Med surg endo

The nurse is monitoring a client who has been diagnosed with diabetes mellitus for signs of complications. Which statement made by the client would indicate hyperglycemia and thus warrant primary health care provider notification?

"I am urinating alot"

A nurse is collecting data from a client who has diabetic ketoacidosis and ketones in the urine. Which of the following findings should she expect to find? (Select all that apply).

Abdominal pain Metabolic acidosis Fruity odor of breath kussmaul respirations

A nurse is preparing to administer a morning dose of insulin to a client with Type I diabetes. Which of the following actions should the nurse take?

Administer insulin when breakfast arrives

You are caring for a patient with Cushing's disease. Which of the following is your patient most at risk for? (Select all that apply).

Bone fractures Infection Gastric ulcer

You are providing care of a client who has secondary hypothyroidism. Which of the following laboratory results should you expect?

Decreased T3

A nurse is in the provider's office reviewing the health record of a client undergoing evaluation for Grave's disease. Which of the following laboratory results would she expect to find?

Decreased TSH

A nurse is caring for a client who has SIADH. Which of the following findings should the nurse expect? (select all that apply)

Decreased serum sodium Decreased serum osmolality

You are caring for a client with diabetes insipidus. Which of the following laboratory findings will you expect to find in their urinalysis?

Decreased urine gravity

You are the nurse caring for a client who is 12 hours post thyroidectomy. Which of the following findings indicate that that the client is experiencing thyroid crisis? (select all that apply)

Dyspnea Abdominal pain Mental confusion

A nurse is teaching the client with a new diagnosis of diabetes. The client asks the nurse why the provider bases their medication on the HbA1c instead of the morning blood glucose results. Which of the follow responses makes the most sense for the nurse to make to the client?

HbA1c indicaates how well you have regulated your blood glucose over the past 120 days."

A nurse is reviewing the medical record of a client who has syndrome of inappropriate anti-diuretic hormone (SIADH). Which of the following laboratory findings should the nurse expect?

Increased urine specific gravity Low sodium High urine sodium Increased urine osmolality

You are teaching your patient who has just received a new diagnosis of Grave's disease and is receiving a new prescription for methimazole. Which of the following interventions should you include in your teaching? (select all that apply)

Monitor T3 Monitor CBC Advise the patient to take the medication at the same time daily

A nurse is reinforcing teaching with a client who has a new diagnosis of diabetes insipidus. Which of the following client statements indicates understanding of the teachings?

Muscle weakness is a sign of diabetes insipidus

You are concerned your patient is exhibiting signs of hyperthyroidism. Which of the following findings would you report to the physician. (select all that apply)

Palpitations Weight loss Heat intolerance

You are the nurse for a patient who has anew prescription for levothyroxine to treat their hypothyroidism. Which of the following information should you include in your teaching? (select all that apply)

Take med on empty stomach Have follow up TSH levels performed D o not discontinue this medication without the advice of your provider

The nurse is caring for a client after a thyroidectomy and notes that calcium gluconate is prescribed. The nurse determines that this medication has been prescribed for which reason?

Treat hypocalcemic tetany

You are reviewing the laboratory findings of a patient who might have hyperthyroidism. The nurse should identify that an elevation in which of the following substances indicates hyperthyroidism

Triiodothyronine

You are caring for a client who has acromegly. Which of the following assessment findings would you expect to find?

Visual disturbances

You are reinforcing teaching about foot care to a diabetic. Which of the following information should you include in your teaching? (Select all that apply)

Wear closed toe shoes Trim toenails straight across Perform nail care after bathing

You are reinforcing teaching with a client who has Addison's disease and is taking hydrocortisone. Which of the following instructions should the nurse include? (Select all that apply).

do not discontinue suddenly Notify the provider of any stress or illness report any manifestations of weakness or dizziness

You are educating a group of how to prevent Type II diabetes utilizing proper nutrition habits. Which of the following will you include in your teaching? (select all that apply)

eat less meat and processed food Decrease fat intake Increase daily fiber intake Include omega 3 fatty acids in diet

You are reinforcing teaching for a client recovering from DKA (diabetic ketoacidosis). You want to make sure the client understands what needs to be done to prevent recurrence. What instruction us important for the nurse to emphasize?

monitor blood glucose level frequently

You are preparing to receive your patient into the PACU post thyroidectomy. What equipment should you make sure you have ready and available? (select all that apply).

suction equipment Humidified oxygen Tracheostomy tray