endocrine prepu
Which of the following is a characteristic of diabetic ketoacidosis (DKA)? Select all that apply.
Elevated blood urea nitrogen (BUN) and creatinine Rapid onset More common in type 1 diabetes
A patient has been diagnosed with Cushing's syndrome. The nurse would expect which of the following features to be present upon physical examination? Select all that apply.
"Buffalo hump" Thin extremities "Moon face" Truncal obesity Purple striae
A nurse prepares teaching for a client with newly-diagnosed diabetes. Which statements about the role of insulin will the nurse include in the teaching? Select all that apply.
"Insulin permits entry of glucose into the cells of the body." "Insulin promotes synthesis of proteins in various body tissues." "Insulin promotes the storage of fat in adipose tissue."
A client has been admitted to the critical care unit with a diagnosis of thyroid storm. What interventions should the nurse include in this client's immediate care? Select all that apply.
Administering beta blockers to reduce heart rate Applying interventions to reduce the client's temperature
The nurse is caring for a patient with hyperparathyroidism and observes a calcium level of 16.2 mg/dL. What interventions does the nurse prepare to provide to reduce the calcium level? Select all that apply.
Administration of calcitonin Intravenous isotonic saline solution in large quantities Monitoring the patient for fluid overload
What clinical manifestations does the nurse recognize would be associated with a diagnosis of hyperthyroidism? Select all that apply.
An elevated systolic blood pressure Muscular fatigability Weight loss.
A nurse is caring for a client recovering from a hypophysectomy. What would be included in the client's care plan? Select all that apply.
Assess for neurologic changes. Closely monitor nasal packing and postnasal drainage.
A client has been diagnosed with diabetes and discusses treatment strategies with the nurse. What consequences of untreated diabetes should the nurse include with client teaching? Select all that apply.
Blindness Limb amputation Cardiovascular disease Kidney disease
A nurse is assigned to care for a patient who is suspected of having type 2 diabetes. Select all the clinical manifestations that the nurse knows could be consistent with this diagnosis.
Blurred or deteriorating vision Fatigue and irritability Polyuria and polydipsia Wounds that heal slowly or respond poorly to treatment
Which factors will cause hypoglycemia in a client with diabetes? Select all that apply.
Client has been exercising more than usual. Client has not consumed food and continues to take insulin or oral antidiabetic medications. Client has not consumed sufficient calories.
Which of the following is an age-related change that may affect diabetes? Select all that apply.
Decreased renal function Taste changes Decreased vision
Antithyroid medications are contraindicated in late pregnancy due to the fact that which of the following may occur? Select all that apply.
Fetal hypothyroidism Fetal bradycardia Goiter Cretinism
A client with Cushing syndrome has been hospitalized after a fall. The dietician consulted works with the client to improve the patient's nutritional intake. What foods should a client with Cushing syndrome eat to optimize health? Select all that apply.
Foods high in vitamin D Foods high in protein Foods high in calcium
A client is brought to the emergency department by the paramedics. The client is a type 2 diabetic and is experiencing hyperglycemic hyperosmolar syndrome (HHS). The nurse should identify what components of HHS? Select all that apply.
Glycosuria Dehydration Hypernatremia Hyperglycemia
A patient has been placed on corticosteroid therapy for an Addison's disease. The nurse should be aware of which of the following side effects with this type of therapy? Select all that apply.
Hypertension Alterations in glucose metabolism Poor wound healing
Which of the following is a risk factor for the development of diabetes mellitus? Select all that apply.
Hypertension Obesity Family history Age greater of 45 years or older History of gestational diabetes
A patient is diagnosed with type 1 diabetes. What clinical characteristics does the nurse expect to see in this patient? Select all that apply.
Ketosis-prone Little endogenous insulin Younger than 30 years of age
The nurse is educating the patient with diabetes about the importance of increasing dietary fiber. What should the nurse explain is the rationale for the increase? Select all that apply.
May improve blood glucose levels Decrease the need for exogenous insulin Help reduce cholesterol levels
A nurse is providing care to a client with primary hyperparathyroidism. Which interventions would be included in the client's care plan? Select all that apply.
Monitor gait, balance, and fatigue level with ambulation. Monitor for fluid overload.
The nurse is caring for a client at risk for an addisonian crisis. For what associated signs and symptoms should the nurse monitor the client? Select all that apply.
Pallor Rapid respiratory rate Hypotension
The nurse recognizes that which of the following agents suppress release of thyroid hormones? Select all that apply.
Sodium iodide Potassium iodide Saturated solution of potassium iodide (SSKI)
A patient has been taking tricyclic antidepressants for many years for the treatment of depression. The patient has developed SIADH and has been admitted to the acute care facility. What should the nurse carefully monitor when caring for this patient? Select all that apply.
Strict intake and output Neurologic function Urine and blood chemistry
A nurse is teaching a client about hormones within the endocrine system. Which hormones would be included as the hypothalamic hormones? Select all that apply.
Thyrotropin-releasing hormone Corticotropin-releasing hormone Gonadotropin-releasing hormone
A nurse is aware that several laboratory results are present in a patient diagnosed with diabetes insipidus. Select all that apply.
Urine specific gravity of 1.001 Serum osmolality of 310 mOsm/kg Serum sodium level of 149 mEq/L
A client has been diagnosed with myxedema from long-standing hypothyroidism. What clinical manifestations of this disorder does the nurse recognize are progressing to myxedema coma? Select all that apply.
hypothermia hypotension hypoventilation
Which hormones are secreted by the posterior lobe of the pituitary gland? Select all that apply.
vasopressin oxytocin
A client has experienced several autoimmune disorders over the last 25 years, and lately has developed a new set of symptoms. What assessments would the nurse expect to find with a client with suspected Addison disease? Select all that apply.
Hypoglycemia Depression Hypotension
A client with a 20-year history of hypothyroidism who has not been compliant with taking thyroid replacement therapy is brought into the ED with a diagnosis of myxedema coma. What client symptoms are consistent with this life-threatening event? Select all that apply.
Hypothermia Hypotension Hypoventilation
