Nursing Concepts 2; Hormonal Regualation

A nurse is assisting with care of a client who has a prescription for 3,000 mL of IV fluids over the next 24 hours. The nurse should set the IV pump to deliver how many mL/hr?

125

A nurse is preparing to administer dextrose 5% in water 1,200 mL IV to infuse over 24 hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

13

A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyrodism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer?

2 Tablets

A nurse is preparing to administer 1,000 mL of lactated Ringer's IV over 6 hr. The drop factory of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?

28

A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for the client? A. Airway patency B. Hoarseness C. Visual deficits D. Pain control

A. Airway patency

A nurse is collecting data from a client who has Cushing's syndrome. Which of the following manifestations should the nurse expect? A. Bruising B. Weight loss C. Hyperpigmentation D. Double vision

A. Bruising Skin is fragile and easily bruised

A nurse is caring for a client who has Cushing's syndrome. Which of the following clincal manifestations should the nurse expect to observe? A. Buffalo hump B. Purple striations C. Moon face D. Tremors E. Obese extremities

A. Buffalo hump B. Purple striations C. Moon face

The nurse is collecting data from an older adult female client who has chronic hypothydroidism. Which of the following findings should the nurse report to the provide immediately? A. Decreased level of conciousness B. Muscle cramps C. Report of hair loss D. Hoarse speech

A. Decreased level of consciousness

A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients? A. Fiber B. Monounsaturate fats C. Protein D. Polyunsaturated fats

A. Fiber

A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client? A. Fowler's position B. Dorsal Recumbent C. Supine D. Sim's position

A. Fowler's position

A nurse is collecting data on a client who had hyperthyroidism. Which of the following manifestations should the nurse expect the client to report? A. Frequent mood changes B. Constipation C. Sensitivity to cold D. Weight gain

A. Frequent mood changes

A nurse is preparing a medication for a client and is converting grams to milligrams. Which of the following actions should the nurse take? A. Move the decimal point 3 places to the right B. Move the decimal point 3 place to the left C. Move the decimal point 2 to the right D. Move the decimal point 2 places to the left

A. Move the decimal point 3 places to the right

A nurse reviewing the laboratory of a client who had a total thyroidectomy discovers that his calcium level is 7 mg/dL. Which of the following client findings should the nurse expect? A. Muscle tetany B. Hypertension C. Increased thirst D. Diaphoresis

A. Muscle tetany

A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves' disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range? A. Thyroid stimulation hormone level B. Triiodothyronine level C. Thyroxine level D. Glucose level

A. Thyroid stimulation hormone level

A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care? A. Check the client for weight loss B. Apply warm blankets C. Limit high-fiber foods D. Place the client on bed rest

B. Apply warm blankets

A nurse is collecting data from a client who had hypothyroidism and is to start taking levothyroxine. Which of the following over-the-counter medications should the nurse instruct the client to separate taking by 4 hr? A. Omeprazole B. Calcium carbonate C. Docusate sodium D. Diphenhydramine

B. Calcium carbonate

A nurse is collecting data from a client who has been taking methimazole for hyperthyroidism. For which of the following findings should the nurse monitor to identify that the medication is effective? A. Weight loss B. Decreased heart rate C. Increased urine output D. Elevated temperature

B. Decreased heart rate

A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion? A. Limit potassium rich foods in the diet B. Decrease sodium intake C. Increase calorie intake D. Consume more calories from carbohydrates than protein

B. Decreased sodium intake Clients who have Cushing's disease experience the impaired breakdown of nutrients resulting in hypernatremia, hyperglycemia, and hypokalemia.

A nurse is assisting with the care of a client who 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take? A. Monitor the client's peripheral pulses B. Determine the client's calcium level C. Administer intravenous normal saline solution D. Give the client an oral potassium supplement

B. Determine the client's calcium level

A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor? A. Hypernatremia B. Hypotension C. Bradycardia D. Hypokalemia

B. Hypotension

A nurse is reviewing the laboratory report of client who has hyperparathyroidism. The nurse should expect which of the following findings? A. Decreased calcium level B. Increased magnesium level C. Decreased parathyroid hormone level D. Increased phosphate level

B. Increased magnesium level

A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect? A. Butterfly rash B. Moon face C. Positive Chvostek's sign D. Muscle hypertrophy

B. Moon face

A nurse is collecting data from a client who had hypoparathyroidism. Which of the following findings should the nurse expect? A. Flaccid muscles B. Numbness of the hands C. Negative Chvostek's sign D. Hypercalcemia

B. Numbness of the hands

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client? A. "Take this medication until manifestations of hypothyroidism are gone and then discontinue." B. Tremors, nervousness, and insomnia can indicate that your dose is too high." C. "Take levothyroxine at bedtime daily." D. "Levothyroxine will decrease your metabolic rate and body temperature."

B. Tremors, nervousness, and insomnia can indicate that your dose is too high."

A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the findings should the nurse expect? A. Blurred vision B. Moist skin C. Bradycardia D. Insomnia

C. Bradycardia

A nurse is collecting data on a client who is receiving liothyronine for treatment of hypothyroidism. Which of the following findings should the nurse recognize as a therapeutic response to this medication? A. Loss of appetite B. Increase in daily weight C. Improvement of overall mood D. Decrease in body temperature

C. Improvement of overall mood

A nurse notes that a client's laboratory findings reveal agranulocytosis. The client is taking propylthiouracil to treat hyperthyroidism. The nurse should monitor the client for which of the following? A. Excessive bleeding B. Bradycardia C. Infection D. Hyperglycemia

C. Infection

A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications? A. Impaired skin integrity B. Fluid retention C. Pathologic fractures D. Dyshagia

C. Pathologic fractures - Hyperparathyroidism results in the release of calcium and phosphate into the blood, which decreased bone density and places the client at risk for pathologic fractures; Pathologic fracture is a broken bone that's caused by a disease rather than an injury

A nurse in a clinic is caring for a client who had a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect? A. Protruding eyeballs B. Palpitations C. Weight gain D. Diaphoresis

C. Weight gain Hypothyroidism causes decreased metabolic rate.

A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "I will store unopened vials of insulin in the freezer." B. "I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month." C. "I will discard the current vial of insulin after six doses have been withdrawn." D. "I can keep the current vial of insulin in use stored at room temperature."

D. "I can keep the current vial of insulin in use stored at room temperature."

A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid-stimulating hormone (TSH) level. Which of the following statements should the nurse give? A. "This test measures the amount of thyroid hormone that attaches to a protein in your blood." B. "This test detects antithyroid antibodies in your blood." C. "This test measures the absorption of iodine and how it relates to the thyroid gland. D. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."

D. "This test determines whether your thyroid gland is overactive, appropriately active, or underactive."

A nurse is assisting with the plan of care for a client who is 4 hr postoperative from a subtotal thyroidectomy. Which of the following implementations should the nurse recommend? A. Place the client in a side-lying position B. Ensure that acetylcysteine IV is readily available C. Check the client for Asterixis D. Check for bleeding on the dressing at the back of the client's neck

D. Check for bleeding on the dressing at the back of the client's neck

A nurse is reviewing the laboratory eport of a client who has hypoparathyroidism. The nurse should expect which of the following values? A. Vitamin D 25 ng/mL B. Magnesium 1.8 mEq/L C. Calcium 9.8 mg/dL D. Phosphate 5.7 mg/dL

D. Phosphate 5.7 mg/dL

A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high? A. Decreased temperatue B. Bradycardia C. Weight gain D. Tachypena

D. Tachypnea

A nurse is preparing an injection using a single dose glass ampule. Which of the following actions should the nurse take? A. Break off the neck of the glass ampule with a single snap to the right side B. Cover the ampule with a sterile C. Tap the bottom of the ampule, place a gauze pad or alcohol swab around the ampule neck, and break off the bottom with a forward motion away from the hands D. Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands

D. Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands