The nurse is collecting data regarding a client after a thyroidectomy and notes that the client has developed hoarseness and a weak voice. Which nursing action is appropriate?
• Reassure the client that this is usually
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The nurse is collecting data regarding a client after a thyroidectomy and notes that the client has developed hoarseness and a weak voice. Which nursing action is appropriate?
• Reassure the client that this is usually a temporary condition.
The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care. Which instruction should be included in the plan of care?
• Apply a moisturizing lotion to dry feet, but not between the toes.
The nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diabetic diet. Which statement made by the client indicates the need for further teaching?
• "I need to buy special dietetic foods."
A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. Which teaching information should the nurse reinforce upon discharge?
• Rotate the insulin injection sites systematically.
The nurse reinforces teaching with a client with diabetes mellitus regarding differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that glucose will be taken if which symptom develops?
• Shakiness
When the nurse is reinforcing instructions to a client who has been newly diagnosed with type 1 diabetes mellitus, which statement by the client would indicate that teaching has been effective?
• "I will notify my health care provider if my blood glucose level is consistently greater than 250 mg/dL."
The nurse is monitoring a client who has been newly diagnosed with diabetes mellitus for signs of complications. Which statement made by the client would indicate hyperglycemia and thus warrant health care provider notification?
• "I am urinating a lot."
The nurse is reinforcing instructions with a client with diabetes mellitus who is recovering from diabetic ketoacidosis (DKA) regarding measures to prevent a recurrence. Which instruction is important for the nurse to emphasize?
• Monitor blood glucose levels frequently.
The nurse is reinforcing discharge teaching with a client who has Cushing's syndrome. Which statement by the client indicates that the instructions related to dietary management were understood?
• "I can eat foods that contain potassium."
The nurse educator is asking the nursing student to recall the signs/symptoms of hypothyroidism. The nurse educator determines that the student understands this disorder if which are included in the student's response? Select all that apply.
• Dry skin
• Constipation
• Cold intolerance
The nurse is caring for a postoperative parathyroidectomy client. Which would require the nurse's immediate attention?
• Laryngeal stridor
The nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper thighs. Which further information should the nurse obtain from the client during data collection?
• Plan for injection rotation
A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia. Which statement by the client indicates a correct understanding of Humulin N insulin and exercise?
• "I should not exercise in the late afternoon."
The nursing instructor asks a student to describe the pathophysiology that occurs in Cushing's disease. Which statement by the student indicates an accurate understanding of this disorder?
• "Cushing's disease is characterized by an oversecretion of glucocorticoid hormones."
A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is reinforcing instructions to the client regarding the program. Which should the nurse include in the instructions?
• Take a blood glucose test before exercising.
The nurse should expect to note which interventions in the plan of care for a client with hypothyroidism? Select all that apply.
• Instruct the client about thyroid replacement therapy.
• Encourage the client to consume fluids and high-fiber foods in the diet.
• Instruct the client to contact the health care provider if
episodes of chest pain occur.
Which client complaint should alert the nurse to a possible hypoglycemic reaction?
• Tremors and double vision
Which nursing action would be appropriate to implement when a client has a diagnosis of pheochromocytoma?
• Monitor the client's blood pressure.
The nurse is caring for a client with pheochromocytoma. The client is scheduled for an adrenalectomy. During the preoperative period, the priority nursing action should be to monitor which criterion?
• Vital signs
The nurse is caring for a client with pheochromocytoma. The client asks for a snack and something warm to drink. Which is the appropriate choice for this client to meet nutritional needs?
• Graham crackers and warm milk
The nurse is caring for a client with pheochromocytoma. Which data are indicative of a potential complication associated with this disorder?
• Congestion heard on auscultation of the lungs
The nurse is caring for a client after a thyroidectomy and monitoring for signs of thyroid storm. The nurse determines that which sign/symptom is indicative that a thyroid storm may be occurring?
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