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Exam (elaborations)

NR325 EXAM 1 ATI

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NR325 EXAM 1 ATI 1 ATI Practice QuestionsEndocrine1.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 sandwichi.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/Li.Rationale: DKA patients have bicarbonate levels less than 154.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 urinationi.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 skini.Rationale: hormone deficiency caused by damage to the outer layer of theadrenal gland. ATI Practice Questions6.A nurse is caring for a client who has diabetes insidious. For which of the following findings should the nurse monitor?a.Polyuriai.Rationale: DI is characterized by increased thirst and increased urination.7.A nurse 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.Hypertensioni.Rationale: Thyroid storm patients will have an exaggerated condition of hyperthyroidism, 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 levelsi.Rationale: glucocorticoids are used to prevent an adrenal crisis caused by a sudden drop in cortisol levels.10.A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect the client to display?a.Difficulty sleepingi.Rationale: a client who has graves’ disease has difficulty sleeping and anxiety due to the overproduction of thyroid hormone.11.A nurse 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.Shakinessi.Rationale: an early manifestation of hypoglycemia is shakiness.

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