NURSING 234 Endocrine Review

NURSING 234 Endocrine Review Question 1: (see full question)After undergoing a thyroidectomy, a client develops hypocalcemia and tetany. The nurse knows that this may be the result of what complication of the surgery?You selected:Damage to the parathyroid glandsCorrectExplanation: Damage to the parathyroid glands may cause hypocalcemia. Damage to the recurrent laryngeal nerve may cause voice loss. Hemorrhage may compromise the airway, as will edema, but neit ... (more) Question 2: (see full question)Which of the following results would indicate that levothyroxine sodium is effectively resolving the symptoms of a client with hypothyroidism?You selected:Increased energy, weight loss, and a higher temperature and pulse rateCorrectExplanation: The thyroid replacement medication will result in an increased rate of metabolism, indicated by the increase in temperature and pulse rate. As the metabolic rate increases, the cli ... (more) Question 3: (see full question)A client's blood glucose level is 45 mg/dl (2.5 mmol/L). The nurse should be alert for which signs and symptoms?You selected:Coma, anxiety, confusion, headache, and cool, moist skinCorrectExplanation: Signs and symptoms of hypoglycemia [indicated by a blood glucose level of 45 mg/dl (2.5 mmol/L)] include anxiety, restlessness, headache, irritability, confusion, diaphoresis, cool s ... (more) Question 4: (see full question)A nurse is teaching a client with type 1 diabetes how to treat adverse reactions to insulin. To reverse hypoglycemia, the client ideally should ingest an oral carbohydrate. However, this treatment isn't always possible or safe. Therefore, the nurse should advise the client to keep which alternate treatment on hand?You selected:GlucagonCorrectExplanation: During a hypoglycemic reaction, a layperson may administer glucagon, an antihypoglycemic agent, to raise the blood glucose level quickly in a client who can't ingest an oral carboh ... (more) Question 5: (see full question)A client tells the nurse that she has been working hard for the past 3 months to control her type 2 diabetes with diet and exercise. To determine the effectiveness of the client's efforts, the nurse should check:You selected:fasting blood glucose level.IncorrectCorrect response:glycosylated hemoglobin level.Explanation: Because some of the glucose in the bloodstream attaches to some of the hemoglobin and stays attached during the 120-day life span of red blood cells, glycosylated hemoglobin levels ... (more) Question 6: (see full question)A client concerned about being diagnosed with type 2 diabetes tells a nurse, "My mother suffered with diabetes for many years and finally died of kidney failure in spite of treatment. Why should I try if I'm going to go through the same thing?" What is the nurse's most appropriate response?You selected:"Are you worried that you'll have the same experience as your mother?"CorrectExplanation: Asking if the client feels he'll have the same experience as his mother gives him an opportunity to vent underlying anxiety. There's nothing to indicate that his mother's diabetes ... (more) Question 7: (see full question)Which information should the nurse include in the teaching plan of a female client with bilateral adrenalectomy?You selected:The client will need steroid replacement for the rest of her life.CorrectExplanation: Bilateral adrenalectomy requires lifelong adrenal hormone replacement therapy. If unilateral surgery is performed, most clients gradually reestablish a normal secretion pattern. Th ... (more) Question 8: (see full question)The nurse is teaching a client who is taking insulin about the signs of diabetic ketoacidosis, which include:You selected:Kussmaul's respirations.CorrectExplanation: The client with diabetic ketoacidosis exhibits Kussmaul’s respiration, as well as flushed skin, dry mouth, urinary frequency, hyperglycemia, and ketonuria. Excessive hunger and h ... (more) Question 9: (see full question)For the first 72 hours after thyroidectomy surgery, a nurse should assess a client for Chvostek's sign and Trousseau's sign because they indicate:You selected:hypocalcemia.CorrectExplanation: A client who has undergone a thyroidectomy is at risk for developing hypocalcemia from inadvertent removal of or damage to the parathyroid gland. The client with hypocalcemia will ... (more) Question 10: (see full question)A client asks the nurse how long it will be necessary to take the medicine for hypothyroidism. The nurse’s response is based on the knowledge that:You selected:lifelong daily medicine is necessary.CorrectExplanation: Thyroid replacement is a lifelong maintenance therapy. The medication is usually given as one dose in the morning. It cannot be tapered or discontinued because the client needs thy ... (more) Question 11: (see full question)When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism who has just started to take thyroid hormone replacement, the nurse should inform the client that these feelings are:You selected:most likely related to low thyroid hormone levels and will improve with treatment.CorrectExplanation: Hypothyroidism may contribute to sadness and depression. It is good practice for clients with newly diagnosed depression to be monitored for hypothyroidism by checking serum thyroi ... (more) Question 12: (see full question)Using a sliding-scale schedule, the nurse is preparing to administer an evening dose of regular insulin to a client who is receiving total parenteral nutrition (TPN). The nurse should base the dosage on the:You selected:glucometer reading of the client's glucose level obtained immediately before administering the insulin.CorrectExplanation: When using a sliding-scale insulin schedule, the nurse obtains a glucometer reading of the client’s blood glucose level immediately before giving the insulin and bases the dosage ... (more) Question 13: (see full question)Which of the following indicates that the client with Addison's disease is receiving too much glucocorticoid replacement?You selected:Rapid weight gain.CorrectExplanation: Rapid weight gain, because it reflects excess fluids, is a warning sign that the client is receiving too much hormone replacement. It may be difficult to individualize the correct ... (more)