Exam #4
72. Which period of the menstrual phase would blood work report show increased estrogen and pregesterone levels?
15-28 days
31. What is included in the dietary needs for a pt with pancreatitis
6 small frequent meals
MATH
8.2
77. what is illness anxiety disorder
A man's wife dies of colon cancer and believes he has the same thing
41. Know sites to give insulin
Abdomen
64. The nurse is providing care for a client with primary hyperaldosteronism will recognize that the client's hypertension is most likely caused by excessive hormone secretion from which gland?
Adrenal cortex
48. what do the nurse assess for post thyroidectomy
Airway, hoarseness, laryngeal nerve damage
34. What are the s/s of hyperthyroidism
Amenorrhea, flushed appearance, short attention span. Diarrhea, weight loss. Emotionally labile, dyspnea on exertion, hyperactive deep tendon reflexes. Diaphoresis, weight loss, protruding eyes
73. what medication would you give to promote comfort with PID
Analgesics
18. Which treatment plan would the nurse expect for a client with dysphagia caused by acute thyroiditis
Antibiotics
37. Which hormone are you concerned about when teaching about diabetes insipidus and medication to treat
Antidiuretic hormone. Vasopressin
21. Why are infants blood glucose monitored from a mother who has type 1 diabetes
Babies have higher than average insulin level when pregnant so glucose level can drop because they are not getting that feeding from mom
6. An adolescent is found to have type 1 diabetes. The nurse plans to teach the adolescent that dietary control and exercise can help regulate the disorder. Which information would the nurse include in the teaching plan?
Blood glucose monitoring, adhere to treatment regimen, insulin therapy
65. Which response would the nurse monitor for when assessing for complications of hyperparathyroidism?
Bone pain
63. which hormones are responsible for serum calcium concentrations
Calcitonin, parathyroid hormone
75. a pt with tertiary syphilis, what body system do you need to monitor
Cardiovascular
70. know the STDs that requires reporting to the health department
Chlamydia, gonorrhea, HIV, syphilis
45. A pt suspected of pancreatic cancer (head of the pancreas) the stool color would be what color
Clay colored stool
81. Valsartan controls what and affects which gland
Controls BP and its affects adrenal gland-
66. what condition causes metabolic alkalosis
Cushing's disease
14. Why would a pt start with hyperthyroidism undergoes a subtotal thyroidectomy resulting in hypothyroidism
Decrease size and vascularity of thyroid gland
86. A client with hyperthyroidism is prescribed potassium iodide solution before a subtotal thyroidectomy is performed. Which benefit of potassium iodide solution is derived that the nurse would include when providing teaching?
Decrease the size and vascularity of thyroid gland
36. Know s/s of thyroid crisis
Diarrhea, vomiting, confusion, hypertension, extreme agitation
93. Which instruction would the nurse give when discussing insulin administration with a client newly diagnosed with type 1 diabetes mellitus?
Draw the different insulins into the syringe in the same prescription every time
54. what factor has contributed to the increased incidence of fractures with osteoporosis
Elderly, aging population
13. What would be included in the women's history requiring an abdominal hysterectomy and salpingo-oophorectomy
Endometriosis Uterine cancer, cervical cancer, or ovarian cancer. Uterine fibroids.
38. Which nursing intervention would be appropriate for a client on a new insulin pump who is scheduled for a MRI?
Ensure that the client is only off the pump for no more than an hour
84. The nurse is caring for a client with Addison disease. Which information would the nurse include in the teaching plan to encourage the client to modify dietary intake?
Extra salt is needed to replace the amount being lost as a result of lack of sufficient aldosterone to conserve sodium
16. Which nutrients are heavily influenced by the pancreas
Fats and carbs
56. what hormone is secreted by the pancreas
Glucagon, insulin
78. what hormone is thought to be responsible for nausea and vomiting due the first trimester
HCG
25. Why is a bedtime snack important for a pt receiving intermediate acting insulin q12rs
Have a bedtime snack to prevent hypoglycemia
61. know the laws pertaining to STI's and the adolescent
Her parents will not be contacted
82. What are the s/s of adrenal gland hypofunction. What drug is used to treat this condition
Hydrocortisone
11. A nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication would the nurse expect to be prescribed for this client on the day of surgery and in the immediate postoperative period?
Hydrocortisone succinate
40. A nurse is caring for a client with a diagnosis of Cushing syndrome. Which common cause of Cushing syndrome would the nurse consider before assessing this client?
Hyperplasia of the adrenal cortex
74. what factor is associated with abnormal uterine bleeding
Hyperthyroidism, thrombocytopenia, spontaneous abortion, lesions and polycystic
44. When treating a pt for hyperglycemia of 700, the pt is placed on an insulin drip, the nurse must closely monitor which electrolyte due to this electrolyte follows glucose into the cells lowing the the serum level of this electrolyte
Hypokalemia
90. In what condition would you give calcium gluconate IV to counteract?
Hypoparathyroidism tetany
49. what condition would you expect for a pt receiving calcium gluconate
Hypoperathyroid tetany
85. A nurse is caring for a client who had an adrenolectomy. Which response would the nurse monitor while steroid therapy is being regulated?
Hypotension
39. Know the changes a women would expect post vaginal hysterectomy
Hysterectomy does not affect the chronological age when menopause occurs
95. Learning successful with STI teaching
I will consult with PHP when there is a rash or ulcer in genitals
96. Premenopausal woman scheduled for a total abdominal hysterectomy, what statement indicates preoperative teaching was understood?
I won't have anymore menstrual periods
5. The nurse is teaching a diabetic client about the advantages of using an insulin pump. Which information will the nurse include in the teaching?
Improve hemoglobin A1C levels, allows clients to exercise without eating more carbs
67. A client is admitted with a head injury. The nurse identifies that the client's urinary catheter is draining large amounts of clear, colorless urine. Which cause is suspected by the nurse?
Inadequate antidiuretic hormone (ADH) secretion
7. A client undergoes a thyroidectomy. Which clinical finding will the nurse monitor to detect thyrotoxic crisis? The nurse is caring for a client after a thyroidectomy. The client would be monitored for which sign of thyroid storm?
Increased temperature and pulse rate
1. Know how to draw NPH/Reg insulin in a syringe
Inject air into NPH dose, Inject air into regular insulin bottle, Invert regular insulin bottle, Invert NPH bottle Put on a pair of clean gloves. Put air into short-acting insulin vial. Put air into the intermediate-acting insulin vial. Withdraw the prescribed amount of short acting insulin. Withdraw the prescribed amount of intermediate acting insulin. Wash hands with soap and water. Rotate the vial of insulin between the palms of the hands. Wipe the top of the insulin vial with an alcohol swab. Instill air into the vial of insulin equal to the desired dose. Withdraw the correct amount of insulin from the inverted vial.
8. What is the cause of lipohypertrophy in a pt receiving insulin.
Injecting the same spot
35. The HCP prescribes one tube of glucose gel for a client with type 1 diabetes. Which complication of diabetes would this gel be used for?
Insulin induced hypoglycemia
12. A nurse is caring for several clients with type 1 diabetes. Each client has a prescription for a specific type of insulin. Which insulin does the nurse conclude has the fastest onset of action?
Insulin lispro
53. what are the s/e of soy supplements to decrease menopause s/s
Interfere with thyroid meds, some women report Nausea, diarrhea, abdominal pain
20. What would be included in the teaching to a pt receiving PTU
Interferes with synthesis of thyroid
32. What is the relationship between pancreatitis and alcoholism
It increases pancreatic enzyme secretion and pancreatic duct pressure
87. The nurse us caring for a client diagnosed with Cushing syndrome. Which finding will the nurse expect to find upon assessment?
Lability of mood
98. What is a reason a woman would have to have an abdominal hysterectomy instead of a vaginal?
Large uterine fibroids
79. why do females have a hard time adjusting to emotionally to a total abdominal hysterectomy for noninvasive endometrial cancer
Loss of femininity
51. what are the dietary requirements s/s Whipple
Lower fat intake to prevent interference with fat digestion mechanisms
9. A client with type 1 diabetes consistently has high glucose levels in the morning. Which instruction should the nurse give to the client to differentiate between Somogyi effect and the dawn phenomenom?
Measure the blood glucose level between 2AM-4AM
27. Do you need sanitary pads after a hysterectomy
Menstruation will not occur because uterus was removed
10. Which instruction would you give a type 1 diabetic who is pregnant affecting diet and insulin needs
Monitor and adjust as needed
29. What condition is related to underproduction of thyroxine (T4)
Myxedema
23. Which condition would be prevented by immediately action taken by the nurse when caring for a confused, rambling client who reports to the emergency department with a history of hypothyroidsm and current findings of hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area?
Myxedema coma
68. what type of tube should you expect a pt to have post Whipple procedure
NG tube
80. do women with large breast produce more milk
Needs more teaching
91. A nurse is caring for a male client with a diagnosis of Cushing syndrome. Which manifestation does the nurse expect to identify?
Obese trunk, sleep disturbance, thin arms and legs
55. Which intervention would the nurse implement when caring for a client with syndrome of innapropriate antidiuretic hormone (SIADH)
Oral care, institute fall risk precautions, monitor and report for changes in neurological system
92. A patient is prescribed a uterine stimulant to begin labor. What condition should the nurse make sure that the mom does not have before administering?
PID
62. what are the s/s of acute pancreatitis
Pain, increase amylase, jaundice,
76. which hormone regulates phosphorus in the blood
Parathyroid
83. Why do the nurse teach a pt about reducing the dose gradually when taking corticosteroids
Patient can go to a psychological crisis
69. what cation regulates intracellular osmolarity
Potassium
15. A pt with Grave's disease has a subtotal thyroidectomy. What will the nurse do to prevent a thyroid storm The HCP prescribes PTU for a client with the diagnosis of Graves disease. Which information should the nurse trach the client when discussing the self administration of this medication?
Prevent infection at surgical site Observe for signs of infection
19. Why do nurses verify insulin when mixing two types of insulin
Prevent medical errors
3. Which hormone level would you expect to be drawn for a pt with pituitary adenoma with reports of amenorrhea, galactorrhea, headache, vision loss
Prolactin
2. A client is diagnosed with a diabetic ketoacidosis. Which insulin should the nurse expect the HCP to prescribe?
Regular insulin
24. How do you prevent lipodystrophy
Rotate sites
50. what assessment findings would you expect for a pituitary tumor
Seizures
52. Which manifestation would a nurse assess for when providing care for a client with acromelagy?
Snoring, joint pain, hoarseness, hypertension, hyperglycemia, enlarge hands
46. after a laparoscopic hysterectomy and bilateral salpingo-oophorectomy, the pt is considered to be in what condition
Surgical menopause
89. You have a client who is nervous, irritable and extremely tired having bouts of diarrhea and losing weight and motor tremors. What test would be run on this patient?
TSH, T3 and T4
88. If a patient is Valsartin what test would you do to make sure the medication is working for them?
Take their blood pressure
4. When does Novolin N peaks
Takes 6-8 hours, in the afternoon
28. A pt had a thyroidectomy. What s/s would the nurse be concerned about hypoparathyroidism from the surgery
Tetany
22. A client with type 2 diabetes is admitted for elective surgery. The health care provider prescribes regular insulin, even though oral antidiabetics were adequate before the client's hospitilization. Which rationale does the nurse conclude as the reason that regular insulin was prescribed.
The dosage can be adjusted to changing needs during recovery from surgery
47. what is one of the side effects of an abdominal hysterectomy and a tell tell signs is blood in the foley catheter
They nick the bladder
42. What does the nurse monitor for post treatment of ketoacidosis
They stay on insulin drip until the ABG normalizes, causing hypoglycemic
71. what condition would you attribute to irregular menstrual periods
Type 1 diabetes
30. The nurse is caring for two clients newly diagnosed with diabetes. One client has type 2 diabetes. Which factor would the nurse determine as the main difference between newly diagnosed type 1 diabetes and type 2 diabetes?
Type 1 diabetic long term complications are not present at time of diagnosis
Which medication would the nurse anticipate being prescribed to treat a client with diabetes insipidus?
Vasopressin
94. Benign pituitary adenoma, what would be one of the first s/s?
Vision disturbances
26. Why is a pt prescribed methimazole for hyperthyroidism
Will take several weeks for them to get better
97. After a woman has a hysterectomy, do women think they will lose their libido because they don't have a uterus anymore?
Yes
57. While reviewing lab reports, the nurse finds that there is an elevation in the client's growth hormone levels. Which key feature would the nurse assess to rule out the occurrence of acremegaly?
changes in chest shape, changes in lip thickness, changes in length of hands
33. A nurse is assessing a client with diabetic ketoacidosis. Which manifestation would the nurse expect
dry skin, abdominal pain, kussmaul respirations
58. what hormone deficiency causes breast atrophy in females
lutemizing
60. what type of thyroid cancer is most common in younger females
papillary
59. what is adrenocorticotropic hormone responsible in females
reduces the growth of axilla and pubic hair in female clients
17. Which s/s the nurse would expect to see in a pt with pituitary adenoma
visual disturnance- endocrine dysfunction such as infertility, decreased libido, and galactorrhea, or with neurologic symptoms such as headache and visual changes.