ATI Endocrine system

ATI Endocrine system A nurse is assessing a client who has adrenal insufficiency. Which of the following findings should the nurse expect? a. Moon-shaped face b.Weight gain c.Calcium 12.8 mg/dL d. Sodium 150 mEq/L - ANSWER c. Calcium 12.8 mg/dL A client who has adrenal insufficiency will have a calcium level above the expected reference range of 4.5 to 5.6 mg/dL. Moon-shaped face A rounded face, or a moon-shaped face, is a finding of Cushing's disease. Weight gainWeight loss is a finding of adrenal insufficiency. Sodium 150 mEq/L A client who has adrenal insufficiency will have a sodium level below the expected reference range of 136 to 145 mEq/L.. A nurse is caring for a client who has diabetes mellitus and developed peripheral neuropathy. Which of the following measures should the nurse recommend to prevent injuries to his feet? a.Examine the skin of the feet feet weekly for alterations in skin integrity. b.Monitor the temperature of bath water with a thermometer. c.Shop for shoes early in the day. d.Round the edges of toenails when trimming them. - ANSWER b.Monitor the temperature of bath water with a thermometer.-Peripheral neuropathy makes it difficult to determine if bath water is too hot. Therefore, to prevent injury, the client should use a bath thermometer to ensure a water temperature below 43.3° C (110° F). Examine the skin of the feet feet weekly for alterations in skin integrity. The client should examine the skin of the feet daily. Shop for shoes early in the day. To make sure they fit, the client should shop for shoes later in the day when the feet are likely to have slight swelling. Round the edges of toenails when trimming them. The client should trim toenails straight across and smooth the edges with an emery board.