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?
[] compensate for decrease in cortisol levels
[] inhibit glucose metabolism
[] act as a diuretic to maintain urine output
[] decrease susceptibility to infection - Correct Answer [] compensate for decrease in cortisol levels
A nurse is planning a community health screening for a group of clients who are at risk for type 2 diabetes
mellitus. Which of the following clients should the nurse include in the screening/
[] men who smoke
[] men and women who are obese
[] women who have hepatitis
[] men and women who consume high-protein and low-carbohydrate foods - Correct Answer [] men and
women who are obese
A nurse is providing teaching to a client who has type 1 diabetes mellitus about hypoglycemia. Which of
the following menaifestations should the nurse include in the teaching?
[] shakiness
[] urinary frequency
[] dry mucous membranes
[] excess thirst - Correct Answer [] shakiness
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?
[] hunger
[] increased urination
[] cold, clammy skin
,[] tremors - Correct Answer [] increased urination
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?
[] blood glucose 30 mg/dL
[] negative urine ketones
[] blood pH 7.38
[] bicarbonate level 12 mEq/L - Correct Answer [] bicarbonate level 12 mEq/L
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?
[] creatinine clearance
[] vanillylmandelic acid (VMA)
[] 17-hydroxycorticosteroids (17-OHCS)
[] protein - Correct Answer [] vanillylmandelic acid (VMA)
A nurse is providing teaching to a client who has type 1 diabetes mellitus about exercise. Which of the
following statements should the nurse include in the teaching?
[] "you should exercise during peak insulin time"
[] "wear a medical alert identification tag when you exercise"
[] "exercise can decrease the effects of insulin and cause the blood glucose levels to increase"
[] "you will get the most benefit from exercise when your glucose levels are higher than normal" - Correct
Answer [] "wear a medical alert identification tag when you exercise"
A nurse is caring for a client who is postoperative following a parathyroidectomy to treat
hyperparathyroidism. Which of the following laboratory values should the nurse expect to decrease as a
therapeutic effect of the procedure?
[] calcium
[] sodium
[] potassium
[] phophorous - Correct Answer [] calcium
, A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an adenoma.
Which of the following findings should the nurse report to the provider? (select all that apply)
[] tachycardia and hypertension
[] respiratory rate 16/min
[] negative chvostek's sign
[] laryngeal stridor and hoarseness
[] positive trousseau's sign - Correct Answer [] tachycardia and hypertension
[] laryngeal stridor and hoarseness
[] positive trousseau's sign
A nurse is planning care for a client who is experiencing the somogyi effect and takes intermittent-acting
insulin. Which of the following actions should the nurse include in the plan?
[] move the evening intermediate-acting insulin dose to 90 min before dinner
[] increase the client's morning caloric intake
[] omit the client's evening snack
[] monitor the client's nightitme blood glucose levels - Correct Answer [] monitor the client's nightitme
blood glucose levels
A nurse is assessing a client who has Grave's disease. Which of the following findings should the nurse
expect the client to display?
[] constipation
[] cold intolerance
[] difficulty sleeping
[] anorexia - Correct Answer [] difficulty sleeping
A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Which of the following findings should the nurse expect/
[] polyuria
[] dehydration
[] hyponatremia
expect to administer glucocorticoids following the procedure to enhance which of the following
therapeutic effects?
[] compensate for decrease in cortisol levels
[] inhibit glucose metabolism
[] act as a diuretic to maintain urine output
[] decrease susceptibility to infection - Correct Answer [] compensate for decrease in cortisol levels
A nurse is planning a community health screening for a group of clients who are at risk for type 2 diabetes
mellitus. Which of the following clients should the nurse include in the screening/
[] men who smoke
[] men and women who are obese
[] women who have hepatitis
[] men and women who consume high-protein and low-carbohydrate foods - Correct Answer [] men and
women who are obese
A nurse is providing teaching to a client who has type 1 diabetes mellitus about hypoglycemia. Which of
the following menaifestations should the nurse include in the teaching?
[] shakiness
[] urinary frequency
[] dry mucous membranes
[] excess thirst - Correct Answer [] shakiness
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?
[] hunger
[] increased urination
[] cold, clammy skin
,[] tremors - Correct Answer [] increased urination
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?
[] blood glucose 30 mg/dL
[] negative urine ketones
[] blood pH 7.38
[] bicarbonate level 12 mEq/L - Correct Answer [] bicarbonate level 12 mEq/L
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?
[] creatinine clearance
[] vanillylmandelic acid (VMA)
[] 17-hydroxycorticosteroids (17-OHCS)
[] protein - Correct Answer [] vanillylmandelic acid (VMA)
A nurse is providing teaching to a client who has type 1 diabetes mellitus about exercise. Which of the
following statements should the nurse include in the teaching?
[] "you should exercise during peak insulin time"
[] "wear a medical alert identification tag when you exercise"
[] "exercise can decrease the effects of insulin and cause the blood glucose levels to increase"
[] "you will get the most benefit from exercise when your glucose levels are higher than normal" - Correct
Answer [] "wear a medical alert identification tag when you exercise"
A nurse is caring for a client who is postoperative following a parathyroidectomy to treat
hyperparathyroidism. Which of the following laboratory values should the nurse expect to decrease as a
therapeutic effect of the procedure?
[] calcium
[] sodium
[] potassium
[] phophorous - Correct Answer [] calcium
, A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an adenoma.
Which of the following findings should the nurse report to the provider? (select all that apply)
[] tachycardia and hypertension
[] respiratory rate 16/min
[] negative chvostek's sign
[] laryngeal stridor and hoarseness
[] positive trousseau's sign - Correct Answer [] tachycardia and hypertension
[] laryngeal stridor and hoarseness
[] positive trousseau's sign
A nurse is planning care for a client who is experiencing the somogyi effect and takes intermittent-acting
insulin. Which of the following actions should the nurse include in the plan?
[] move the evening intermediate-acting insulin dose to 90 min before dinner
[] increase the client's morning caloric intake
[] omit the client's evening snack
[] monitor the client's nightitme blood glucose levels - Correct Answer [] monitor the client's nightitme
blood glucose levels
A nurse is assessing a client who has Grave's disease. Which of the following findings should the nurse
expect the client to display?
[] constipation
[] cold intolerance
[] difficulty sleeping
[] anorexia - Correct Answer [] difficulty sleeping
A nurse is monitoring a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH).
Which of the following findings should the nurse expect/
[] polyuria
[] dehydration
[] hyponatremia
