TARGETED MEDICAL-SURGICAL: ENDOCRINE

TARGETED MEDICAL-SURGICAL: ENDOCRINEA nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency. Which of the following action should the nurse take? o Adminster IV hydrocortisone sodium o Give oral spironolactone o Infuse 1 unit of platelets o Restrict daily fluid intake A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal desmospressin. Which of the following information should the nurse include in the teaching plan? o Drink at least 3 L of fluid per day o Weigh yourself weekly while wearing similar clothing at the same time of day o Notify the provide of a weight loss of 0.45 kg (1lb) or more per week o Report nocturia because it requires a dosage adjustment A nurse is teaching a client about the adrenocorticotropic hormone (ACTH) stimulation test. The nurse should explain that the purpose of the test is to assess for which of the following disorders? o Diabetes insipidus o Hyperthyroidism o Pheochromocytoma o Addisons disease A nurse is teaching a client who has an autoimmune disease about the adverse effects of long- term corticosteroid therapy. Which of the following effects should the nurse include? (Select all that apply) o Osteoporosis o Moon-shaped face o Increased risk of infection o Hearing loss o Weight loss A nurse is caring for a client undergoing screening for primary Cushings disease. The nurse should expect an evaluation in which of the following laboratory finding? o Lymphocyte count o Potassium o Calcium o Glucose A nurse is assessing a client who has a new diagnosis of Cushing’s disease. Which of the following findings should the nurse expect? o Decreased blood pressure o Weight loss o Hirsutism (increased hair growth; due to androgen production) o Increased skin thickness A nurse is assessing a client who has diabetes mellitus and reports feeling anxious. Which of the following findings should the nurse expect if the client is hypoglycemic? o Rapid, deep respirations o Cool, clammy skin o Abdominal cramping o Orthostatic hypotension