1. A client is admitted for removal of a goiter.Which nursing intervention should receive priority during the
postoperative period? *Exam Cram En- docrine ANSWER Assessing the Clients Airway
2. A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse
w...
NU 185 MED – SURGE II EXAM 4 /
QUESTIONS AND CORRECT
ANSWERS BY EXPERTS 2025
GRADED A+ BEST FOR REVISION.
,1. A client is admitted for removal of a goiter. Which nursing intervention should receive priority during the
postoperative period? *Exam Cram En- docrine ANSWER Assessing the Clients Airway
2. A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse
would anticipate an order for? *Exam Cram Endocrine ANSWER Calcium
3. A client with Addison's Disease will most likely exhibit which symptom?
*Exam Cram Endocrine ANSWER Bronze Pigmentation
4. A client w/ Cushing's Syndrome should be instructed to? *Exam Cram Endocrine ANSWER Limit the
Sodium in her DIet
5. The client w/ a suspected pituitary tumor will most likely exhibit symptoms of? *Exam Cram Endocrine
ANSWER Alteration in Visual Acuity
6. A diabetic client has been maintained on GLucophage (Metformin) for reg- ulation of his blood glucose levels.
Which teaching should be included in the plan of care? *Exam Cram Endocrine ANSWER Report changes in
Urinary Pattern
7. A client w/ diabetes experiences Somogyi's effect. To prevent this compli- cation, the nurse should instruct the
client to? *Exam Cram Endocrine ANSWER Eat a protein and carbohydrate snack at bedtime
8. Which item should be kept at the bedside of a client who has just returned from having a thyroidectomy?
*Exam Cram Endocrine ANSWER A tracheostomy set
9. Which vitamin is directly involved in the metabolism of the hormones se- creted by the parathyroid? *Exam
Cram Endocrine ANSWER Vitamin D
10. A client w/ acromegaly will most likely experience which symptom? *Exam Cram Endocrine ANSWER Bone
Pain
11. A diabetic client is taking Lantus Insulin for regulation of his blood glucose levels. The nurse should know that
this insulin will most likely be adminis- tered? *Exam Cram Endocrine ANSWER At Night
12. A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/ diabetes mellitus. The nurse would expect
that these symptoms are r/t? *Exam Cram Endocrine ANSWER Hyperglycemia
13. Which laboratory test conducted on the client w/ Diabetes Mellitus indi- cates compliance? *Exam Cram
Endocrine ANSWER Hgb A-1C
14. A client hospitalized with acute glomerulonephritis has a positive ASO titer.The nurse understands that the
client's current illness is due to a... *Exam Cram Renal ANSWER Prior Bacterial Infection
15. The physician has prescribed hydralazine (Apresoline) for a client with acute glomerulonephritis. Which
finding indicates that the drug is having the desired effect? *Exam Cram Renal ANSWER The clients bp has
decreased
, 16. A client with acute glomerulonephritis requests a snack. Which snack is suitable given the client's dietary
restrictions? *Exam Cram Renal ANSWER Applesauce
17. The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with nephrotic syndrome. The
nurse should administer the medication...
*Exam Cram Renal ANSWER With a snack or glass of milk
18. A client receiving Gentamicin (Garamycin) IVPB has a morning peak level of 12 micrograms/mL. The nurse
should...*Exam Cram Renal ANSWER Notify the physi- cian because the level is too high
19. The nurse is teaching the client with an ileal conduit regarding skin care to prevent excoriation. In addition
to applying a well-fitted collection bag the client should be told to empty the collection bag... *Exam Cram Renal
ANSWER When it is one third full
20. A client with end stage renal disease has been managed by peritoneal dialysis. Which finding should be
reported to the doctor immediately? *Exam Cram Renal ANSWER The client complains of abdominal pain and
nausea
21. The nurse notes dark red blood and a few clots in the catheter of a client two days after transurethral
prostatectomy (TURP). The nurse should first...
*Exam Cram Renal ANSWER Apply traction to the urethral catheter
22. A client is admitted with a tentative diagnosis of bladder cancer. Which finding most likely contributed to the
development of bladder cancer? *Exam Cram Renal ANSWER Two PPD cigarette use for 25 years
23. The nurse is providing dietary instructions to a client with oxalate renal calculi.The nurse should tell the client
to avoid which of the following snacks...
*Exam Cram Renal ANSWER Strawberries
24. Insulin kept at room temperature will last approximately... *Endocrine ANSWER 1 Month
25. How can you keep the insulin needle syringe clean? *Endocrine ANSWER By keeping it capped when you're not
using it. Cleaning it with alcohol removes the coating that helps the needle slide into the skin easily
26. Sulfonylureas (Glyburide) *Endocrine ANSWER Action Site ANSWER Pancreas
Action ANSWER More insulin release from Pancreas
Side Effects ANSWER Low Blood Sugar, Weight Gain
Considerations ANSWER Some given on either empty stomach or w/ food
Interactions ANSWER Beta blockers mask low blood sugar symptoms. Glyburide & Cipro=Se- vere Low Blood Sugar
27. Biguanides (Glucophage/Metformin) *Endocrine ANSWER Action Site ANSWER Liver Action
ANSWER Less liver glucose production
Side Effects ANSWER Abdl Fullness, Gas, Diarrhea, & NV Considerations
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