For a male client with hyperglycemia, which assessment finding best supports a nursing diagnosis of Deficient Fluid Volume? A. Cool, clammy skin B. Distended neck veins C. Increased urine osmolarity D. Decreased serum sodium level Correct Answer: C. Increased urine osmolarity In hyperglycemia, urine osmolarity (the measurement… Read More »
Acarbose (Precose), an alpha-glucosidase inhibitor, is prescribed for a female client with type 2 diabetes mellitus. During discharge planning, nurse Pauleen would be aware of the client’s need for additional teaching when the client states: A. “It’s best if I take the drug with the first bite of a meal.” B. “The drug… Read More »
When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, nurse April is most likely to detect: A. Blood pressure of 130/70 mm Hg. B. A blood glucose level of 130 mg/dl. C. Bradycardia. D. A blood pressure of 176/88 mm Hg. … Read More »
A female client whose physical findings suggest a hyperpituitary condition undergoes an extensive diagnostic workup. Test results reveal a pituitary tumor, which necessitates a transsphenoidal hypophysectomy. The evening before the surgery, nurse Jacob reviews preoperative and postoperative instructions given to the client earlier. Which postoperative instruction should the nurse emphasize? A. “You must lie… Read More »
A male client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate? A. Infusing I.V. fluids rapidly as ordered. B. Encouraging increased oral intake. C. Restricting fluids. D. Administering glucose-containing I.V. fluids as ordered. Correct Answer: C. Restricting fluids… Read More »
Dr. Kennedy prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a male client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide? A. “Be sure to take glipizide 30 minutes before meals.” B. “Glipizide may cause… Read More »
A female client has a serum calcium level of 7.2 mg/dl. During the physical examination, nurse Noah expects to assess: A. Trousseau’s sign. B. Homans’ sign. C. Hegar’s sign. D. Goodell’s sign. Correct Answer: A. Trousseau’s sign. This client’s serum calcium level indicates hypocalcemia, an electrolyte imbalance… Read More »
For a diabetic male client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing change every shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client? A. They contain exudate and provide a moist wound environment. B. They protect the wound from mechanical… Read More »
Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? A. Fluid intake is less than 2,500 ml/day. B. Urine output measures more than 200 ml/hour. C. Blood pressure is 90/50 mm Hg. D. The heart rate is 126 beats/minute. Correct Answer:… Read More »
When instructing the female client diagnosed with hyperparathyroidism about diet, nurse Gina should stress the importance of which of the following? A. Restricting fluids B. Restricting sodium C. Forcing fluids D. Restricting potassium Correct Answer: C. Forcing fluids The client should be encouraged to force fluids to… Read More »