1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic
corticosteroid use. Which of the following actions should the nurse involve in the plan of
care?
a. Check the client’s urine specific gravity.
i. Rationale: to assess for fluid volume overload.
2. A nurse is...
1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic
corticosteroid use. Which of the following actions should the nurse involve in the plan of
care?
a. Check the client’s urine specific gravity.
i. Rationale: to assess for fluid volume overload.
2. A nurse is providing teaching to a client who has Addison's disease about healthy snack
foods. Which of the following food choices by the client indicates an understanding of
the teaching?
a. Turkey and cheese sandwich
i. Rationale: high in protein, carbohydrates, and sodium. A client who has
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Addison’s requires a diet low in potassium, and high in protein, carbs, and
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sodium.
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3. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The
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nurse should understand that which of the following laboratory values is consistent with
diabetic ketoacidosis?
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a. Bicarbonate level 12 mEq/L
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i. Rationale: DKA patients have bicarbonate levels less than 15
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4. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying
manifestations of hyperglycemia. Which of the following findings should indicate to the
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nurse that the client has hyperglycemia?
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a. Increased urination
i. Rationale: increased urination/polyuria, is a manifestation of
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hyperglycemia due to a deficiency of insulin, which can lead to osmotic
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diuresis.
5. A nurse is assessing a client who has Addison's disease. Which of the following skin
manifestations should the nurse expect to find?
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a. Bronze pigmentation of skin
i. Rationale: hormone deficiency caused by damage to the outer layer of the
adrenal gland.
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6. A nurse is caring for a client who has diabetes insidious. For which of the following
findings should the nurse monitor?
a. Polyuria
i. Rationale: DI is characterized by increased thirst and increased urination.
7. A nurse is monitoring a client who has Graves' disease for the development of thyroid
storm. the nurse should report which of the following findings to the provider?
a. Hypertension
i. Rationale: Thyroid storm patients will have an exaggerated condition of
hyperthyroidism, associated with the development of a fever,
hypertension, abdominal pain, and tachycardia.
8. A nurse is preparing a 24-hour urine specimen for a client who is suspected to have
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pheochromocytoma. Which of the following laboratory tests from the 24-hour urine
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specimen should the nurse use to determine the client's condition?
a. Vanillylmandelic acid (VMA)
o.
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9. A nurse is caring for a client who is postoperative following a bilateral adrenalectomy.
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the nurse should expect to administer glucocorticoids following the procedure to enhance
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which of the following therapeutic effects?
a. Compensate for decrease in cortisol levels
i. Rationale: glucocorticoids are used to prevent an adrenal crisis caused by
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a sudden drop in cortisol levels.
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10. A nurse is assessing a client who has Graves' disease. Which of the following findings
should the nurse expect the client to display?
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a. Difficulty sleeping
i. Rationale: a client who has graves’ disease has difficulty sleeping and
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anxiety due to the overproduction of thyroid hormone.
11. A nurse is providing teaching to a client who has type 1 diabetes mellitus about
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hypoglycemia. Which of the following manifestations should the nurse include in the
teaching?
a. Shakiness
i. Rationale: an early manifestation of hypoglycemia is shakiness.
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