Evolve: Endo, Endocrine NCLEX, Endocrine Disorder chapter 50 NCLEX Questions, Endocrine NCLEX Practice Questions, Chapter 63 Care of Patients with Problems of the Thyroid Parathyroid Glands, Endocrine NCLEX Questions, NCLEX practice: endocrine, questions

Evolve: Endo, Endocrine NCLEX, Endocrine Disorder chapter 50 NCLEX Questions, Endocrine NCLEX Practice Questions, Chapter 63 Care of Patients with Problems of the Thyroid Parathyroid Glands, Endocrine NCLEX Questions, NCLEX practice: endocrine, questions and answers verified A+ study guide material A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome? - Glucose level After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse expects that manifestations of excessive levels of antidiuretic hormone are: - Hyponatremia and decreased urine output The nurse is caring for a client diagnosed with Cushing syndrome. The nurse expects that the client will exhibit: - Lability of mood A client is scheduled to have a thyroidectomy for cancer of the thyroid. Preoperative instructions for the postoperative period include teaching the client to: - Support the head with the hands when changing position Which health problem should the nurse consider is most likely to precipitate acute hypoglycemia in a client? - Liver disease; Clients with liver disease have a decreased ability to metabolize carbohydrates because of a decreased ability to form glycogen and to form glucose from glycogen. Cushing's syndrome causes hyperglycemia. A client is admitted to the hospital for a subtotal thyroidectomy. When discussing postoperative drug therapy with the client, the nurse should teach the client to: - Report palpitations, nervousness, tremors, or loss of weight that may indicate an overdose of thyroid hormone When taking the blood pressure of a client who had a thyroidectomy, the nurse identifies that the client is pale and has spasms of the hand. The nurse notifies the health care provider. Which should the nurse expect the health care provider to prescribe? - Calcium A client is diagnosed with diabetic ketoacidosis. Which insulin should the nurse expect the health care provider to prescribe? - Regular insulin (Novolin R) Regular insulin is rapid-acting and should be used for diabetic coma On the third postoperative day after a subtotal thyroidectomy for a tumor, a client complains of a "funny, jittery feeling." On the basis of this statement, the nurse's best action is to: - Test for Chvostek's and Trousseau's signs and notify the health care provider of the complaints. These symptoms may indicate impending hypocalcemic tetany, a complication after removal of parathyroid tissue during a thyroidectomy. Physical assessment and notification of the health care provider are the priorities. When assessing a client with Graves disease, the nurse expects to identify: - Weight loss, exophthalmos, and restlessness A client visits the clinic because of concerns about insomnia and recent weight loss. A tentative diagnosis of hyperthyroidism is made. In addition to these changes, the nurse further assesses this client for: - Fatigue A client had a thyroidectomy. The nurse monitors for thyrotoxic crisis, which is evidenced by: - An increased temperature and pulse rate On the first postoperative day following a thyroidectomy, a client tolerates a full-fluid diet. This is changed to a soft diet on the second postoperative day. The client reports having a sore throat when swallowing. What should the nurse do first? - Administer analgesics as prescribed before meals. Analgesics as prescribed will reduce soreness during meals. Reordering the full-fluid diet is not within the legal role of the nurse. Soreness is to be expected; A nurse is caring for a client who just had a thyroidectomy. For which client response should the nurse assess the client when concerned about an accidental removal of the parathyroid glands during surgery? - Tetany; Parathyroid removal eliminates the body's source of parathyroid hormone (parathormone), which increases the blood calcium level. The resulting low body fluid calcium affects muscles, including the diaphragm, resulting in dyspnea, asphyxia, and death. The nurse teaches a client with exophthalmos how to reduce discomfort and prevent corneal ulceration. Which plan reported by the client supports the nurse's conclusion that the teaching was effective? - "Avoid using a sleeping mask at night. A client is learning alternate site testing (AST) for glucose monitoring. Which client statement indicates to the nurse that additional teaching is necessary? - "The fingertip is preferred for glucose monitoring if hyperglycemia is suspected." Propylthiouracil (PTU) is prescribed for a client diagnosed with hyperthyroidism. The client asks the nurse, "Why do I have to take this medication if I am going to get the atomic cocktail?" The nurse explains that the medication is being prescribed because it decreases the: - Production of thyroid hormones. Propylthiouracil is a thyroid hormone antagonist that inhibits thyroid hormone synthesis by decreasing the use of iodine in the manufacture of these hormones A nurse is caring for a client who is receiving total parenteral nutrition. Which responses indicate that the client is experiencing hyperglycemia? (Select all that apply.) - Polyuria and Polydipsia A nurse is providing postoperative care for a client who just had a thyroidectomy. For what response should the nurse assess the client when concerned about the potential risk of thyrotoxic crisis? - Rapid heartbeat and tremors;