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Evolve Endocrine NCLEX-PN Exam
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Evolve Endocrine NCLEX-PN 2The 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? - Toothbrushing will not be permitted
for at least 2 weeks following surgery.
The nurse has provided diabetic teaching with the family of a client newly diagnosed with diabetes.
The nurse determines that the family understands the reason for having glucagon on hand for
emergency home use if the family indicates that the purpose of the medication is to treat which
condition? - Hypoglycemia frominsulin overdose
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? - Fruity breath order
After receiving furosemide (Lasix) 40 mg slow intravenous push for chest pain related to shortness of
breath and generalized edema, the client responds poorly. The client has no relief of the chest pain,
shortness of breath, or edema and only minimal urine output (less than 40 mL of urine). The health
care provider is notified, and after reviewing the chart, suspects the client has syndrome of
inappropriate antidiuretic hormone (SIADH). Which findings would lead to this specific diagnosis?
Refer to chart. - Minimal responsiveness to furosemide (Lasix) and small cell lung cancer
The nurse is discussing foot care with a diabetic client and the spouse. The nurse includes which
instruction during this informational session? - The toenails should be cut straight across
The nurse has collected data on a client with diabetes mellitus. Findings include a fasting blood
glucose of 130 mg/dL, temperature 101° F, pulse of 88 beats per minute, respirations of 22 breaths
per minute, and a blood pressure of 118/78 mm Hg. Which finding would be of concern to the
nurse? - Temperature
The nurse is collecting data on a client with hyperparathyroidism. Which question would elicit
accurate information about this condition from the client? - "Are you experiencing pain in your
joints?"
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? - Polyuria
, 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 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 n to between the toes.
The nurse is caring for a client with type 1 diabetes mellitus who is hyperglycemic. Which problem
should the nurse consider first, when planning care for this client? - Signs of dehydration
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
A client with diabetes mellitus who takes insulin is seen in the health care clinic. The client tells the
nurse that after giving the injection, the insulin seems to leak through the skin. The nurse can
appropriately determine the problem by asking the client which? - "Are you rotating the injection
site?"
The nurse is monitoring a client with Graves' disease for signs of thyrotoxic crisis (thyroid storm).
Which signs and symptoms noted in the client should alert the nurse to the presence of this crisis?
Select all that apply. - Fever, Sweating, Agitation
A hospitalized client is newly diagnosed with diabetes mellitus. The client must take both NPH and
Regular insulin for glucose control. The nurse develops a teaching plan to help the client meet which
outcome as a first step in managing the disease? - Adjust insulin according to capillary blood glucose
levels.
Which client is at risk for developing thyrotoxicosis? - A client with Graves' disease who is having
surgery
The wife of a client with diabetes mellitus who takes insulin calls the nurse in a health care provider's
office about her husband. She states that her husband is sleepy and that his skin is warm and
flushed. She adds that his breathing is faster than normal and his pulse rate seems fast. Which action
should the nurse tell the wife to do first - Check his blood glucose level.
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