NR 325 Exam 1: Questions and Answers/Guaranteed A+(Latest 2023;2024)

NR 325 Exam 1: Questions and Answers/Guaranteed A+(Latest 2023;2024) 1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic corticosteroid use. Which of the following actions should the nurse involve in the plan of care? a. Check the client’s urine specific gravity. i. Rationale: to assess for fluid volume overload. 2. A nurse is providing teaching to a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching? a. Turkey and cheese sandwich i. Rationale: high in protein, carbohydrates, and sodium. A client who has Addison’s requires a diet low in potassium, and high in protein, carbs, and sodium. 3. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The nurse should understand that which of the following laboratory values is consistent with diabetic ketoacidosis? a. Bicarbonate level 12 mEq/L i. Rationale: DKA patients have bicarbonate levels less than 15 4. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? a. Increased urination i. Rationale: increased urination/polyuria, is a manifestation of hyperglycemia due to a deficiency of insulin, which can lead to osmotic diuresis. 5. A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find? a. Bronze pigmentation of skin i. Rationale: hormone deficiency caused by damage to the outer layer of theadrenal gland. 6. A nurse is caring for a client who has diabetes insidious. For which of the following findings should the nurse monitor? a. Polyuria i. Rationale: DI is characterized by increased thirst and increased urination. 7. Anurse is monitoring a client who has Graves' disease for the development of thyroid storm. the nurse should report which of the following findings to the provider? a. Hypertension i. Rationale: Thyroid storm patients will have an exaggerated condition ofhyperthyroidism, associated with the development of a fever, hypertension, abdominal pain, and tachycardia. 8. A nurse is preparing a 24-hour urine specimen for a client who is suspected to have pheochromocytoma. Which of the following laboratory tests from the 24-hour urine specimen should the nurse use to determine the client's condition? a. Vanillylmandelic acid (VMA) 9. A nurse is caring for a client who is postoperative following a bilateral adrenalectomy. the nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects? a. Compensate for decrease in cortisol levels i. Rationale: glucocorticoids are used to prevent an adrenal crisis caused by a sudden drop in cortisol levels. 10. Anurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect the client to display? a. Difficulty sleeping i. Rationale: a client who has graves’ disease has difficulty sleeping and anxiety due to the overproduction of thyroid hormone. 11. Anurse is providing teaching to a client who has type 1 diabetes mellitus about hypoglycemia. Which of the following manifestations should the nurse include in the teaching? a. Shakiness i. Rationale: an early manifestation of hypoglycemia is shakiness. 12. A nurse is assessing a client who has manifestations of acromegaly. Which of the following findings should the nurse expect? a. Increased head size i. Rationale: enlarged head size due to excessive production of growth hormones after the closing of the epiphyses. 13. Anurse is providing teaching to a client who has type 2 diabetes mellitus about pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching? a. "My cells are resistant to effects of insulin." i. Rationale: the client who has type 2 diabetes mellitus will have a resistance to insulin and a decrease in the secretion of insulin by the pancreatic beta cells. 14. A nurse is planning a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. Which of the following clients should the nurse include in the screening? a. Men and women who are obese i. Rationale: There is a high correlation between obesity and type 2 DM. 15. A nurse is monitoring a client who has syndrome of inappropriate antidiuretic secretion (SIADH). Which of the following findings should the nurse expect? a. Hyponatremia