Endocrine Quiz Week 3

What should the nurse caution a type 1 diabetic about excessive exercise?

It can decrease the need for insulin and may result in hypoglycemia.

Glargine insulin(Long acting insulin Lantus) is prescribed for a client with type 1 diabetes mellitus. What instructions does the nurse reinforce for the client about this type of insulin?

It does not have a peak effect It is usually given once daily, at bedtime It usually has a 24 hour duration of action

A nurse is performing an assessment of a client with suspected pheochromocytoma. Which clinical manifestion does the nurse expect to note?

A blood pressure higher than the normal range

A nurse is reinforcing teaching for a client with newly diagnosed diabetes mellitus on how to perform fingerstick blood glucose measurements. The nurse tells the client to take which action.

Hold the finger in a dependent position and massage the finger toward the puncture site.

Tolbutamide is prescribed to a client whose type 2 diabetes mellitus has not been controlled with diet and exercise alone. The nurse provides instructions to the client about the medication. Which statement by the client indicates a need for further instruction? "I need to maintain my exercise program." "I need to stay on my calorie-restricted diet." "I can take the medication with food if it upsets my stomach." "I can have a beer or glass of wine as long as I stay within my daily dietary restrictions."

I can have a beer or a glass of wine as long as I stay within my daily dietary restrictions

A client with type 1 diabetes mellitus is instructed by the health care provider to obtain glucagon hydrochloride for emergency home use. the licensed practical nurse reinforces information to the clients wife about the medication. Which statement by the client's wife indicates that she understands the information?

I need to give this if he has signs of low blood sugar and becomes unresponsive

Metformin (Glucophage) has been prescribed for a client with diabetes Mellitus and the licensed practical nurse reinforces instructions to the client about the medication. For which occurrence does the nurse tells the client to contact the heath care provider?

I will take it one hour before my scheduled surgery

A nurse is monitoring a client with pheochromocytoma who is receiving an intravenous (IV) infusion of phentolamine. Which vital sign does the nurse monitor most closely during the infusion?

Blood pressure

A client is found to have hypoparathyroidism. Which nutritional supplement does the nurse tell the client to take on a daily basis, reinforcing teaching to the client about measures to manage the disorder?

Calcium carbonate with vitamin D

A nurse participating in a free health screening at the local mall obtains a random blood glucose level of 200 mg/dl and a total chloesterol level of 210 mg/dl in an otherwise healthy client. what should the nurse tell the client to do next?

Call his health care provider to have these values rechecked as soon as possible.

A nurse is caring for a client who has just undergone thyroidectomy. Which technique is the best way for the nurse to assess the surgical site for bleeding?

Checking for moisture on the back of the dressing over the client's neck and shoulders

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy, the patient has a spasm of the facial muscles. What should the nurse recognize this as?

Chvostek sign

A licensed practical nurse reinforces instructions to a client who will be taking levothyroxine for hypothyroidism. The licensed practical nurse reinforces tells the client that it is best to take the medication in which way?

In the morning, before breakfast

A client with hypoparathyroidism is taking calcium gluconate to treat hypocalcemia. The client calls the clinic nurse and complains of bleeding constipated since starting the medication. The nurse reinforces which patient instruction?

Increase intake of high fiber foods

A nurse is following a plan of care for an older client with diabetic neuropathy of the lower extremities resulting from type 2 diabetes mellitus. Which problem does the nurse recognize as the highest priority for this client?

Increased risk of injury

What do the Chvostek sign and the Trousseau sign indicate?

Low levels of serum calcium

What gland which control's blood sugar in the body is?

Pancreas

The nurse is reinforcing instructions to a client with newly diagnosed diabetes mellitus who has been prescribed NPH insulin on how to recognize the signs of hypoglycemia. The client states that he must look for certain signs and signs and symptoms?

Shakiness, cold sweats, blurred vision, feelings of hunger

What is the postoperative position for a person who has had a thyroidectomy should avoided?

Supine

A licensed practical nurse in reinforcing information to a client who will be self-administering regular insulin about storage of the insulin. The nurse gives what information to the client?

That the vial in current use may be kept at room temperature for as long as 1 month without significant loss of activity.

A nurse is monitoring a client who has undergone subtotal thyroidectomy for signs of postoperative complications. Which finding would be a matter of concern for the nurse as an indication of hypocalcemia?

The client complains of tingling sensation around the mouth

Vasopressin (Pitressin) is prescribed to a client with diabetes insipidus. For which sign, indicative of an adverse effect of the medication, does the nurse monitor the client?

chest Pain

True or False. Gigantism is caused by decrease production of growth hormone from the anterior pituitary gland after puberty

False

Which is the least diagnostic test for diabetes mellitus provides a measure of glucose level in the body?

Finger stick blood sugar (FBS)

The wife of a client with diabetes mellitus calls the nurse and reports that her husband's blood glucose level is 60 mg/dl and that her husband is awake but groggy. The nurse tells the client's wife to immediately take which action?

Place some honey in her husband's mouth between his gums and cheek

A nurse is transcribing a health care provider's prescription for oral predisone 5mg/day that was written in the chart of a client with type 2 diabetes mellitus who is already taking an oral hypoglycemic medication. The nurse contacts the health care provider to ask about the prescription for which reason?

Prednisone can increase the blood glucose level

A client is brought to the emergency department by ambulance, and diabetic ketoacidosis is uspected. Blood samples are taken, and the nurse obtains supplies that will be needed to treat the client. Which type of insulin does the nurse take from the medication supply room for intravenous (IV) administration?

Regular (Humulin R)

Levothyroxine is prescibed to a client with hypothyroidism. One week after beginning the medication, the client calls the health care provider's office and tells the nurse that the medication has not helped. The nurse most appropriately tells the client which information

The full therapeutic may take 4 week

A nurse is providing information on the glycosylated hemoglbin assay (HgbA1C) and its purpose to a client with diabetes mellitus. The nurse reinforces information to the client that this blood test is performed for which reason?

To help predict the risk for the development of chronic complications of diabetes mellitus

True or False. Acromegaly is caused by increase production of growth hormone from the anterior pituitary gland after puberty.

True