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NURSING QUIZ 100 Questions endocrine system | Highly Rated Paper | Download To Score An A.

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100 Questions endocrine system Question 1 A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The nurse would ... immediately prepare to initiate which anticipated health care provider's prescription? 1.Endotracheal intubation 2.100 units of NPH insulin 3.Intravenous infusion of normal saline 4.Intravenous infusion of sodium bicarbonate Intravenous infusion of normal saline Question 2 A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. Which findings support this diagnosis? Select all that apply. 1.Increase in pH 2.Comatose state 3.Deep, rapid breathing 4.Decreased urine output 5.Elevated blood glucose level Question 3 The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptom or symptoms develop? Select all that apply. 1.Polyuria 2.Shakiness 3.Palpitations 4.Blurred vision 5.Lightheadedness 6.Fruity breath odor Question 4 A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client's anxiety? 1. Administer a sedative. 2. Convey empathy, trust, and respect toward the client. 3. Ignore the signs and symptoms of anxiety, anticipating that they will soon disappear. 4. Make sure that the client is familiar with the correct medical terms to promote understanding of what is happening. Question 5 The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus. The nurse recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client makes which statement? 1.I will stop taking my insulin if I'm too sick to eat. 2.I will decrease my insulin dose during times of illness. 3.I will adjust my insulin dose according to the level of glucose in my urine. 4.I will notify my health care provider (HCP) if my blood glucose level is higher than 250 mg/dL (14.2 mmol/L). Question 6 A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL (54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240 mg/dL (13.7 mmol/L). The nurse would next prepare to administer which medication? 1.An ampule of 50% dextrose 2.NPH insulin subcutaneously 3.IV fluids containing dextrose 4.Phenytoin for the prevention of seizures Question 7 The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign or symptom, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed? 1.Polyuria 2.Diaphoresis 3.Pedal edema 4.Decreased respiratory rate Question 8 The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem? 1.Lack of knowledge 2.Inadequate fluid volume 3.Compromised family coping 4.Inadequate consumption of nutrients Question 9 The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching? 1.I need to stop my insulin. 2.I need to increase my fluid intake. 3.I need to monitor my blood glucose every 3 to 4 hours. 4.I need to call the health care provider (HCP) because of these symptoms. Question 10 The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client's nostril. The nurse should take which initial action? 1.Lower the head of the bed. 2.Test the drainage for glucose. 3.Obtain a culture of the drainage. 4.Continue to observe the drainage. Question 11 The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which health care provider prescriptions should the nurse anticipate receiving? Select all that apply. 1.Initiate an infusion of 3% NaCl. 2.Administer intravenous furosemide. 3.Restrict fluids to 800 mL over 24 hours. 4.Elevate the head of the bed to high Fowler's. 5.Administer a vasopressin antagonist as prescribed. Question 12 A client is admitted to an emergency department, and a diagnosis of myxedema coma is made. Which action should the nurse prepare to carry out initially? 1. Warm the client. 2. Maintain a patent airway. 3.Administer thyroid hormone. 4.Administer fluid replacement. Question 13 The nurse is caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA). In the acute phase, the nurse plans for which priority intervention? 1. Correct the acidosis. 2. Administer 5% dextrose intravenously. 3.Apply a monitor for an electrocardiogram. 4.Administer short-duration insulin intravenously. Question 14 A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia with exercising. Which statement by the client indicates an adequate understanding of the peak action of NPH insulin and exercise? 1.I should not exercise since I am taking insulin." 2.The best time for me to exercise is after breakfast." 3.The best time for me to exercise is mid- to late afternoon." 4.NPH is a basal insulin, so I should exercise in the evening." Question 15 The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. Which client complaint would be characteristic of this disorder? Select all that apply. 1.Polyuria 2.Headache 3.Bone pain 4.Nervousness 5.Weight gain Question 16 The nurse is teaching a client with hyperparathyroidism how to manage the condition at home. Which response by the client indicates the need for additional teaching? 1.I should limit my fluids to 1 liter per day." 2.I should use my treadmill or go for walks daily." 3.I should follow a moderate-calcium, high-fiber diet." 4.My alendronate helps to keep calcium from coming out of my bones." Question 17 A client with a diagnosis of Addisonian crisis is being admitted to the intensive care unit. Which findings will the interprofessional health care team focus on? Select all that apply. 1.Hypotension 2.Leukocytosis 3.Hyperkalemia 4.Hypercalcemia 5.Hypernatremia Question 18 The nurse is monitoring a client who was diagnosed with type 1 diabetes mellitus and is being treated with NPH and regular insulin. Which manifestations would alert the nurse to the presence of a possible hypoglycemic reaction? Select all that apply. 1. Tremors 2. Anorexia 3.Irritability 4.Nervousness 5.Hot, dry skin 6.Muscle cramps Question 19 The nurse is performing an assessment on a client with pheochromocytoma. Which assessment data would indicate a potential complication associated with this disorder? 1.A urinary output of 50 mL/hour 2.A coagulation time of 5 minutes 3.A heart rate that is 90 beats/minute and irregular 4.A blood urea nitrogen level of 20 mg/dL (7.1 mmol/L) Question 20 The nurse is monitoring a client diagnosed with acromegaly who was treated with transsphenoidal hypophysectomy and is recovering in the intensive care unit. Which findings should alert the nurse to the presence of a possible postoperative complication? Select all that apply. 1.Anxiety 2.Leukocytosis 3.Chvostek's sign 4.Urinary output of 800 mL/hour 5.Clear drainage on nasal dripper pad Question 21 The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include a fasting blood glucose level of 120 mg/dL (6.8 mmol/L), temperature of 101°F (38.3°C), pulse of 102 beats/minute, respirations of 22 breaths/minute, and blood pressure of 142/72 mm Hg. Which finding would be the priority concern to the nurse? 1.Pulse 2.Respiration 3.Temperature 4.Blood pressure Question 22 The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states that which signs and symptoms are associated with this diagnosis? Select all that apply. 1.Tremors 2.Weight loss 3.Feeling cold 4.Loss of body hair 5.Persistent lethargy 6.Puffiness of the face Question 23 A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is the priority for this client? 1.Hypoglycemia 2.Level of hoarseness 3.Respiratory distress 4.Edema at the surgical site Question 24 A client has been diagnosed with hyperthyroidism. The nurse monitors for which signs and symptoms indicating a complication of this disorder? Select all that apply. 1.Fever 2.Nausea 3.Lethargy 4.Tremors 5.Confusion 6.Bradycardia Question 25 The nurse is caring for a client scheduled for a transsphenoidal hypophysectomy. The preoperative teaching instructions should include which statement? 1.Your hair will need to be shaved." 2.You will receive spinal anesthesia." 3. You will need to ambulate after surgery." 4. Brushing your teeth needs to be avoided for at least 2 weeks after surgery." Question 26 The nurse should include which interventions in the plan of care for a client with hypothyroidism? Select all that apply. 1.Provide a cool environment for the client. 2.Instruct the client to consume a high-fat diet. 3. Instruct the client about thyroid replacement therapy. 4. Encourage the client to consume fluids and high-fiber foods in the diet. 5. Inform the client that iodine preparations will be prescribed to treat the disorder. 6.Instruct the client to contact the health care provider (HCP) if episodes of chest pain occur. Question 27 A client with Cushing's syndrome verbalizes concern to the nurse regarding the appearance of the buffalo hump that has developed. Which statement should the nurse make to the client? 1.Don't be concerned; this problem can be covered with clothing." 2.Usually these physical changes slowly improve following treatment." 3.This is permanent, but looks are deceiving and are not that important." 4.Try not to worry about it; there are other things to be concerned about." Question 28 The nurse is caring for a client after thyroidectomy. The nurse notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed for which purpose? 1. To treat thyroid storm 2. To prevent cardiac irritability 3. To treat hypocalcemic tetany 4. To stimulate release of parathyroid hormone To treat hypocalcemic tetany Question 29 A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is providing instructions regarding the program. Which instruction should the nurse include in the teaching plan? 1.Try to exercise before mealtimes. 2.Administer insulin after exercising. 3. Take a blood glucose test before exercising. 4. Exercise is best performed during peak times of insulin. Question 30 The nurse should include which interventions in the plan of care for a client with hyperthyroidism? Select all that apply. 1.Provide a warm environment for the client. 2.Instruct the client to consume a low-fat diet. 3.A thyroid-releasing inhibitor will be prescribed. 4.Encourage the client to consume a well-balanced diet. 5.Instruct the client that thyroid replacement therapy will be needed. 6.Instruct the client that episodes of chest pain are expected to occur. Question 31 A client with diabetes mellitus is being discharged following treatment for hyperosmolar hyperglycemic syndrome (HHS) precipitated by acute illness. The client tells the nurse, "I will call the health care provider (HCP) the next time I can't eat for more than a day or so." Which statement reflects the most appropriate analysis of this client's level of knowledge? 1. The client needs immediate education before discharge. 2. The client requires follow-up teaching regarding the administration of oral antidiabetics. 3.The client's statement is inaccurate, and he or she should be scheduled for outpatient diabetic counseling. 4.The client's statement is inaccurate, and he or she should be scheduled for educational home health visits. Question 32 A client with type 1 diabetes mellitus is having trouble remembering the types, duration, and onset of the action of insulin. The client tells the nurse that family members have not been supportive. Which response by the nurse is best? 1. What is it that you don't understand? 2. You can't always depend on your family to help. 3.It's not really necessary for you to remember this. 4.Let me go over the types of insulins with you again. Question 33 A client arrives in the hospital emergency department in an unconscious state. As reported by the spouse, the client has diabetes mellitus and began to show symptoms of hypoglycemia. A blood glucose level is obtained for the client, and the result is 40 mg/dL (2.28 mmol/L). Which medication should the nurse anticipate will be prescribed for the client? 1. Glucagon 2. Glyburide 3.Metformin 4.Regular insulin Question 34 A client arrives in the hospital emergency department complaining of severe thirst and polyuria. The client tells the nurse that she has a history of diabetes mellitus. A blood glucose level is drawn, and the result is 685 mg/dL (39.1 mmol/L). Which intervention should the nurse anticipate to be prescribed initially for the client? 1.Glyburide via the oral route 2.Glucagon via the subcutaneous route 3.Insulin aspart via the subcutaneous route 4.Regular insulin via the intravenous (IV) route Regular insulin via the intravenous (IV) route Question 35 The nurse is reviewing the laboratory test results for a client with a diagnosis of Cushing's syndrome. Which laboratory finding would the nurse expect to note in this client? 1.A platelet count of 200,000 mm3 (200 × 109/L) 2.A blood glucose level of 110 mg/dL (6.28 mmol/L) 3.A potassium (K+) level of 3.0 mEq/L (3.0 mmol/L) 4.A white blood cell (WBC) count of 6000 mm3 (6 × 109/L) Question 36 The nurse caring for a client with a diagnosis of hypoparathyroidism reviews the laboratory results of blood tests for this client and notes that the calcium level is extremely low. The nurse should expect to note which finding on assessment of the client? 1.Unresponsive pupils 2.Positive Trousseau's sign 3.Negative Chvostek's sign 4.Hyperactive bowel sounds Question 37 The nurse is providing instructions to a client newly diagnosed with diabetes mellitus. The nurse gives the client a list of the signs of hyperglycemia. Which specific sign of this complication should be included on the list? 1.Shakiness 2.Increased thirst 3.Profuse sweating 4.Decreased urine output Question 30 Question 38 The emergency department nurse is preparing a plan for initial care of a client with a diagnosis of hyperosmolar hyperglycemic syndrome (HHS). The nurse recognizes that the hyperglycemia associated with this disorder results from which occurrence? 1.Increased use of glucose 2.Overproduction of insulin 3.Increased production of glucose 4.Increased osmotic movement of water Question 39 The nurse is caring for a client with a diagnosis of Addison's disease and is monitoring the client for signs of addisonian crisis. The nurse should assess the client for which manifestation that would be associated with this crisis? 1.Agitation 2.Diaphoresis 3.Restlessness 4.nSevere abdominal pain Question 40 The nurse is developing a plan of care for a client who is scheduled for a thyroidectomy. The nurse focuses on psychosocial needs, knowing that which is likely to occur in the client? 1.Infertility 2.Gynecomastia 3.Sexual dysfunction 4.Body image changes Question 41 The nurse is reviewing the record of a client admitted to the hospital with a diagnosis of pheochromocytoma. The nurse reads the assessment findings and expects to note documentation of which major symptom associated with this condition? 1.Glycosuria 2.Diaphoresis 3.Weight loss 4.Hypertension Question 42 The nurse is performing an assessment on a client with a diagnosis of Cushing's syndrome. Which should the nurse expect to note on assessment of the client? 1. Skin atrophy 2. The presence of sunken eyes 3.Drooping on 1 side of the face 4.A rounded "moonlike" appearance to the face Question 43 The nurse is performing an assessment on a client with a diagnosis of myxedema (hypothyroidism). Which assessment finding should the nurse expect to note in this client? 1.Dry skin 2.Thin, silky hair 3.Bulging eyeballs 4.Fine muscle tremors Question 44 The nurse is performing an assessment on a client with a diagnosis of hyperthyroidism. Which assessment finding should the nurse expect to note in this client? 1.Dry skin 2.Bulging eyeballs 3.Periorbital edema 4.Coarse facial features Question 45 The nurse has provided instructions for measuring blood glucose levels to a client newly diagnosed with diabetes mellitus who will be taking insulin. The client demonstrates understanding of the instructions by identifying which method as the best method for monitoring blood glucose levels? 1.I will check my blood glucose level every day at 5:00 p.m." 2.I will check my blood glucose level 1 hour after each meal." 3.I will check my blood glucose level 2 hours after each meal." 4.I will check my blood glucose level before each meal and at bedtime." Question 46 The nurse is providing dietary instructions to help with diabetes control for a client newly diagnosed with diabetes mellitus who will be taking insulin. The nurse should provide the client with which best instruction? 1. Eat meals at approximately the same time each day. 2. Adjust mealtimes depending on blood glucose levels. 3. Vary mealtimes if insulin is not administered at the same time every day. 4. Avoid being concerned about the time of meals as long as snacks are taken on time. Question 47 A client with diabetes mellitus who takes insulin is seen in the health care clinic. The client tells the clinic nurse that after the insulin injection, the insulin seems to leak through the skin. The nurse would appropriately determine the problem by asking the client which question? 1. Are you rotating the injection site?" 2. Are you aspirating before you inject the insulin?" 3. Are you using a 1-inch needle to give the injection?" 4. Are you placing an air bubble in the syringe before injection?" Question 48 The nurse is providing instructions regarding insulin administration for a client newly diagnosed with diabetes mellitus. The health care provider has prescribed a mixture of NPH insulin and regular insulin. The nurse should instruct the client that which is the first step in this procedure? 1.Draw up the correct dosage of NPH insulin into the syringe. 2.Draw up the correct dosage of regular insulin into the syringe. 3. Inject air equal to the amount of NPH insulin prescribed into the vial of NPH insulin. 4.Inject air equal to the amount of regular insulin prescribed into the vial of regular insulin. Question 49 The nurse is reviewing the health care provider's (HCP's) prescriptions for a client with a diagnosis of diabetes mellitus who has been hospitalized for treatment of an infected foot ulcer. The nurse expects to note which finding in the HCP's prescriptions? 1.A decreased-calorie diet 2.An increased-calorie diet 3.A decreased amount of NPH insulin daily insulin 4. An increased amount of NPH insulin daily insulin Question 50 The nurse is monitoring a client with diabetes mellitus for signs of hypoglycemia. Which manifestations are associated with this complication? 1.Slow pulse; lethargy; warm, dry skin 2.Elevated pulse; lethargy; warm, dry skin 3.Elevated pulse; shakiness; cool, clammy skin 4.Slow pulse, confusion, increased urine output Question 51 The home care nurse is visiting a client newly diagnosed with diabetes mellitus. The client tells the nurse that he is planning to eat dinner at a local restaurant this week. The client asks the nurse if eating at a restaurant will affect diabetic control and if this is allowed. Which nursing response is most appropriate? 1. You are not allowed to eat in restaurants." 2. You should order a half-portion meal and have fresh fruit for dessert." 3. If you plan to eat in a restaurant, you need to skip the lunchtime meal." 4. You should increase your daily dose of insulin by half on the day that you plan to eat in the restaurant." Question 52 The nurse is developing a plan of care for a client with Cushing's syndrome. The nurse documents a client problem of excess fluid volume. Which nursing actions should be included in the care plan for this client? Select all that apply. 1.Monitor daily weight. 2.Monitor intake and output. 3.Assess extremities for edema. 4.Maintain a high-sodium diet. 5.Maintain a low-potassium diet. Question 53 The nurse has documented the problem of body image distortion for a client with a diagnosis of Cushing's syndrome. The nurse identifies nursing interventions related to this problem and includes these interventions in the plan of care. Which nursing intervention is inappropriate? 1. Encourage the client's expression of feelings. 2. Assess the client's understanding of the disease process. 3. Encourage family members to share their feelings about the disease process. 4.Encourage the client to recognize that the body changes need to be dealt with. Question 54 The nurse is caring for a client who has had an adrenalectomy and is monitoring the client for signs of adrenal insufficiency. Which signs and symptoms indicate adrenal insufficiency in this client? 1. Hypotension and fever 2. Mental status changes and hypertension 3.Subnormal temperature and hypotension 4.Complaints of weakness and hypertension Question 55 The nurse is providing home care instructions to the client with a diagnosis of Cushing's syndrome and prepares a list of instructions for the client. Which instructions should be included on the list? Select all that apply. 1.The signs and symptoms of hypoadrenalism 2.The signs and symptoms of hyperadrenalism 3. Instructions to take the medications exactly as prescribed 4. The importance of maintaining regular outpatient follow-up care 5.A reminder to read the labels on over-the-counter medications before purchase Question 56 The nurse is developing a plan of care for a client with Addison's disease. The nurse has identified a problem of risk for deficient fluid volume and identifies nursing interventions that will prevent this occurrence. Which nursing interventions should the nurse include in the plan of care? Select all that apply. 1. Monitor for changes in mentation. 2. Encourage an intake of low-protein foods. 3 Encourage an intake of low-sodium foods. 4.Encourage fluid intake of at least 3000 mL per day. 5.Monitor vital signs, skin turgor, and intake and output. Question 57 The nurse is reviewing the postoperative prescriptions for a client who had a transsphenoidal hypophysectomy. Which health care provider's (HCP's) prescriptions, if noted on the record, would indicate the need for clarification? 1.Assess vital signs and neurological status. 2.Instruct the client to avoid blowing his nose. 3.Apply a loose dressing if any clear drainage is noted. 4.Instruct the client about the need for a MedicAlert bracelet. Question 58 The nurse has developed a postoperative plan of care for a client who had a thyroidectomy and documents that the client is at risk for developing an ineffective breathing pattern. Which nursing intervention should the nurse include in the plan of care? 1. Maintain a supine position. 2. Monitor neck circumference every 4 hours. 3. Maintain a pressure dressing on the operative site. 4. Encourage deep-breathing exercises and vigorous coughing exercises. Question 59 The nurse is monitoring a client for signs of hypocalcemia after thyroidectomy. Which sign or symptom, if noted in the client, would most likely indicate the presence of hypocalcemia? 1 Bradycardia 2.Flaccid paralysis 3. Tingling around the mouth 4. Absence of Chvostek's sign Question 60 The nurse is caring for a client after thyroidectomy. The client expresses concern about the postoperative voice hoarseness she is experiencing and asks if the hoarseness will subside. The nurse should provide the client with which information? 1.It indicates nerve damage. 2.The hoarseness is permanent. 3. It is normal during this time and will subside. 4. It will worsen before it subsides, which may take 6 months. . Question 61 The nurse is monitoring a client with Graves' disease for signs of thyrotoxic crisis (thyroid storm). Which signs or symptoms, if noted in the client, will alert the nurse to the presence of this crisis? 1.Fever and tachycardia 2.Pallor and tachycardia 3.Agitation and bradycardia 4.Restlessness and bradycardia Question 62 The nursing instructor asks a nursing student to identify the risk factors associated with the development of thyrotoxicosis. The student demonstrates understanding of the risk factors by identifying an increased risk for thyrotoxicosis in which client? 1.A client with hypothyroidism 2.A client with Graves' disease who is having surgery 3.A client with diabetes mellitus scheduled for a diagnostic test 4.A client with diabetes mellitus scheduled for debridement of a foot ulcer Question 63 The home care nurse visits a client with a diagnosis of hyperparathyroidism who is taking furosemide and provides dietary instructions to the client. Which statement by the client indicates a need for additional instruction? 1.I need to eat foods high in potassium." 2.I need to drink at least 2 to 3 L of fluid daily." 3.I need to eat small, frequent meals and snacks if nauseated." 4.I need to increase my intake of dietary items that are high in calcium." Question 64 The nurse has provided instructions to the client with hyperparathyroidism regarding home care measures to manage the symptoms of the disease. Which statement by the client indicates a need for further instruction? 1.I should avoid bed rest." 2.I need to avoid doing any exercise at all." 3.I need to space activity throughout the day." 4.I should gauge my activity level by my energy level. Question 65 The nurse has provided dietary instructions to a client with a diagnosis of hypoparathyroidism. The nurse should instruct the client that it is acceptable to include which item in the diet? 1.Fish 2.Cereals 3.Vegetables 4.Meat and poultry Question 66 The nurse has provided home care measures to the client with diabetes mellitus regarding exercise and insulin administration. Which statement by the client indicates a need for further instruction? 1.I should always wear a MedicAlert bracelet." 2.I should perform my exercise at peak insulin time." 3.I should always carry a quick-acting carbohydrate when I exercise." 4.I should avoid exercising at times when a hypoglycemic reaction is likely to occur." Question 67 The nurse is caring for a client admitted to the hospital with uncontrolled type 1 diabetes mellitus. In the event that diabetic ketoacidosis (DKA) does occur, the nurse anticipates that which medication would most likely be prescribed? 1.Glucagon 2.Glyburide 3.Regular insulin 4.Neutral protamine Hagedorn (NPH) insulin Regular insulin Question 68 The nurse in a health care clinic is reviewing the record of a client with diabetes mellitus who was just seen by the health care provider (HCP). The nurse notes that the HCP has prescribed acarbose. Which preexisting disorder, if noted in the client's record, would indicate a contraindication to the use of this medication? 1.Hypothyroidism 2.Renal insufficiency 3.Arterial insufficiency 4.Coronary artery disease Question 69 A nurse is providing home care instructions to a client with a diagnosis of Addison's disease. Which statement by the client indicates a need for further instruction? 1.I need to wear a MedicAlert bracelet." 2.I need to purchase a travel kit that contains cortisone." 3.I will need to take daily medications until my symptoms decrease." 4.I need an increased dose of glucocorticoid medication during stressful minor illnesses." Question 70 A nurse is reviewing the assessment findings and laboratory data for a client with the syndrome of inappropriate antidiuretic hormone secretion (SIADH). The nurse understands that which symptoms are associated characteristics of this disorder? Select all that apply. 1.Hypernatremia 2.Signs of water deficit 3.High urine osmolality 4.Low serum osmolality 5.Hypotonicity of body fluids 6.Continued release of antidiuretic hormone (ADH) Question 71 A nurse is reviewing the assessment findings for a client who was admitted to the hospital with a diagnosis of diabetes insipidus. The nurse understands that which manifestations are associated with this disorder? Select all that apply. 1 Polyuria 2.Polydipsia 3.Concentrated urine 4.Complaints of excessive thirst 5.Specific gravity lower than 1.005 Question 72 A client with suspected Cushing's syndrome is scheduled for adrenal venography. A nurse has provided instructions to the client regarding the test. Which statement by the client indicates a need for further instruction? 1.I need to sign an informed consent." 2.The insertion site will be locally anesthetized." 3.I will be placed in a high-sitting position for the test." 4.I may feel a burning sensation after the dye is injected." Question 73 A client has been hospitalized for an endocrine system dysfunction of the pancreas. The registered nurse asks the new orientee nurse what kind of problem a client hospitalized for endocrine dysfunction of the pancreas would expect. The new orientee nurse demonstrates understanding if which statement is made? 1. Lipase levels will decrease." 2. Insulin production will be decreased." 3.There will be overproduction of trypsin." 4.Amylase will be secreted in excess amounts."." Question 74 A client has been hospitalized for impaired function of the posterior pituitary gland. The nurse plans to monitor for signs and symptoms of which hormone imbalance? 1.Growth hormone (GH) 2.Luteinizing hormone (LH) 3.Antidiuretic hormone (ADH) 4.Follicle-stimulating hormone (FSH) Question 75 The nurse is admitting a client diagnosed with pheochromocytoma. The client is complaining of a pounding headache and palpitations and the blood pressure is 170/90 mm Hg. The nurse is aware that which substance is responsible for these clinical manifestations? 1.Cortisol 2.Androgens 3.Aldosterone 4.Epinephrine Question 76 A client has a tumor that is interfering with the function of the hypothalamus. The nurse should monitor for signs and symptoms related to which imbalance? 1.Melatonin excess or deficit 2.Glucocorticoid excess or deficit 3.Mineralocorticoid excess or deficit 4.Antidiuretic hormone (ADH) excess or deficit Question 77 The nurse is caring for a client with a serum phosphorus level of 5.0 mg/dL (1.61 mmol/L). What other laboratory value might the nurse expect to note in the medical record? 1.Calcium level of 8 mg/dL (2.0 mmol/L) 2.Calcium level of 11.2 mg/dL (2.8 mmol/L) 3.Potassium level of 2.9 mEq/L (2.9 mmol/L) 4.Potassium level of 5.6 mEq/L (5.6 mmol/L) Question 78 A client is hospitalized with a diagnosis of adrenal insufficiency. Which findings does the nurse identify as supportive of this diagnosis? Select all that apply. 1.Irritability 2.Complaints of nausea 3. Sodium level of 128 mEq/L (128 mmol/L) 4. Potassium level of 3.2 mEq/L (3.2 mmol/L) 5. Blood lying 138/70 mm Hg and standing 110/58 mm Hg Question 79 A client with an endocrine disorder has experienced recent weight loss and exhibits tachycardia. Based on the clinical manifestations, the nurse should suspect dysfunction of which endocrine gland? 1.Thyroid 2.Pituitary 3.Parathyroid 4.Adrenal cortex Question 80 A client has abnormal amounts of circulating thyronine (T3) and thyroxine (T4). While obtaining the health history, the nurse asks the client about dietary intake. Lack of which dietary element is most likely the cause? 1.Iodine 2.Calcium 3.Phosphorus 4.Magnesium Iodine Question 81 A client with medullary carcinoma of the thyroid has an excess function of the C cells of the thyroid gland. When reviewing the most recent laboratory results, the nurse should expect which electrolyte abnormality? 1.Sodium 2 Calcium 3.Potassium 4.Magnesium Question 82 A client with hypovolemia experiences activation of the renin-angiotensin system to maintain blood pressure. The registered nurse determines that the new nurse understands that what substance is secreted if which statement is made? 1. Cortisol will be secreted." 2. Aldosterone will be secreted." 3. Additional glucagon will be produced." 4.Adrenocorticotropic hormone production will increase." Question 83 A client present at the clinic with an overactivity of the thyroid gland. The nurse should expect which finding? 1.Weight gain 2.Nutritional deficiencies 3.Low blood glucose levels 4.Increased body fat stores Question 84 A client has been diagnosed with pheochromocytoma. Which clinical manifestation is most indicative of this condition? 1.Water loss 2.Bradycardia 3.Hypertension 4.Decreased cardiac output Question 85 A client is diagnosed with Cushing's syndrome. When reviewing the recent laboratory results, the nurse should expect an excess of which substance? 1.Calcium 2.Cortisol 3.Epinephrine 4.Norepinephrine Question 86 A hospitalized client is experiencing an episode of hypoglycemia. The client is lethargic and has no available intravenous (IV) access. Which medication should the nurse anticipate administering? 1. Insulin 2.Cortisone 3.Glucagon 4.Epinephrine Question 87 The nurse is caring for a client with a new diagnosis of hypothyroidism. Which clinical manifestations might the nurse expect to note on examination of this client? Select all that apply 1.Irritability 2. Periorbital edema 3.Coarse, brittle hair 4.Slow or slurred speech 5.Abdominal distention 6.Soft, silky, thinning hair Question 88 A client with diabetes mellitus is at risk for a serious metabolic disorder from the breakdown of fats for conversion to glucose. The nurse should anticipate that which substance will be elevated? 1.Glucose 2. Ketones 3. Glucagon 4. Lactate dehydrogenase Question 89 A test to measure long-term control of diabetes mellitus has been prescribed for a client. In instructing the client about the test, the nurse explains that long-term control can be measured because chronic high blood glucose levels lead to irreversible glucose binding onto what? 1.Platelets 2.Muscle tissue 3.Adipose tissue 4.Red blood cells (RBCs) Question 90 A hospitalized client is diagnosed with type 1 diabetes mellitus. The nurse plans care for the client, understanding that which factors are likely causes of the beta cell destruction that accompanies this disorder? Select all that apply. 1.Viruses 2.Genetic factors 3. Autoimmune factors 4. Human leukocyte antigen (HLA) 5.Primary failure of glucagon secretion Question 91 A nurse is reviewing the health care provider's prescriptions for a client diagnosed with hypothyroidism. Which medication prescription should the nurse question and verify? 1.Acetaminophen 2.Docusate sodium 3.Morphine sulfate 4.Levothyroxine sodium Question 92 The emergency department nurse is reviewing the laboratory test results for a client suspected of having diabetic ketoacidosis (DKA). Which laboratory result should the nurse expect to note in this disorder? 1. Serum pH of 9.0 2. Absent ketones in the urine 3. Serum bicarbonate of 22 mEq/L (22 mmol/L) 4.Blood glucose level of 500 mg/dL (28.5 mmol/L) Blood glucose level of 500 mg/dL (28.5 mmol/L) Question 93 The nurse is providing instructions regarding home care measures to a client with diabetes mellitus and instructs the client about the causes of hypoglycemia. The nurse determines that additional instruction is needed if the client identifies which as a cause of hypoglycemia? 1. Omitted meals 2. Increased intensity of activity 3.Decreased daily insulin dosage 4.Inadequate amount of fluid intake Question 94 The clinic nurse is providing instructions to a client with diabetes mellitus about the signs and symptoms of hypoglycemia. The nurse should tell the client that which would be noted in a hypoglycemic reaction? 1.Thirst 2.Hunger 3.Polydipsia 4.Increased urine output Question 95 A client with type 2 diabetes mellitus has a blood glucose level greater than 600 mg/dL (34.3 mmol/L) and is complaining of polydipsia, polyuria, weight loss, and weakness. The nurse reviews the health care provider's documentation and expects to note which diagnosis? 1.Hypoglycemia 2.Pheochromocytoma 3.Diabetic ketoacidosis (DKA) 4.Hyperosmolar hyperglycemic syndrome (HHS) Hyperosmolar hyperglycemic syndrome (HHS) Question 96 After client education about the importance of sunscreen use and active vitamin production via the skin, the nurse determines that the client understands the teaching when which statement is made? 1.Vitamin B is activated in the outer layer of the skin by the sun." 2.Vitamin E deficiency occurs from lack of exposure to sunlight." 3.Vitamin K can be depleted if exposed to excess ultraviolet light." 4.Vitamin D is activated in the epidermis from ultraviolet light, such as sunlight." Question 97 A preoperative client is scheduled for adrenalectomy to remove a pheochromocytoma. The nurse would most closely monitor which item in the preoperative period? 1.Vital signs 2.Fluid balance 3.Anxiety level 4.Creatinine levels Question 98 A nurse is assessing a client who has had cranial surgery and is at risk for development of diabetes insipidus. The nurse would assess for which signs or symptoms that could indicate development of this complication? 1Diarrhea 2.Infection 3.Polydipsia 4.Weight gain Question 99 A client is admitted to the hospital with a diagnosis of Addison's disease. The nurse would assess for which problem as a manifestation of this disorder? 1.Edema 2.Obesity 3.Hirsutism 4.Hypotension Hypotension Question 100 A client has begun medication therapy with propylthiouracil. The nurse should assess the client for which condition as an adverse effect of this medication? 1.Joint pain 2.Renal toxicity 3.Hyperglycemia 4.Hypothyroidism [Show More]

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