Neuro Evolve Study Help
The nurse instructs a client with type 2 diabetes about risk for infections. Which statement, if made by the client, would indicate that teaching was successful?
"I may not realize that a sore has developed on the bottom of my foot."
A nurse is reviewing laboratory results. Which fasting plasma glucose result will suggest to the nurse that the client may have diabetes? Record the answer as a whole number: ≥
126
A nurse hears in report that he or she will be caring for a client with metabolic syndrome. The nurse will be caring for which client?
15-year-old who has a triglyceride level of 200 mg/dl, blood pressure 132/88 mm Hg, and a fasting blood glucose of 128 mg/dl
A nurse is caring for a client who returned from a transsphenoidal surgical removal of a growth hormone (GH)-secreting adenoma. The nurse is caring for which client?
A client with acromegaly
Which clients will the nurse closely monitor for syndrome of inappropriate antidiuretic hormone (SIADH) secretion?
A client with encephalitis, A client with cancer of the bladder, A client with small cell carcinoma of the stomach
Which hormone deficiency causes serum hyperosmolarity?
Antidiuretic hormone
A nurse is teaching the staff about the cause of primary Addison disease. Which information should the nurse include in the teaching session?
Autoimmune injury to the adrenal cortex
A client has pheochromocytoma. Which piece of equipment should the nurse obtain to best assess this condition?
Blood pressure cuff
A nurse closely monitors a client with the syndrome of inappropriate antidiuretic hormone (SIADH) for which complications?
Convulsions, Neurologic damage
A client has diabetic neuropathy. Which finding will the nurse typically observe upon assessment?
Decreased peripheral sensation
A client had a closed-head injury and is now having polyuria with a low urine specific gravity. Which complication does the nurse suspect the client is experiencing?
Diabetes insipidus
Which condition does the nurse suspect in a patient who reports polyuria, nocturia, and polydipsia?
Diabetes insipidus
Which clinical manifestation should the nurse expect to find in a client with Graves disease?
Double vision
Which information from the client indicates teaching by the nurse was successful about the cause of Cushing syndrome?
Excessive production of cortisol
Which pathologic change is associated with stage III diabetic retinopathy?
Fibrous tissue formation within the retina
Which assessment finding should the nurse expect to observe in a woman diagnosed with prolactinoma?
Galactorrhea
A client has suspected diabetes mellitus. The nurse should prepare the client for which test to help diagnose diabetes?
Glycosylated hemoglobin (HbA 1c)
A nurse monitors a client for which problem that arises from primary hyperaldosteronism?
Hypertension
A client has syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Upon assessment of the laboratory results, which finding is typical?
Hyponatremia
A client has myxedema coma. Which clinical manifestation will the nurse expect to find upon assessment?
Hypothermia
A client with diabetes mellitus has polyuria. Which process contributes to the polyuria?
Increased glucose in the urine
A nurse teaches the staff about treatment of type 2 diabetes mellitus. What information should the nurse include?
Insulin injections may be needed because of beta-cell dysfunction later in the disease.
A client has congenital hypothyroidism. Which information should the nurse consider when planning care for this client?
It is the result of absent thyroid tissue.
A client has a type of diabetes that is caused by autosomal dominant mutations, affecting beta cell function or insulin action. Which diagnosis will the nurse most likely observe written in the chart?
Maturity-onset diabetes of youth (MODY)
Which information should the nurse include in the teaching session about the treatment of Addison disease?
Medication treatment will be lifelong.
Which client is most likely to develop hyperosmolar hyperglycemic nonketotic syndrome (HHNKS)?
Older adult with type 2 diabetes mellitus and renal disease
A nurse monitors a client for pathologic fractures and renal calcium stones. The nurse is caring for which client?
One with hyperparathyroidism
Upon reviewing the laboratory results, the nurse finds low levels of thyroid hormones (T 3and T 4) and high levels of thyroid-stimulating hormone (TSH). The nurse is caring for which client?
One with primary hypothyroidism
Which client should the nurse most closely monitor for the development of myxedema coma?
One with untreated hypothyroidism
Which assessment finding will help a nurse determine the client may have metabolic syndrome?
Plasma triglycerides 160 mg/dl
An annual physical assessment of a child reveals that the child has hypopituitarism affecting the growth hormone. The nurse would prepare the parents and child for which treatment option?
Replacement of target gland hormones
A nurse is teaching the staff about the difference between diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic nonketotic syndrome (HHNKS). Which information should the nurse include in the teaching session?
The degree of insulin deficiency is more profound in DKA, and the degree of fluid deficiency is more marked in HHNKS.
A nurse is caring for a client with the syndrome of inappropriate antidiuretic hormone (SIADH) and notices neurologic symptoms. How should the nurse interpret this finding?
This state results from decreased plasma sodium concentration.
What alteration should the nurse expect to find in a person who has untreated Cushing syndrome?
Truncal obesity
Which clinical manifestations will alert the nurse that the client with type 1 diabetes is experiencing hypoglycemia?
coma, confusion, diaphoresis, tachycardia
A nurse hears in report that a client with diabetes mellitus has polydipsia, polyuria, and polyphagia. Which findings does the nurse expect to find upon assessment of this client?
increased thirst, hunger and urine output
The nurse plans to teach a client who is diagnosed with type 1 diabetes mellitus about treatment regimens. Which treatments should the nurse include in the teaching plan?
meal planning, insulin therapy, exercise schedule
A client with type 2 diabetes has hyperosmolar hyperglycemic nonketotic syndrome. Which findings would the nurse observe upon assessment?
poor skin turgor, no or slight ketosis, severe dehydration, neurologic changes
A client has syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Upon assessment, which findings would the nurse expect to observe?
thirst, confusion, muscle twitching, dyspnea on exertion
