chapter 8 endocrine management
After receiving the shift report, the 7:00 pm to 7:00 am nurse is reviewing the medication
administration record (MAR) of the client diagnosed with type 2 diabetes. which intervention
should the nurse implement? - correct answer--make sure the client receives a snack at
bedtime
which task is most appropriate for the RN staff nurse to delegate to the UAP? - correct
answer--request the UAP to take the diabetic client's HS snack to the client.
which task is most appropriate for the RN charge nurse to assign to the LPN? - correct
answer--tell the LPN to change the client's sublavian dressing
the new graduate nurse on the endocrine unit is having difficulty completing the workload in
a timely manner. which suggestion could the RN preceptor make to help the new graduate
become more organized? - correct answer--tell the new nurse to start the shift with a work
organization sheet for the assigned clients.
the rehabilitation nurse is caring for a client diagnosed with type 2 diabetes who is 1 week
postoperative for left carotid endarterectomy. the client's 11:30 am bedside glucose reading
is 408 mg/dL. based on the medication administration record (MAR), which intervention
should the nurse implement first? - correct answer--recheck the bedside glucometer reading.
the RN charge nurse on the endocrine surgical unit is making assignments. which task
should be deleted or assigned to the team members? - correct answer--tell the LPN to
perform an intermittent urinary catheterization for the client diagnosed with acromegaly.
which task is most appropriate for the RN staff nurse to delegate or assign when caring for
clients on a surgical unit? - correct answer--ask another nurse to administer an IVP pain
medication to a postoperative client in severe pain.
the client diagnosed with Addison's disease is being prepared for emergency surgery and is
asking to complete an advance directive. which type of advance directive should the nurse
recommend the client complete at this time? - correct answer--durable power of attorney for
health care
the nurse is caring for clients in the post-anesthesia care unit (PACU). which client requires
immediate intervention by the PACU nurse? - correct answer--the client who had a bilateral
adrenalectomy who is exhibiting masseter rigidity
the RN charge nurse on a busy 20-bed endocrinology unit must send on staff member to the
nursery. which staff member is most appropriate to send to the nursery? - correct
answer--the LPN who has worked in a newborn nursery at another facility
, the nurse is working in an endocrinology unit. which client warrants immediate intervention
by the nurse? - correct answer--the client diagnosed diagnosed with pheochromocytoma
who has a severe pounding headache and chest pain.
the night nurse enters the client's room and finds the client crying. the client asks the nurse,
"Am i dying? I think something is terribly wrong with me, but no one is telling me." the nurse
knows the client has pancreatic cancer and has less than 6 months to live. which response
is an example of the ethical principle of veracity? - correct answer--"your diagnosis is
pancreatic cancer"
the critical care nurse has received the am shift report on a client diagnosed with heart
failure and who has pre-existing type 2 diabetes. after reviewing the client's medication
administration record, which medication should the nurse administer first? - correct
answer--administer 70/30 insulin subcutaneously
which client should the charge nurse on a medical unit assign to a nurse who is 5 months
pregnant? - correct answer--the client who completed chemotherapy treatment and who is
immunosuppressed.
the client diagnosed with hypothyroidism and a diagnosis of myxedema coma is admitted to
the critical care unit. which assessment data warrants immediate intervention by the nurse? -
correct answer--the client's ABG values are pH, 7.33; PaO2, 78; PaCO2, 48; HcO3, 25.
the nurse is preparing to administer morning medications. which medication should the
nurse administer first? - correct answer--the insulin isophane to a client diagnosed with type
2 diabetes
the nurse is working on an endocrinology unit. which client should the nurse assess first? -
correct answer--the client who 1-day postoperative thyroidectomy who has neck edema.
the client is admitted to the endocrinology unit newly diagnosed with an acute exacerbation
of central diabetes insipidus. Which intervention is the priority nursing intervention? - correct
answer--administer intravenous hypotonic saline.
the UAP tells the nurse the client who had a thyroidectomy has a T 104, P 128, RR 26, BP
164/88. Which intervention should the nurse implement first? - correct answer--assess the
client's vital signs and surgical dressing
the UAP tells the RN primary nurse that a client is crying and upset because she has been
told her husband has just died. which intervention should the nurse implement? - correct
answer--make a referral for the chaplain to see the client.
at 1000, the client diagnosed with type 1 diabetes is reporting being jittery, having a
headache, and feeling dizzy. which intervention should the nurse implement first? - correct
answer--give the client glucose tablets.
an elderly client diagnosed with thyroid cancer frequently makes statements that are
inappropriate for the situation, and is not oriented to place, time, or date. the HCP has
After receiving the shift report, the 7:00 pm to 7:00 am nurse is reviewing the medication
administration record (MAR) of the client diagnosed with type 2 diabetes. which intervention
should the nurse implement? - correct answer--make sure the client receives a snack at
bedtime
which task is most appropriate for the RN staff nurse to delegate to the UAP? - correct
answer--request the UAP to take the diabetic client's HS snack to the client.
which task is most appropriate for the RN charge nurse to assign to the LPN? - correct
answer--tell the LPN to change the client's sublavian dressing
the new graduate nurse on the endocrine unit is having difficulty completing the workload in
a timely manner. which suggestion could the RN preceptor make to help the new graduate
become more organized? - correct answer--tell the new nurse to start the shift with a work
organization sheet for the assigned clients.
the rehabilitation nurse is caring for a client diagnosed with type 2 diabetes who is 1 week
postoperative for left carotid endarterectomy. the client's 11:30 am bedside glucose reading
is 408 mg/dL. based on the medication administration record (MAR), which intervention
should the nurse implement first? - correct answer--recheck the bedside glucometer reading.
the RN charge nurse on the endocrine surgical unit is making assignments. which task
should be deleted or assigned to the team members? - correct answer--tell the LPN to
perform an intermittent urinary catheterization for the client diagnosed with acromegaly.
which task is most appropriate for the RN staff nurse to delegate or assign when caring for
clients on a surgical unit? - correct answer--ask another nurse to administer an IVP pain
medication to a postoperative client in severe pain.
the client diagnosed with Addison's disease is being prepared for emergency surgery and is
asking to complete an advance directive. which type of advance directive should the nurse
recommend the client complete at this time? - correct answer--durable power of attorney for
health care
the nurse is caring for clients in the post-anesthesia care unit (PACU). which client requires
immediate intervention by the PACU nurse? - correct answer--the client who had a bilateral
adrenalectomy who is exhibiting masseter rigidity
the RN charge nurse on a busy 20-bed endocrinology unit must send on staff member to the
nursery. which staff member is most appropriate to send to the nursery? - correct
answer--the LPN who has worked in a newborn nursery at another facility
, the nurse is working in an endocrinology unit. which client warrants immediate intervention
by the nurse? - correct answer--the client diagnosed diagnosed with pheochromocytoma
who has a severe pounding headache and chest pain.
the night nurse enters the client's room and finds the client crying. the client asks the nurse,
"Am i dying? I think something is terribly wrong with me, but no one is telling me." the nurse
knows the client has pancreatic cancer and has less than 6 months to live. which response
is an example of the ethical principle of veracity? - correct answer--"your diagnosis is
pancreatic cancer"
the critical care nurse has received the am shift report on a client diagnosed with heart
failure and who has pre-existing type 2 diabetes. after reviewing the client's medication
administration record, which medication should the nurse administer first? - correct
answer--administer 70/30 insulin subcutaneously
which client should the charge nurse on a medical unit assign to a nurse who is 5 months
pregnant? - correct answer--the client who completed chemotherapy treatment and who is
immunosuppressed.
the client diagnosed with hypothyroidism and a diagnosis of myxedema coma is admitted to
the critical care unit. which assessment data warrants immediate intervention by the nurse? -
correct answer--the client's ABG values are pH, 7.33; PaO2, 78; PaCO2, 48; HcO3, 25.
the nurse is preparing to administer morning medications. which medication should the
nurse administer first? - correct answer--the insulin isophane to a client diagnosed with type
2 diabetes
the nurse is working on an endocrinology unit. which client should the nurse assess first? -
correct answer--the client who 1-day postoperative thyroidectomy who has neck edema.
the client is admitted to the endocrinology unit newly diagnosed with an acute exacerbation
of central diabetes insipidus. Which intervention is the priority nursing intervention? - correct
answer--administer intravenous hypotonic saline.
the UAP tells the nurse the client who had a thyroidectomy has a T 104, P 128, RR 26, BP
164/88. Which intervention should the nurse implement first? - correct answer--assess the
client's vital signs and surgical dressing
the UAP tells the RN primary nurse that a client is crying and upset because she has been
told her husband has just died. which intervention should the nurse implement? - correct
answer--make a referral for the chaplain to see the client.
at 1000, the client diagnosed with type 1 diabetes is reporting being jittery, having a
headache, and feeling dizzy. which intervention should the nurse implement first? - correct
answer--give the client glucose tablets.
an elderly client diagnosed with thyroid cancer frequently makes statements that are
inappropriate for the situation, and is not oriented to place, time, or date. the HCP has
