ATI RN COMPREHENSIVE PREDICTOR RETAKE LATEST 2023 GRADED A+

ENDOCRINE DISORDERS 1. Nurse Ronn is assessing a client with a. Hypotension. 1. Answer C. Because of changes in fat distribution, possible Cushing’s syndrome. In a client wit b. Thick, coarse skin. Cushing’s syndrome, the nurse would expectc. Deposits of adipose tissue in the trunk and adipose tissue accumulates in the trunk, face (moonface), and dorsocervical areas (buffalo hump). to find: dorsocervical area. d. Weight gain in arms and legs. Hypertension is caused by fluid retention. Skin becomes thin and bruises easily because of a loss of collagen. Muscle wasting causes muscle atrophy and thin extremities. 2. A male client with primary diabetes a. insipidus is ready for discharge on desmopressin (DDAVP). Which instruction should nurse Lina provide? b. 3. Nurse Wayne is aware that a positive a. Chvostek’s sign indicate? a. b. Hypocalcemia b. Hyponatremia d. Hypokalemia d. Hypermagnesemia ―Administer desmopressin while the suspension is cold.‖ ―Your condition isn’t chronic, so you won’t need to wear a medical identification bracelet.‖ c. ―You may not be able to use desmopressin nasally if you have nasal discharge or blockage.‖ d. ―You won’t need to monitor your fluid intake and output after you start taking desmopressin.‖ Hypocalcemia Hyponatremia Hypokalemia Hypermagnesemia 2. Answer C. Desmopressin may not be absorbed if the intranasal route is compromised. Although diabetes insipidus is treatable, the client should wear medical identification and carry medication at all times to alert medical personnel in an emergency and ensure proper treatment. The client must continue to monitor fluid intake and output and receive adequate fluid replacement. 3. Answer A. Chvostek’s sign is elicited by tapping the client’s face lightly over the facial nerve, just below the temple. If the client’s facial muscles twitch, it indicates hypocalcemia. Hyponatremia is indicated by weight loss, abdominal cramping, muscle weakness, headache, and postural hypotension. Hypokalemia causes paralytic ileus and muscle weakness. Clients with hypermagnesemia exhibit a loss of deep tendon reflexes, coma, or cardiac arrest.