1 | P a g e RN TARGETED ENDOCRINE NEWEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+) A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the following findings indicates that the client is having a therapeutic response? - ANSWER -
Reduction of the effects of thyroid hormone on the heart Propr anolol is a beta2 -adrenergic blocking agent that decreases the rapid heart rate that excessive thyroid stimulation causes. A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of the following findings should the nurse repor t to the provider? - ANSWER -Laryngeal stridor Laryngeal stridor is a harsh, high -pitched sound with inspiration that indicates respiratory obstruction. The nurse should take immediate action to preserve the client's airway. A nurse is teaching a client w ho 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) - ANSWER -Osteoporosis is correct. Osteoporosis is an adverse effect of long -term co rticosteroid therapy due to the suppression of bone formation and the acceleration of bone resorption that corticosteroid therapy can cause. 2 | P a g e Moon -shaped face is correct. Long -term corticosteroid therapy causes characteristics of iatrogenic Cushing's syndr ome, including a moon -shaped face, a potbelly, and a buffalo hump. Increased risk of infection is correct. Increased risk of infection is an adverse effect of long -term corticosteroid therapy due to suppression of the immune system. It reduces the phagocy tic actions of macrophages and neutrophils, thus increasing the risk of infection. Hearing loss is incorrect. Long -term corticosteroid therapy can cause cataracts and glaucoma, but it does not cause hearing loss. Weight loss is incorrect. Long -term corti costeroid therapy is more likely to cause weight gain due to the fluid and sodium retention these medications cause. A nurse is caring for a client who has type 2 diabetes melliltus and has hyperglycemic -hyperosmolar state (HHS). Which of the following la boratory findings should the nurse expect? - ANSWER -Serum pH of 7.45 A client who has HHS produces enough insulin to prevent ketosis, but not enough to prevent hyperglycemia. Therefore, the serum pH is within the expected reference range. Glucose levels w ill be above 600 mg/dL. A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include? - ANSWER -Draw up the insulins into separate syringes.
Reduction of the effects of thyroid hormone on the heart Propr anolol is a beta2 -adrenergic blocking agent that decreases the rapid heart rate that excessive thyroid stimulation causes. A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of the following findings should the nurse repor t to the provider? - ANSWER -Laryngeal stridor Laryngeal stridor is a harsh, high -pitched sound with inspiration that indicates respiratory obstruction. The nurse should take immediate action to preserve the client's airway. A nurse is teaching a client w ho 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) - ANSWER -Osteoporosis is correct. Osteoporosis is an adverse effect of long -term co rticosteroid therapy due to the suppression of bone formation and the acceleration of bone resorption that corticosteroid therapy can cause. 2 | P a g e Moon -shaped face is correct. Long -term corticosteroid therapy causes characteristics of iatrogenic Cushing's syndr ome, including a moon -shaped face, a potbelly, and a buffalo hump. Increased risk of infection is correct. Increased risk of infection is an adverse effect of long -term corticosteroid therapy due to suppression of the immune system. It reduces the phagocy tic actions of macrophages and neutrophils, thus increasing the risk of infection. Hearing loss is incorrect. Long -term corticosteroid therapy can cause cataracts and glaucoma, but it does not cause hearing loss. Weight loss is incorrect. Long -term corti costeroid therapy is more likely to cause weight gain due to the fluid and sodium retention these medications cause. A nurse is caring for a client who has type 2 diabetes melliltus and has hyperglycemic -hyperosmolar state (HHS). Which of the following la boratory findings should the nurse expect? - ANSWER -Serum pH of 7.45 A client who has HHS produces enough insulin to prevent ketosis, but not enough to prevent hyperglycemia. Therefore, the serum pH is within the expected reference range. Glucose levels w ill be above 600 mg/dL. A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include? - ANSWER -Draw up the insulins into separate syringes.
