NCLEX endocrine
Which statement is incorrect about pheochromocytoma? A. This condition can be trigger by eating foods high in Tyramine such as hamburger meat and spinach. B. Monoamine oxidase inhibitors can trigger signs and symptoms of pheochromocytoma. C. An adrenalectomy is the only surgical treatment for pheochromocytoma. D. Patients with pheochromocytoma are at risk for hypertensive crisis.
A. This condition can be trigger by eating foods high in Tyramine such as hamburger meat and spinach.
The nurse is assessing a client with hyperthyroidism. Which signs and symptoms might the nurse identify when assessing the client? Select all that apply. A. Menstrual irregularities B. Hypotension C. Facial edema D. Flushed appearance E. Short attention span
A. Menstrual irregularities D. Flushed appearance E. Short attention span
After assessing a client, a nurse concludes that the client may be experiencing hyperglycemia. Which clinical findings commonly associated with hyperglycemia support the nurse's conclusion? Select all that apply. A. Polyuria B. Polydipsia C. Polyphagia D. Polyphrasia E. Polydysplasia
A. Polyuria B. Polydipsia C. Polyphagia
A nurse teaches a client with type 1 diabetes how to best treat hypoglycemia. If the teaching is effective, which foods does the client identify to manage hypoglycemia? A. Hard candy and fruit juice B. Cheese sandwich and sugar C. Chocolate candy and an orange D. Peanut butter crackers and a glass of milk
B. Cheese sandwich and sugar
True or False: Treatment of Hyperglycemic Hyperosmolar Nonketotic Syndrome is similar to the treatment of Diabetic Ketoacidosis.
True
True or False: When priming the tubing for an Insulin infusion it is best practice to waste 50cc to 100cc of insulin prior to starting the infusion because insulin absorbs into the plastic lining of the tubing.
True
Which of the following is NOT a typical finding in HHNS? A. Blood pH <7.35 B. Dehydration C. Mental status changes D. Osmotic diuresis
A. Blood pH <7.35
Which important intervention should the nurse include in the plan of care for a client with Addison disease? A. Encouraging the client to exercise B. Protecting the client from exertion C. Restricting the client's fluid intake D. Monitoring the client for hypokalemia
B. Protecting the client from exertion
A client is worried about what to expect after having a pancreatoduodenectomy (Whipple procedure) for cancer of the pancreas. What is most important for the nurse to know when helping this client plan for the future? A. Any history of alcohol or tobacco use B. The stage and grade of the client's cancer C. Any previous exposure to known carcinogens D. The survival rate for individuals with pancreatic cancer
B. The stage and grade of the client's cancer
A patient is diagnosed with pheochromocytoma. From your nursing knowledge, you know that the patient will present with hypertension, sweating, and palpations due to excessive catecholamine production from the? A. Adrenal Cortex B. Adrenal Zona Fasciculata C. Adrenal Medulla D. Adrenal Glomerulosa
C. Adrenal Medulla
A client is diagnosed as having type 2 diabetes. What is a priority teaching goal for the client? A. To perform foot care daily B. To administer insulin as prescribed C. To test urine for both sugar and acetone D. To identify pending hypoglycemia or hyperglycemia
D. To identify pending hypoglycemia or hyperglycemia
A nurse is caring for a client after a thyroidectomy. With concerns of nerve injury, what functional ability should the client be assessed for? A. Speaking B. Swallowing C. Pursing the lips D. Turning the head
A. Speaking
The nurse is teaching a client with decreased ovarian production of estrogen due to menopause about self-management and prevention of complications. Which actions performed by the client would help to reduce the complications? Select all that apply. A. Walking for 30 minutes per day B. Performing weight-bearing activities C. Dressing warmly in cool or cold weather D. Urinating immediately after sexual intercourse E. Keeping within 10 pounds of ideal body weight
A. Walking for 30 minutes per day B. Performing weight-bearing activities D. Urinating immediately after sexual intercourse
The nurse is giving discharge teaching to a client with diabetes who has had a hypophysectomy. Which statement made by the client indicates that further teaching is necessary? A. "There is a risk that I could become permanently sterile." B. "My insulin dose will need to be increased from now on." C. "I must have cortisone therapy for the rest of my life." D. "Life-long thyroxine replacement therapy will be required."
B. "My insulin dose will need to be increased from now on."
A patient undergoing treatment for Hyperglycemic Hyperosmolar Nonketotic Syndrome has a blood glucose of 799. The doctor has ordered intravenous fluids and intravenous Regular insulin therapy. Which of the following findings causes concern before starting insulin therapy? A. Regular insulin cannot be given intravenously; therefore, the nurse needs to clarify the doctor's order. B. The patient's potassium level is 3.1. C. The patient is complaining of severe thirst and has dry mucous membranes. D. The patient is confused and drowsy.
B. The patient's potassium level is 3.1.
A nurse is caring for two clients newly diagnosed with diabetes. One client has type 1 diabetes, and the other client has type 2 diabetes. When determining the main difference between type 1 and type 2 diabetes, the nurse recognizes what clinical presentation about type 1? A. Onset of the disease is slow. B. Excessive weight is a contributing factor. C. Complications are not present at the time of diagnosis. D. Treatment involves diet, exercise, and oral medications.
C. Complications are not present at the time of diagnosis.
A patient has excessive catecholamines in the urine. Which of the following signs and symptoms would the patient NOT exhibit? SELECT-ALL-THAT-APPLY: A. Tachycardia B. Anxiety C. Hypoglycemia D. Thermogenesis E. Decreased Basal Metabolic Rate
C. Hypoglycemia E. Decreased Basal Metabolic Rate
The nurse is assessing a client experiencing diabetic ketoacidosis (DKA). Which unique response associated with DKA that is not exhibited with hyperglycemic hyperosmolar nonketotic syndrome (HHNS) should the nurse identify when assessing this client? A. Fluid loss B. Glycosuria C. Kussmaul respirations D. Increased blood glucose level
C. Kussmaul respirations
A client with diabetes is given instructions about foot care. Which statement made by the client shows effective learning? A. "I will trim my toenails before bathing." B. "I will soak my feet daily for one hour." C. "I will examine my feet using a mirror at least once a week." D. "I will break in my new shoes over the course of several weeks."
D. "I will break in my new shoes over the course of several weeks."
A patient diagnosed with diabetes mellitus is being discharged home and you are teaching them about preventing DKA. What statement by the patient demonstrates they understood your teaching about this condition? A. "I should not be alarmed if ketones are present in my urine because this is expected during illness." B. "It is normal for my blood sugar to be 250-350 mg/dL while I'm sick." C. "I will hold off taking my insulin while I'm sick." D. "It is important I check my blood glucose every 3-4 hours when I'm sick and consume liquids."
D. "It is important I check my blood glucose every 3-4 hours when I'm sick and consume liquids."
A nurse is caring for an alert client with diabetes who is receiving an 1800-calorie diabetic diet. The client's blood glucose level is 30 mg/dL (3 mmol/L). The primary healthcare provider's protocol calls for treatment of hypoglycemia with 15 g of a simple carbohydrate. What should the nurse do first? A. Provide 12 ounces (360 mL) of nondiet soda B. Give 25 mL dextrose 50% by slow intravenous (IV) push C. Have the client drink 8 ounces (240 mL) of fruit juice D. Ask the client to ingest one tube of glucose gel
D. Ask the client to ingest one tube of glucose gel
A nurse is transferring a client with a diagnosis of pheochromocytoma from the bed to a chair. What is the most important nursing intervention associated with this procedure for this client? A. Supporting the client on the weak side B. Ensuring that the chair is close to the client's bed C. Placing sturdy shoes with rubber soles on the client's feet D. Having the client sit on the side of the bed for a few minutes before the transfer
D. Having the client sit on the side of the bed for a few minutes before the transfer
A nurse is caring for a client who had a hypophysectomy. Which complication specific to this surgery should the nurse assess the client for early clinical manifestations? A. Urinary retention B. Respiratory distress C. Bleeding at the suture line D. Increased intracranial pressure
D. Increased intracranial pressure
A client is admitted to the hospital with a diagnosis of Cushing syndrome. What signs and symptoms will the client most likely exhibit? A. Hyperkalemia and edema B. Hypotension and sodium loss C. Muscle wasting and hypoglycemia D. Muscle weakness and frequent urination
D. Muscle weakness and frequent urination
True or False: DKA and HHNS mainly occur in type 2 diabetics.
False
True or False: Hypertonic fluids, such as 3% saline, are the first line of treatment to correct dehydration in HHNS.
False: Isotonic (0.9% NS) solutions are usually the first-line treatment or the physician may order a hypotonic solution such 0.45% NS to replenish the dehydrated cell. ....this depends on the severity of dehydration. A 5% Dextrose 0.45% NS may be added when the glucose has reached 300 mg/dL, but is not first-line treatment.
The nurse is caring for a client who reports sweating, tachycardia, and tremors. The laboratory report of the client reveals serum cortisol below normal and a blood glucose level of 60 mg/dL. What is the primary care to be provided to the client? A. Administer glucagon B. Administer kayexalate C. Administer hydrocortisone D. Administer insulin with dextrose in normal saline
A. Administer glucagon
A registered nurse teaches a student nurse regarding the management of increased potassium levels in a client. Which action performed by the student nurse indicates effective learning? A. Administering sodium polystyrene sulfonate B. Avoiding potassium restriction C. Monitoring glucose levels hourly D. Providing potassium-sparing diuretics
A. Administering sodium polystyrene sulfonate
A client reporting increased thirst and increased urination arrives at the emergency department. The laboratory findings reveal deficiency of antidiuretic hormone (ADH) and urine osmolarity of 80mOsm/kg. The primary healthcare provider prescribed intravenous (IV) fluid therapy. While assessing the client receiving IV therapy, the nurse finds that the client continues to experience a fluid volume deficit. Which is the likely reason for the client's condition? A. Administration of IV glucose B. Administration of normal saline C. Administration of lactated ringers D. Administration of hypotonic saline
A. Administration of IV glucose
An obese client with type 2 diabetes asks about the intake of alcohol or special "dietetic" food in the diet. What should the nurse include in teaching? A. Alcohol can be consumed, with its calories counted in the diet. B. Unlimited amounts of sugar substitutes can be used as desired. C. Alcohol should not be used in cooking because it adds too many calories. D.Special "dietetic" foods are needed because many regular foods cannot be used.
A. Alcohol can be consumed, with its calories counted in the diet.
A client with the diagnosis of Cushing syndrome has the following laboratory results: Na+ (sodium) 149 mEq/L (149 mmol/L); K + (potassium) 3.2 mEq/L (3.2 mmol/L); Hb (hemoglobin) 17 g/dL (170 mmol/L); and glucose 90 mg/dL (5 mmol/L). What should the nurse teach the client? Select all that apply. A. Avoid foods high in salt. B. Restrict your fluid intake. C. Eat foods high in potassium. D. Limit your carbohydrate intake. E. Continue your regular diet as before.
A. Avoid foods high in salt. C. Eat foods high in potassium.
What should the nurse do when collecting a 24-hour urine specimen? A. Check to verify whether a preservative is needed B. Weigh the client before starting the collection C. Discard the last voided specimen of the 24-hour period D. Assess the client's intake and output (I & O) for the previous 24-hour period
A. Check to verify whether a preservative is needed
What cells are responsible for secreting catecholamines? A. Chromaffin B. Langerhans C. Enkephalin D. Parietal
A. Chromaffin
A nurse is assessing a client with diabetes insipidus. Which signs indicative of diabetes insipidus should the nurse identify when assessing the client? Select all that apply. A. Excessive thirst B. Increased blood glucose C. Dry mucous membranes D. Increased blood pressure E. Decreased serum osmolarity F. Decreased urine specific gravity
A. Excessive thirst C. Dry mucous membranes F. Decreased urine specific gravity
Which of the following statements are INCORRECT about Diabetic Ketoacidoisis? A. Extreme Hyperglycemia that presents with blood glucose >600 mg/dL B. Ketones are present in the urine C. Metabolic acidosis is present with Kussmaul breathing D. Potassium levels should be at least 3.3 or higher during treatment of DKA with insulin therapy
A. Extreme Hyperglycemia that presents with blood glucose >600 mg/dL
The nurse is planning discharge instructions for a client who had a thyroidectomy. What signs/symptoms will the client exhibit with surgically induced hypothyroidism? Select all that apply. A. Fatigue B. Dry skin C. Insomnia D. Excitability E. Weight loss F. Intolerance to heat
A. Fatigue B. Dry skin
A nurse is caring for a client newly admitted with a diagnosis of pheochromocytoma. Which clinical findings does the nurse expect when assessing this client? Select all that apply. A. Headache B. Palpitations C. Diaphoresis D. Bradycardia E. Hypotension
A. Headache B. Palpitations C. Diaphoresis
A nurse is caring for a client who had an adrenalectomy. What clinical response should the nurse monitor while steroid therapy is being regulated? A. Hypotension B. Hyperglycemia C. Sodium retention D. Potassium excretion
A. Hypotension
The nurse concludes that a client with type 1 diabetes is experiencing hypoglycemia. Which responses support this conclusion? Select all that apply. A. Vomiting B. Headache C. Tachycardia D. Cool, clammy skin E. Increased respirations
B. Headache C. Tachycardia D. Cool, clammy skin
A nurse is caring for an older client who had non-insulin dependent diabetes for 15 years that progressed to insulin-dependent diabetes 2 years ago. What common complications of diabetes should the nurse assess for when examining this client? Select all that apply. A. Leg ulcers B. Loss of visual acuity C. Increased creatinine clearance D. Prolonged capillary refill in the toes E. Decreased sensation in the lower extremities
A. Leg ulcers B. Loss of visual acuity D. Prolonged capillary refill in the toes E. Decreased sensation in the lower extremities
Which health problem is most likely to precipitate acute hypoglycemia in a client? A. Liver disease B. Hypertension C. Hyperthyroidism D. Cushing syndrome
A. Liver disease
The nurse is teaching a client who underwent a hypophysectomy for hyperpituitarism about self-management. Which actions performed by the client could cause complications on the second post-operative day? Select all that apply. A. Nose blowing B. Teeth brushing C. Bending forward D. Breathing through the mouth E. Lying in a semi-Fowler's position
A. Nose blowing B. Teeth brushing C. Bending forward
The nurse is caring for a client in labor whose medical report states posterior pituitary hormone deficiency. Which medication administration is required for the client considering the medical condition? A. Oxytocin to promote uterine contractions B. Prolactin to promote breast milk ejection C. Luteinizing hormone to promote painless labor D. Follicle-stimulating hormone to promote estrogen secretion
A. Oxytocin to promote uterine contractions
A nurse is caring for an adult client with acromegaly. What clinical manifestation does the nurse expect the client to exhibit? A. Prominent jaw B. Decreased pulse C. Increased height D. Increased sodium
A. Prominent jaw
What interventions should the nurse implement when caring for a client with syndrome of inappropriate antidiuretic hormone (SIADH)? Select all that apply. A. Providing frequent oral care B. Instituting fall risk precautions C. Restricting fluids to 2 L per day D. Placing the client in high-Fowler position E. Monitoring for and reporting neurologic changes
A. Providing frequent oral care B. Instituting fall risk precautions E. Monitoring for and reporting neurologic changes
A female client has decreased bone density, dry skin, and dry perineal tissues, and the primary healthcare provider has identified a risk of cystitis. Which teaching should the nurse provide to the client? Select all that apply. A. "Avoid bending at the waist." B. "Perform weight-bearing activity." C. "Perform deep-breathing exercises." D. "Drink at least 2 liters of fluids daily." E. "Use vaginal lubricants during sexual activity."
B. "Perform weight-bearing activity." D. "Drink at least 2 liters of fluids daily." E. "Use vaginal lubricants during sexual activity."
A registered nurse is teaching the student nurse about drugs used to treat hyponatremia in hospitalized clients. Which statement made by the student nurse indicates an effective learning? A. "Tolvaptan is given intravenously." B. "Tolvaptan used for more than 30 days causes liver failure." C. "These drugs promote water retention with no sodium loss." D. "Conivaptan use should be stopped when the serum sodium levels increase more than 12 mEq/L in 24 hours."
B. "Tolvaptan used for more than 30 days causes liver failure."
A patient is admitted with Diabetic Ketoacidosis. The physician orders intravenous fluids of 0.9% Normal Saline and 10 units of intravenous regular insulin IV bolus and then to start an insulin drip per protocol. The patient's labs are the following: pH 7.25, Glucose 455, potassium 2.5. Which of the following is the most appropriate nursing intervention to perform next? A. Start the IV fluids and administer the insulin bolus and drip as ordered B. Hold the insulin and notify the doctor of the potassium level of 2.5 C. Hold IV fluids and administer insulin as ordered D. Recheck the glucose level
B. Hold the insulin and notify the doctor of the potassium level of 2.5
Which of the following is not a sign or symptom of Diabetic Ketoacidosis? A. Positive Ketones in the urine B. Oliguria C. Polydipsia D. Abdominal Pain
B. Oliguria
You are providing care to a patient experiencing diabetic ketoacidosis. The patient is on an insulin drip and their current glucose level is 300. In addition to this, the patient also has 5% Dextrose 0.45% NS infusing in the right antecubital vein. Which of the following patient signs/symptoms causes concern? A. Patient complains of thirst. B. Patient has a potassium level of 2.3 C. Patient's skin and mucous membranes are dry. D. Patient is nauseous.
B. Patient has a potassium level of 2.3
A nurse is caring for a postoperative client with diabetes. Which is the most common cause of diabetic ketoacidosis that the nurse needs to consider when caring for this client? A. Emotional stress B. Presence of infection C. Increased insulin dose D. Inadequate food intake
B. Presence of infection
A client with a diagnosis of Graves disease refuses to have radioactive iodine (RAI) therapy, and a subtotal thyroidectomy is performed. What should the nurse do postoperatively to reduce the risk of thyroid storm? A. Provide a high-calorie diet. B. Prevent infection at the surgical site. C. Encourage postoperative breathing exercises. D. Demonstrate how to support the neck after surgery.
B. Prevent infection at the surgical site.
A patient is being discharged home after recovering from HHNS. Which statement by the patient requires patient re-education about this condition? A. "I will monitor my blood glucose levels regularly." B. "If I become sick I will monitor my blood glucose more frequently and drink lots of fluids." C. "This condition happens suddenly without any warning signs." D. "It is important I take my medication as prescribed."
C. "This condition happens suddenly without any warning signs."
A patient is admitted with uncontrolled hypertension and the doctor suspects pheochromoctyoma. On assessment, you note the blood pressure to be 196/120 and HR 130. The patient reports feeling very anxious, sweaty, and having palpations. What do you expect the doctor will order to confirm a diagnosis of pheochromocytoma? A. Urinalysis B. Urine culture C. 24-hour urine D. 8-hour urine
C. 24-hour urine
Which of the following patients is MOST LIKELY experiencing Hyperglycemic Hyperosmolar Nonketotic Syndrome based on their symptoms? A. A 72 year old with a health history of diabetes who has a blood glucose of 300 mg/dL and is complaining of thirst and frequent urination. B. A 66 year old with type I diabetes that has ketones present in their urine. C. A 69 year old admitted with an infection of the right foot with a health history of diabetes that reports missing several doses of Metformin and has a blood glucose of 600 mg/dL. D. A 6 year old that is presenting with polyuria, polydipsia, abdominal pain, and vomiting.
C. A 69 year old admitted with an infection of the right foot with a health history of diabetes that reports missing several doses of Metformin and has a blood glucose of 600 mg/dL.
Which of the following statements is INCORRECT about Hyperglycemic Hyperosmolar Nonketotic Syndrome? A. HHNS occurs mainly in type 2 diabetics. B. This condition presents without ketones in the urine. C. Metabolic alkalosis presents in severe HHNS. D. Intravenous Regular insulin is used to treat hyperglycemia.
C. Metabolic alkalosis presents in severe HHNS.
The nurse is caring for a client who is diagnosed with diabetes insipidus and is on intranasal desmopressin acetate (DDAVP). The client develops an upper respiratory tract infection during a hospital stay. Which alteration does the nurse anticipate in the client's prescription? A. Cessation of DDAVP administration B. Reduced DDAVP dose via oral route C. Reduced DDAVP dose via subcutaneous route D. Continuation of DDAVP administration via nasal route
C. Reduced DDAVP dose via subcutaneous route
A client who has just had an adrenalectomy is told about a death in the family and becomes very upset. What concern about the client requires the nurse to notify the primary healthcare provider? A. Analgesia and mild sedation will be required to ensure rest. B. Steroid replacement medication therapy will have to be reduced. C. There is a decreased ability to handle stress despite steroid therapy. D. Feelings of exhaustion and lethargy may result from the emotional stress.
C. There is a decreased ability to handle stress despite steroid therapy.
A client with recently diagnosed diabetes states, "I feel bad. My spouse and I do not get along. It seems as though my spouse doesn't care about my diabetes." What is the nurse's best response? A. "You don't get along with your spouse." B. "I'm sorry. What can I do to make you feel better?" C. "It may be temporary because your spouse also needs time to adjust." D. "You are unhappy. I wonder, have you tried to talk to your spouse?"
D. "You are unhappy. I wonder, have you tried to talk to your spouse?"
A client's problem with ineffective control of type 1 diabetes is pinpointed as a sudden decrease in blood glucose level followed by rebound hyperglycemia. What should the nurse do when this event occurs? A. Give the client 8 oz (240 mL) of orange juice. B. Seek a prescription to increase the insulin dose at bedtime. C. Encourage the client to eat smaller, more frequent meals. D. Collaborate with the primary healthcare provider to alter the insulin prescription.
D. Collaborate with the primary healthcare provider to alter the insulin prescription.
A nurse is caring for a client admitted to the hospital with a diagnosis of Addison disease. The nurse should assess the client for what signs related to this disorder? A. Diarrhea and pyrexia B. Edema and hypertension C. Moon face and hirsutism D. Hypoglycemia and hypotension
D. Hypoglycemia and hypotension
What type of insulin do you expect the doctor to order for treatment of DKA? A. IV Novolog B. IV Levemir C. IV NPH D. IV Regular Insulin
D. IV Regular Insulin
A nurse is caring for a client with type 1 diabetes who developed ketoacidosis. Which laboratory value supports the presence of diabetic ketoacidosis? A. Increased serum lipids B. Decreased hematocrit level C. Increased serum calcium levels D. Decreased blood urea nitrogen level
A. Increased serum lipids
Which assessment finding is characteristic of a client with hypoparathyroidism? A. Serum phosphorus of 5 mg/dL (1.61 mmol/L); serum magnesium of 0.9 mEq/L (0.9 mmol/L) B. Serum phosphorus of 4 mg/dL (1.29 mmol/L); serum magnesium of 2.4 mEq/L (2.4 mmol/L) C. Serum phosphorus of 3 mg/dL (0.97 mmol/L); serum magnesium of 3.3 mEq/L (3.3 mmol/L) D. Serum phosphorus of 2 mg/dL (0.65 mmol/L); serum magnesium of 4.1 mEq/L (4.1 mmol/L)
A. Serum phosphorus of 5 mg/dL (1.61 mmol/L); serum magnesium of 0.9 mEq/L (0.9 mmol/L)
A patient is scheduled for a bilateral adrenalectomy. You are also educating the patient about the post-op care for a bilateral adrenalectomy. Which statement by the patient indicates they understood your instructions? A. "I will have to take mineralocorticoids daily for 2 years." B. "I will have to take glucocorticoids and mineralocorticoids daily for 2 years." C. "When I experience signs of stress I will have to take mineralocorticoids as needed." D. "I will have to take glucocorticoids and mineralocorticoids daily for life."
D. "I will have to take glucocorticoids and mineralocorticoids daily for life."
Which patient is MOST likely to develop Diabetic Ketoacidosis? A. A 25 year old female newly diagnosed with Cushing's Disease taking glucocorticoids. B. A 36 year old male with diabetes mellitus who has been unable to eat the past 2 days due to a gastrointestinal illness and has been unable to take insulin. C. A 35 year old female newly diagnosed with Type 2 diabetes. D. None of the options are correct.
B. A 36 year old male with diabetes mellitus who has been unable to eat the past 2 days due to a gastrointestinal illness and has been unable to take insulin.
A nurse is assessing a client with a diagnosis of hypoglycemia. What clinical manifestations support this diagnosis? Select all that apply. A. Thirst B. Palpitations C. Diaphoresis D. Slurred speech E. Hyperventilation
B. Palpitations C. Diaphoresis D. Slurred speech
A client has an abdominal perineal resection with the formation of a colostomy for cancer of the rectum. The nurse evaluates that teaching about colostomy care is understood when the client makes what statement? A. "I will call the clinic and report if I notice a loss of sensation to touch in the stoma tissue." B. "I will call the clinic and report when mucus is passed from the stoma between irrigations." C. "I will call the clinic and report expulsion of flatus while the irrigating fluid is running out." D. "I will call the clinic and report if I have difficulty inserting the irrigating tube into the stoma."
D. "I will call the clinic and report if I have difficulty inserting the irrigating tube into the stoma."
A client's laboratory values demonstrate an increased serum calcium level, and further diagnostic tests reveal hyperparathyroidism. What clinical manifestations might the nurse identify when assessing this client? Select all that apply. A. Muscle tremors B. Abdominal cramps C. Increased peristalsis D. Cardiac dysrhythmias E. Hypoactive bowel sounds
D. Cardiac dysrhythmias E. Hypoactive bowel sounds
A patient is scheduled for a bilateral adrenalectomy. Preoperatively, the patient is ordered by the doctor to take an alpha-adrenergic blocker. After administering a dose of this medication, what type of side effect will you monitor the patient for? A. Bradypnea B. Hyperglycemia C. Reflex tachycardia D. Hypertension
C. Reflex tachycardia
