Saunders Endo-crine Exam 2 Questions with Correct Answers
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Course
Saunders Endo-crine
Institution
Saunders Endo-crine
Saunders Endo-crine Exam 2 Questions with Correct Answers
The nurse reinforces teaching to 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 sympt...
Saunders Endo-crine Exam 2 Questions
with Correct Answers
The nurse reinforces teaching to 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? - Answer-
shakiness
The nurse is assigned to care for a client at home who has a diagnosis of type 1
diabetes mellitus. When the nurse arrives to care for the client, the client tells the nurse
that she has been vomiting and has diarrhea. Which additional statement by the client
indicates a need for further teaching? - Answer-*1. "I need to stop my insulin."*
A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a
blood glucose value of 368 mg/dL, arterial pH of 7.2, arterial bicarbonate of 14 mEq/L,
and is positive for serum ketones. The diagnosis is supported by which noted data?
Select all that apply. - Answer-Fruity breath odor
Rapid, deep breathing
Dry mucous membranes
After several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse
understands that which signs/symptoms are indicative of this disorder? - Answer-
Excessive thirst and urine output
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 primary health care provider (PHCP) notification? -
Answer-"I am urinating a lot."
The nurse is monitoring a client following a thyroidectomy for signs/symptoms of
hypocalcemia. Which signs/symptoms noted in the client indicates the presence of
hypocalcemia? Select all that apply. - Answer-Muscle spasms
Positive Trousseau's sign
Tingling around the mouth
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 signs of
this complication would be included on the list? - Answer-increased thirst
A client with diabetes mellitus is scheduled to have a fasting blood glucose level
determined in the morning. The nurse tells the client not to eat or drink after midnight.
, When the client asks for further information, the nurse clarifies by stating that which
would be acceptable to take before the test? - Answer-Water
The nurse is caring for a client experiencing thyroid storm. Which would be a priority
concern for this client? - Answer-Potential for cardiac disturbances
The nursing instructor asks a student to describe the pathophysiology that occurs in
Cushing's syndrome. Which statement by the student indicates an accurate
understanding of this disorder? - Answer-Cushing's syndrome is characterized by an
over-secretion of glucocorticoid hormones
The nurse is reinforcing home care instructions to a client with a diagnosis of Cushing's
syndrome. Which client statement reflects a need for further teaching? - Answer-"I need
to read the labels on any over-the-counter medications I purchase."
The nurse is collecting data from a client who is being admitted to the hospital for a
diagnostic workup for primary hyperparathyroidism. The nurse understands that which
client complaint would be characteristic of this disorder? - Answer-polyuria
The nurse is reviewing a plan of care for a client with Addison's disease. The nurse
notes that the client is at risk for dehydration and suggests nursing interventions that will
prevent this occurrence. Which nursing interventions are appropriate components of the
plan of care? Select all that apply. - Answer-1,3,5
The nurse caring for a client scheduled for a transsphenoidal hypophysectomy to
remove a tumor in the pituitary gland assists in developing a plan of care for the client.
The nurse suggests including which specific information in the preoperative teaching
plan? - Answer-Toothbrushing will not be permitted for at least 2 weeks following
surgery.
The nurse is caring for a client with pheochromocytoma. The client is scheduled for an
adrenalectomy. During the preoperative period, the priority nursing action would be to
monitor which criterion? - Answer-Vital signs
The nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both
upper thighs. Which further information would the nurse obtain from the client during
data collection? - Answer-Plan for injection rotation
A client who is managing diabetes mellitus with insulin injections asks the nurse for
information about any necessary changes in her diet to avoid hyperinsulinism. Which
diet would be appropriate for the client? - Answer-Small frequent meals with protein, fat,
and carbohydrates at each meal
The nurse working on an endocrine nursing unit understands that which correct
concepts are used in planning care? Select all that apply. - Answer-2,3,5
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