose monitoring with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates understanding?
"I will check my blood glucose every 4 hours when sick"
A nurse is reinforcing teaching to client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the manifestations of hypoglycemia?
"I will feel shaky"
Which instruction should a nurse give to a client with DM when teaching "sick day rules" info?
"Test your blood glucose every 4 hours."
A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid stimulating hormone (TSH) level. Which of the followings statements should the nurse give?
"This test determines whether your thyroid gland is overactive, appropriately active, or under active"
A nurse is reinforcing teaching with a pt who has DM and a new rx for lispro and lantus insulin. Which of the following statements by the pt indicates an understanding?
"Un-opened vials of insulin should be kept in my refrigerator"
A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on effective learning with this client, which of the following interventions should the nurse use?
-Assist client to develop an individualized meal plan -Offer the client 240ML (8oz) of skim milk if their skin gets cool and clammy -Check the client blood glucose levels before meals and meal times
A nurse is caring for a child with diabetes that was given NPH insulin at 0700. At what time can the nurse expect the NPH to be at its peak?
0900 (2hrs)
A nurse received a new prescription from the provider which reads give 14 units of regular insulin and 28 units of long acting insulin to be given subcutaneously at breakfast hour. What is the total number of syringes the nurse will need to prepare?
1 syringe
A nurse is preparing to administer a prescribed dose of 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. The nurse should take which of the following actions when mixing the two types of insulin?
1-Air into NPH 20 units 2-Air into clear 10 units 3-Draw up clear 10 units 4-Draw up cloudy 20 units
A nurse is caring for a client with gestational diabetes. The client is shaky, sweating, and has complaints of blurred vision. The client has a glucose level of 48 mg/dL. What can the nurse give the client to raise the glucose level quickly?
120 ml of fruit juice 1 tablespoon of honey 5 hard candies
The nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse plan to offer a snack?
1500 (peak 8hr NPH)
A nurse is to administer 100 mcg of levothyroxine PO daily. The medication is available in 50 mcg tablets. How many tablets should the nurse administer?
2 tablets
A nurse is to administer 275 mcg of levothyroxine PO daily. The medication is available in 137 mcg tablets. How many tablets should the nurse administer?
2 tablets
A Nurse is preparing to administer a client's daily dose of insulin at 7:30, the nurse should expect this type of insulin to be given at what time frame of administration?
4-14 hours
A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneous daily. what is the total number of units of insulin that the nurse should prepare in the insulin syringe?
42 units of insulin
A nurse is caring for a client who has type 1 diabetes mellitus and observes mild hand tremors. Which of the following snacks should the nurse offer the client after obtaining a glucometer reading of 60mg/L?
4oz of regular soda
A nurse in the Emergency department is assisting with the care of a client who is comatose the provider suspects ketoacidosis which of the Following findings should the nurse expect?
Acetone odor to breath
A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about self-care during illness. What should the nurse include in her teaching about the insulin?
Administer usual daily dose of insulin
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24hr of care for this client?
Airway patency
A nurse is assisting in the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?
Apply warm blankets
A nurse is performing teaching with a client who has newly diagnosed type 2 DM. The nurse should recognize that the client understands the teaching when he identifies which of the following manifestations of hypoglycemia?
Blurry vision, tachycardia, sweating
Nurse is assessing a client who was admitted with Cushing's syndrome. Which of the following manifestations should the nurse expect?
Bruising
A nurse is collecting data from a client who has hypothyroidism and is to start taking levothyroxine Which of the following over-the-counter medications should the nurse instruct the client to separate taking by 4 hr?
Calcium Carbonate
The nurse is caring for a client for removal of the pituitary gland. What should the nurse include in the plan of care?
Change the nasal drip pad as needed
A client is prescribed methimazole for the treatment of hyperthyroidism. What is a manifestation that shows the medication is working?
Decreased heart rate
A nurse is caring for a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Decreased urine specific gravity
A nurse is assisting with the care of a client who 1 day postoperative following a thyroidectomy reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?
Determine the clients calcium level
A nurse is reinforcing teaching with a parent of a child with diabetes mellitus. What should the nurse include as a manifestation of hypoglycemia?
Diaphoresis
A nurse is reinforcing teaching with a client who is administering regular insulin and NPH insulin in the same syringe, which of the following instructions should the nurse provide.
Discard regular insulin if appeared cloudy
What are the classic symptoms of diabetes insipidus (DI)?
Diuresis, tachycardia, and weakness
What should discharge planning for a patient who underwent a hypophysectomy focus on?
Education on self-care
A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates the client meets the criteria for diagnosis with DM?
Fasting blood glucose of 155mg/dL
A nurse is reviewing a clients medical records which lab tests should a nurse examine to determine risk factors for metabolic syndrome?
Fasting glucose & triglycerides
Nurse is collecting data on a client who has hyperthyroidism. Which of the following Manifestation should you expect the client to report.
Frequent mood changes
A nurse is teaching an adolescent who has diabetes about clinical manifestations of hypoglycemia. Which of the following should be included in he teaching?
Headache
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse finds the client lying in bed, sweating, tachycardic, and reporting lightheadedness and palpitations. Which of the following complications should the nurse suspect?
Hypoglycemia
A nurse is caring for a client who has diabetes insipidus. The nurse should know monitor for which clinical manifestation?
Hypotension
Nurse is caring for pt who is post op and has hx of addison's disease. What manifestation should the nurse monitor?
Hypotension
A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of her calories. Which of the following statements indicates the client understands the teaching?
I should eat more calories from complex carbohydrates than anything else
A nurse is reinforcing teaching to a client who has type 1 diabetes mellitus. Which of the following statements reinforces the client understands?
I should inject the insulin into my abdominal area
A nurse is reinforcing teaching about manifestations of hypergycemia with a client with DM. Which indicates an understanding of teachings?
I will be more thirsty than usual
A nurse is providing teaching about self-administration of insulin to the parent of a school aged child newly diagnosed with diabetes. Which of the following statements by the parent indicates a need for further teaching?
I will be sure my child aspirates before injecting the insulin
A nurse is caring for a 7 year old client who has a diagnosis of upper respiratory infection and history of type 1 diabetes mellitus. Which of the following statements made by the mother indicates a need for further teaching?
I will continue to check his blood sugar two times a day
A nurse is reinforcing teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which statement by the client indicates a need for further teaching?
I will reduce my exercise schedule to 3 days a week
A nurse is teaching a client who has type 1 diabetes about foot care. Which of the following client statements should indicate to the nurse that he understands the instructions?
I'll check my feet everyday for sores and bruises
A client is prescribed liothyronine for treatment of hypothroidism. What findings can the client expect as a therapeutic response?
Improvement of overall mood
A nurse is preparing to inject insulin lispro to a client who has type 1 diabetes mellitus. Which of the following nursing actions is appropriate?
Inject the insulin 15 minutes before a meal preferably with a meal
The Nurse is reinforcing teaching about preventing long term complication of retinopathy and neuropathy with an older adult client who has Diabetes mellitus, which of the following actions is the most important for the nurse to include in the teaching?
Maintain stable blood glucose level
A nurse is reviewing the medical records of an adolescent and notes calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect to find?
Muscle Hypotonicity
A nurse reviewing the lab report of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL. Which of the following client findings should the nurse expect?
Muscle tetany
A patient states that he is confused because the physician told him that his diabetes insipidus (DI) is nephrogenic. What should the nurse state when describing the difference between nephrogenic DI and neurogenic DI?
Nephrogenic DI does not respond to ADH
A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following recommendations should the nurse make to the client for a sweetener?
Nonnutritive sugar substitute
A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicate that the client is experiencing diabetic ketoacidosis (DKA)?
Polydipsia
A nurse is collecting data from a pt who takes metformin (glucophage) for type 2 diabetes. Which of the following medications is contraindicated for this pt due to its effect of blood glucose levels?
Prednisone
Nurse is collecting data for a client who has diabetes mellitus. The client is confused, flushed, and has acetone odor in his breath. The nurse should anticipate rx for which of the following type of insulin?
Regular
A nurse is caring for a client with SIADH and a sodium level if 123 mEq/L. Which action should the nurse take?
Restrict oral fluids to 800 to 1000 mL daily
A nurse is caring for a patient with a family history of type 2 diabetes mellitus. What is a major risk factor this patient should avoid?
Sedentary lifestyle
A nurse is caring for a client who has metabolic alkalosis. For which of the clinical manifestations should the nurse monitor?
Shallow respirations, cardiac dysthythmias, hyperactive reflexes
A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves' disease). Which of the following serum lab findings should the nurse expect to be below the reference range?
TSH level
A nurse is educating a client who is prescribed metformin (Glucophage) for type 2 diabetes. Which if the following information should the nurse include?
Take the medication with your meal
A patient inquires about the purpose of the laboratory test to measure the serum level of adrenocorticotropic hormone (ACTH). What should a nurse respond that the laboratory test will determine?
The pituitary gland is sending the correct message to the adrenal glands.
A nurse is caring for a client who has hypocalcemia. Which of the following findings should the nurse expect?
Tingling of the lips
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?
Tremors
A nurse is reviewing data for a client who has had head injury. Which of the following findings should indicates that the client might have diabetes insipidus?
Urine output of 650 ml per hour
A nurse is collecting data from a client who has Hypokalemia as a result of nausea, vomiting, and diarrhea. The nurse should expect which of the following findings?
Weak; irregular pulse
A patient newly diagnosed with type 2 diabetes mellitus (DM) asks why how she developed DM. Which explanation is most appropriate?
Your body doesn't respond well to glucose well
a nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?
a client who has a phosphate of 5.7 mg/dl
A nurse is preparing to administer subcutaneous regular insulin to a client before he eats breakfast at 0800 which of the following actions should the nurse take?
administer 30 mins before breakfast
A nurse is caring for a client who has Cushing's Syndrome. Which of the following clinical manifestations should the nurse expect to observe?
buffalo hump, purple striations, moon face
Which nursing intervention is priority on a blood glucose misread of 210 instead of 120?
check the clients blood glucose level
To which diet should a patient with Cushing's syndrome adhere?
decreased sodium intake
The nurse is reinforcing teaching for a client who has Diabetes Mellitus and has a prescription for insulin levemir(detemir) injection every day. Which of the following statements by the client indicates Understanding of the teaching?
i can inject my insulin, levemir(detemir) in the evening before bedtime
Nurse is monitoring pt for finding related to Diabetes Insipidus following craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
increased urine output
A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type 1 diabetes mellitus which of the following information should the nurse include about rotating sites?
rotate sites to keep insulin levels consistent
A school age child who has type 1 diabetes has been vomiting for the past 24 hrs. Which of the following should be the nurse's first action?
test the urine for ketones
A nurse is discussing the care of a client who has type 1 diabetes with the AP. Which of the following situations should the nurse instruct the AP to report immediately
the client refuses breakfast and requests to sleep
A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
weight gain
