Adult health` – Endocrine with related
and well researched questions; sure
pass
A client is brought to the emergency department in an unresponsive state, and a diagnosis of
hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which
anticipated health care provider's prescription? - CORRECT ANSWERS-Intravenous infusion of normal
saline
An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse
about the functioning of the pump, the nurse bases the response on which information about the
pump? - CORRECT ANSWERS-It administers a small continuous dose of short-duration insulin
subcutaneously. The client can self-administer an additional bolus dose from the pump before each
meal.
A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department.
Which findings support this diagnosis? Select all that apply. - CORRECT ANSWERS-Comatose state
3.
Deep, rapid breathing
Elevated blood glucose level
The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and
ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose
should be taken if which symptom or symptoms develop? Select all that apply. - CORRECT ANSWERS-
Shakiness
3.
Palpitations
Lightheadedness
A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the
treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety? -
CORRECT ANSWERS-Convey empathy, trust, and respect toward the client.
The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus. The nurse
recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client makes
which statement? - CORRECT ANSWERS-"I will notify my health care provider (HCP) if my blood glucose
level is higher than 250 mg/dL (14.2 mmol/L)."
A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose
level is 950 mg/dL (54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is
initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240
mg/dL (13.7 mmol/L). The nurse would next prepare to administer which medication? - CORRECT
ANSWERS-IV fluids containing dextrose
,The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications.
Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic
complications of diabetes if the blood glucose is not adequately managed? - CORRECT ANSWERS-
Polyuria
The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The
nurse places priority on which client problem? - CORRECT ANSWERS-Inadequate fluid volume
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a
history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24
hours. Which additional statement by the client indicates a need for further teaching? - CORRECT
ANSWERS-"I need to stop my insulin."
The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's
nostril. The nurse should take which initial action? - CORRECT ANSWERS-Test the drainage for glucose.
The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone
secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which health care provider
prescriptions should the nurse anticipate receiving? Select all that apply. - CORRECT ANSWERS-Initiate
an infusion of 3% NaCl.
Restrict fluids to 800 mL over 24 hours.
Administer a vasopressin antagonist as prescribed.
A client is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which
action should the nurse prepare to carry out initially? - CORRECT ANSWERS-Maintain a patent airway.
The nurse is caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA).
In the acute phase, the nurse plans for which priority intervention? - CORRECT ANSWERS-Administer
short-duration insulin intravenously.
A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia with
exercising. Which statement by the client indicates an adequate understanding of the peak action of
NPH insulin and exercise? - CORRECT ANSWERS-"The best time for me to exercise is after breakfast."
The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for
primary hyperparathyroidism. Which client complaint would be characteristic of this disorder? Select all
that apply. - CORRECT ANSWERS-Polyuria
Bone pain
The nurse is teaching a client with hyperparathyroidism how to manage the condition at home. Which
response by the client indicates the need for additional teaching? - CORRECT ANSWERS-"I should limit
my fluids to 1 liter per day."
A client with a diagnosis of Addisonian crisis is being admitted to the intensive care unit. Which findings
will the interprofessional health care team focus on? Select all that apply. - CORRECT ANSWERS-
Hypotension
Hyperkalemia
, The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being treated
with NPH and regular insulin. Which manifestations would alert the nurse to the presence of a possible
hypoglycemic reaction? Select all that apply. - CORRECT ANSWERS-Tremors
irritability
nervousness
The nurse is performing an assessment on a client with pheochromocytoma. Which assessment data
would indicate a potential complication associated with this disorder? - CORRECT ANSWERS-A heart rate
that is 90 beats/minute and irregular
The nurse is monitoring a client diagnosed with acromegaly who was treated with transsphenoidal
hypophysectomy and is recovering in the intensive care unit. Which findings should alert the nurse to
the presence of a possible postoperative complication? Select all that apply. - CORRECT ANSWERS-
Leukocytosis
Urinary output of 800 mL/hour
Clear drainage on nasal dripper pad
The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include a
fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101°F (38.3°C), pulse of 102
beats/minute, respirations of 22 breaths/minute, and blood pressure of 142/72 mm Hg. Which finding
would be the priority concern to the nurse? - CORRECT ANSWERS-Temperature
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse
determines that the client understands discharge instructions if the client states that which signs and
symptoms are associated with this diagnosis? Select all that apply. - CORRECT ANSWERS-Feeling cold
4.
Loss of body hair
5.
Persistent lethargy
6.
Puffiness of the face
A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is the
priority for this client? - CORRECT ANSWERS-Respiratory distress
A client has been diagnosed with hyperthyroidism. The nurse monitors for which signs and symptoms
indicating a complication of this disorder? Select all that apply. - CORRECT ANSWERS-Fever
2.
Nausea
tremors
confusion
and well researched questions; sure
pass
A client is brought to the emergency department in an unresponsive state, and a diagnosis of
hyperosmolar hyperglycemic syndrome is made. The nurse would immediately prepare to initiate which
anticipated health care provider's prescription? - CORRECT ANSWERS-Intravenous infusion of normal
saline
An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse
about the functioning of the pump, the nurse bases the response on which information about the
pump? - CORRECT ANSWERS-It administers a small continuous dose of short-duration insulin
subcutaneously. The client can self-administer an additional bolus dose from the pump before each
meal.
A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department.
Which findings support this diagnosis? Select all that apply. - CORRECT ANSWERS-Comatose state
3.
Deep, rapid breathing
Elevated blood glucose level
The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and
ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose
should be taken if which symptom or symptoms develop? Select all that apply. - CORRECT ANSWERS-
Shakiness
3.
Palpitations
Lightheadedness
A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the
treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety? -
CORRECT ANSWERS-Convey empathy, trust, and respect toward the client.
The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus. The nurse
recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client makes
which statement? - CORRECT ANSWERS-"I will notify my health care provider (HCP) if my blood glucose
level is higher than 250 mg/dL (14.2 mmol/L)."
A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose
level is 950 mg/dL (54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is
initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240
mg/dL (13.7 mmol/L). The nurse would next prepare to administer which medication? - CORRECT
ANSWERS-IV fluids containing dextrose
,The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications.
Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic
complications of diabetes if the blood glucose is not adequately managed? - CORRECT ANSWERS-
Polyuria
The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The
nurse places priority on which client problem? - CORRECT ANSWERS-Inadequate fluid volume
The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a
history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24
hours. Which additional statement by the client indicates a need for further teaching? - CORRECT
ANSWERS-"I need to stop my insulin."
The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's
nostril. The nurse should take which initial action? - CORRECT ANSWERS-Test the drainage for glucose.
The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone
secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which health care provider
prescriptions should the nurse anticipate receiving? Select all that apply. - CORRECT ANSWERS-Initiate
an infusion of 3% NaCl.
Restrict fluids to 800 mL over 24 hours.
Administer a vasopressin antagonist as prescribed.
A client is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which
action should the nurse prepare to carry out initially? - CORRECT ANSWERS-Maintain a patent airway.
The nurse is caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA).
In the acute phase, the nurse plans for which priority intervention? - CORRECT ANSWERS-Administer
short-duration insulin intravenously.
A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia with
exercising. Which statement by the client indicates an adequate understanding of the peak action of
NPH insulin and exercise? - CORRECT ANSWERS-"The best time for me to exercise is after breakfast."
The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for
primary hyperparathyroidism. Which client complaint would be characteristic of this disorder? Select all
that apply. - CORRECT ANSWERS-Polyuria
Bone pain
The nurse is teaching a client with hyperparathyroidism how to manage the condition at home. Which
response by the client indicates the need for additional teaching? - CORRECT ANSWERS-"I should limit
my fluids to 1 liter per day."
A client with a diagnosis of Addisonian crisis is being admitted to the intensive care unit. Which findings
will the interprofessional health care team focus on? Select all that apply. - CORRECT ANSWERS-
Hypotension
Hyperkalemia
, The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being treated
with NPH and regular insulin. Which manifestations would alert the nurse to the presence of a possible
hypoglycemic reaction? Select all that apply. - CORRECT ANSWERS-Tremors
irritability
nervousness
The nurse is performing an assessment on a client with pheochromocytoma. Which assessment data
would indicate a potential complication associated with this disorder? - CORRECT ANSWERS-A heart rate
that is 90 beats/minute and irregular
The nurse is monitoring a client diagnosed with acromegaly who was treated with transsphenoidal
hypophysectomy and is recovering in the intensive care unit. Which findings should alert the nurse to
the presence of a possible postoperative complication? Select all that apply. - CORRECT ANSWERS-
Leukocytosis
Urinary output of 800 mL/hour
Clear drainage on nasal dripper pad
The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include a
fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101°F (38.3°C), pulse of 102
beats/minute, respirations of 22 breaths/minute, and blood pressure of 142/72 mm Hg. Which finding
would be the priority concern to the nurse? - CORRECT ANSWERS-Temperature
The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse
determines that the client understands discharge instructions if the client states that which signs and
symptoms are associated with this diagnosis? Select all that apply. - CORRECT ANSWERS-Feeling cold
4.
Loss of body hair
5.
Persistent lethargy
6.
Puffiness of the face
A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is the
priority for this client? - CORRECT ANSWERS-Respiratory distress
A client has been diagnosed with hyperthyroidism. The nurse monitors for which signs and symptoms
indicating a complication of this disorder? Select all that apply. - CORRECT ANSWERS-Fever
2.
Nausea
tremors
confusion
