NU 185 Med-Surge II Exam 4 with
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precise detailed solutions !!| !!|
A client is admitted for removal of a goiter. Which nursing
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
intervention should receive priority during the postoperative
!!| !!| !!| !!| !!| !!| !!|
period? *Exam Cram Endocrine - Correct answer ✔Assessing
!!| !!| !!| !!| !!| !!| !!| !!|
the Clients Airway
!!| !!|
A client is admitted for treatment of hypoparathyroidism.
!!| !!| !!| !!| !!| !!| !!| !!|
Based on the client's diagnosis, the nurse would anticipate an
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
order for? *Exam Cram Endocrine - Correct answer ✔Calcium
!!| !!| !!| !!| !!| !!| !!| !!|
A client with Addison's Disease will most likely exhibit which
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
symptom? *Exam Cram Endocrine - Correct answer ✔Bronze
!!| !!| !!| !!| !!| !!| !!| !!|
Pigmentation
A client w/ Cushing's Syndrome should be instructed to?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
*Exam Cram Endocrine - Correct answer ✔Limit the Sodium in
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
her DIet
!!|
The client w/ a suspected pituitary tumor will most likely
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
exhibit symptoms of? *Exam Cram Endocrine - Correct answer
!!| !!| !!| !!| !!| !!| !!| !!| !!|
✔Alteration in Visual Acuity !!| !!| !!|
A diabetic client has been maintained on GLucophage
!!| !!| !!| !!| !!| !!| !!| !!|
(Metformin) for regulation of his blood glucose levels. Which
!!| !!| !!| !!| !!| !!| !!| !!| !!|
,teaching should be included in the plan of care? *Exam Cram
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
Endocrine - Correct answer ✔Report changes in Urinary Pattern
!!| !!| !!| !!| !!| !!| !!| !!|
A client w/ diabetes experiences Somogyi's effect. To prevent
!!| !!| !!| !!| !!| !!| !!| !!| !!|
this complication, the nurse should instruct the client to?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
*Exam Cram Endocrine - Correct answer ✔Eat a protein and
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
carbohydrate snack at bedtime !!| !!| !!|
Which item should be kept at the bedside of a client who has
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
just returned from having a thyroidectomy? *Exam Cram
!!| !!| !!| !!| !!| !!| !!| !!|
Endocrine - Correct answer ✔A tracheostomy set !!| !!| !!| !!| !!| !!|
Which vitamin is directly involved in the metabolism of the
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
hormones secreted by the parathyroid? *Exam Cram!!| !!| !!| !!| !!| !!| !!|
Endocrine - Correct answer ✔Vitamin D !!| !!| !!| !!| !!|
A client w/ acromegaly will most likely experience which
!!| !!| !!| !!| !!| !!| !!| !!| !!|
symptom? *Exam Cram Endocrine - Correct answer ✔Bone Pain
!!| !!| !!| !!| !!| !!| !!| !!|
A diabetic client is taking Lantus Insulin for regulation of his
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
blood glucose levels. The nurse should know that this insulin
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
will most likely be administered? *Exam Cram Endocrine -
!!| !!| !!| !!| !!| !!| !!| !!| !!|
Correct answer ✔At Night !!| !!| !!|
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed
!!| !!| !!| !!| !!| !!| !!| !!| !!|
w/ diabetes mellitus. The nurse would expect that these
!!| !!| !!| !!| !!| !!| !!| !!| !!|
symptoms are r/t? *Exam Cram Endocrine - Correct answer
!!| !!| !!| !!| !!| !!| !!| !!| !!|
✔Hyperglycemia
, Which laboratory test conducted on the client w/ Diabetes
!!| !!| !!| !!| !!| !!| !!| !!| !!|
Mellitus indicates compliance? *Exam Cram Endocrine -
!!| !!| !!| !!| !!| !!| !!|
Correct answer ✔Hgb A-1C !!| !!| !!|
A client hospitalized with acute glomerulonephritis has a
!!| !!| !!| !!| !!| !!| !!| !!|
positive ASO titer. The nurse understands that the client's
!!| !!| !!| !!| !!| !!| !!| !!| !!|
current illness is due to a... *Exam Cram Renal - Correct
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
answer ✔Prior Bacterial Infection !!| !!| !!|
The physician has prescribed hydralazine (Apresoline) for a
!!| !!| !!| !!| !!| !!| !!| !!|
client with acute glomerulonephritis. Which finding indicates
!!| !!| !!| !!| !!| !!| !!|
that the drug is having the desired effect? *Exam Cram Renal
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
- Correct answer ✔The clients bp has decreased
!!| !!| !!| !!| !!| !!| !!|
A client with acute glomerulonephritis requests a snack.
!!| !!| !!| !!| !!| !!| !!| !!|
Which snack is suitable given the client's dietary restrictions?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
*Exam Cram Renal - Correct answer ✔Applesauce
!!| !!| !!| !!| !!| !!|
The physician has ordered Prednisone 50 mg daily to promote
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
diuresis in a client with nephrotic syndrome. The nurse should
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
administer the medication... *Exam Cram Renal - Correct
!!| !!| !!| !!| !!| !!| !!| !!|
answer ✔With a snack or glass of milk
!!| !!| !!| !!| !!| !!| !!|
A client receiving Gentamicin (Garamycin) IVPB has a morning
!!| !!| !!| !!| !!| !!| !!| !!| !!|
peak level of 12 micrograms/mL. The nurse should...*Exam
!!| !!| !!| !!| !!| !!| !!| !!|
Cram Renal - Correct answer ✔Notify the physician because
!!| !!| !!| !!| !!| !!| !!| !!| !!|
the level is too high
!!| !!| !!| !!|
!!| !!| !!| !!| !!| !!| !!|
precise detailed solutions !!| !!|
A client is admitted for removal of a goiter. Which nursing
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
intervention should receive priority during the postoperative
!!| !!| !!| !!| !!| !!| !!|
period? *Exam Cram Endocrine - Correct answer ✔Assessing
!!| !!| !!| !!| !!| !!| !!| !!|
the Clients Airway
!!| !!|
A client is admitted for treatment of hypoparathyroidism.
!!| !!| !!| !!| !!| !!| !!| !!|
Based on the client's diagnosis, the nurse would anticipate an
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
order for? *Exam Cram Endocrine - Correct answer ✔Calcium
!!| !!| !!| !!| !!| !!| !!| !!|
A client with Addison's Disease will most likely exhibit which
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
symptom? *Exam Cram Endocrine - Correct answer ✔Bronze
!!| !!| !!| !!| !!| !!| !!| !!|
Pigmentation
A client w/ Cushing's Syndrome should be instructed to?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
*Exam Cram Endocrine - Correct answer ✔Limit the Sodium in
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
her DIet
!!|
The client w/ a suspected pituitary tumor will most likely
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
exhibit symptoms of? *Exam Cram Endocrine - Correct answer
!!| !!| !!| !!| !!| !!| !!| !!| !!|
✔Alteration in Visual Acuity !!| !!| !!|
A diabetic client has been maintained on GLucophage
!!| !!| !!| !!| !!| !!| !!| !!|
(Metformin) for regulation of his blood glucose levels. Which
!!| !!| !!| !!| !!| !!| !!| !!| !!|
,teaching should be included in the plan of care? *Exam Cram
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
Endocrine - Correct answer ✔Report changes in Urinary Pattern
!!| !!| !!| !!| !!| !!| !!| !!|
A client w/ diabetes experiences Somogyi's effect. To prevent
!!| !!| !!| !!| !!| !!| !!| !!| !!|
this complication, the nurse should instruct the client to?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
*Exam Cram Endocrine - Correct answer ✔Eat a protein and
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
carbohydrate snack at bedtime !!| !!| !!|
Which item should be kept at the bedside of a client who has
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
just returned from having a thyroidectomy? *Exam Cram
!!| !!| !!| !!| !!| !!| !!| !!|
Endocrine - Correct answer ✔A tracheostomy set !!| !!| !!| !!| !!| !!|
Which vitamin is directly involved in the metabolism of the
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
hormones secreted by the parathyroid? *Exam Cram!!| !!| !!| !!| !!| !!| !!|
Endocrine - Correct answer ✔Vitamin D !!| !!| !!| !!| !!|
A client w/ acromegaly will most likely experience which
!!| !!| !!| !!| !!| !!| !!| !!| !!|
symptom? *Exam Cram Endocrine - Correct answer ✔Bone Pain
!!| !!| !!| !!| !!| !!| !!| !!|
A diabetic client is taking Lantus Insulin for regulation of his
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
blood glucose levels. The nurse should know that this insulin
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
will most likely be administered? *Exam Cram Endocrine -
!!| !!| !!| !!| !!| !!| !!| !!| !!|
Correct answer ✔At Night !!| !!| !!|
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed
!!| !!| !!| !!| !!| !!| !!| !!| !!|
w/ diabetes mellitus. The nurse would expect that these
!!| !!| !!| !!| !!| !!| !!| !!| !!|
symptoms are r/t? *Exam Cram Endocrine - Correct answer
!!| !!| !!| !!| !!| !!| !!| !!| !!|
✔Hyperglycemia
, Which laboratory test conducted on the client w/ Diabetes
!!| !!| !!| !!| !!| !!| !!| !!| !!|
Mellitus indicates compliance? *Exam Cram Endocrine -
!!| !!| !!| !!| !!| !!| !!|
Correct answer ✔Hgb A-1C !!| !!| !!|
A client hospitalized with acute glomerulonephritis has a
!!| !!| !!| !!| !!| !!| !!| !!|
positive ASO titer. The nurse understands that the client's
!!| !!| !!| !!| !!| !!| !!| !!| !!|
current illness is due to a... *Exam Cram Renal - Correct
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
answer ✔Prior Bacterial Infection !!| !!| !!|
The physician has prescribed hydralazine (Apresoline) for a
!!| !!| !!| !!| !!| !!| !!| !!|
client with acute glomerulonephritis. Which finding indicates
!!| !!| !!| !!| !!| !!| !!|
that the drug is having the desired effect? *Exam Cram Renal
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
- Correct answer ✔The clients bp has decreased
!!| !!| !!| !!| !!| !!| !!|
A client with acute glomerulonephritis requests a snack.
!!| !!| !!| !!| !!| !!| !!| !!|
Which snack is suitable given the client's dietary restrictions?
!!| !!| !!| !!| !!| !!| !!| !!| !!|
*Exam Cram Renal - Correct answer ✔Applesauce
!!| !!| !!| !!| !!| !!|
The physician has ordered Prednisone 50 mg daily to promote
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
diuresis in a client with nephrotic syndrome. The nurse should
!!| !!| !!| !!| !!| !!| !!| !!| !!| !!|
administer the medication... *Exam Cram Renal - Correct
!!| !!| !!| !!| !!| !!| !!| !!|
answer ✔With a snack or glass of milk
!!| !!| !!| !!| !!| !!| !!|
A client receiving Gentamicin (Garamycin) IVPB has a morning
!!| !!| !!| !!| !!| !!| !!| !!| !!|
peak level of 12 micrograms/mL. The nurse should...*Exam
!!| !!| !!| !!| !!| !!| !!| !!|
Cram Renal - Correct answer ✔Notify the physician because
!!| !!| !!| !!| !!| !!| !!| !!| !!|
the level is too high
!!| !!| !!| !!|