An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to… Read More »
Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find: A. Hypotension. B. Thick, coarse skin. C. Deposits of adipose tissue in the trunk and dorsocervical area. D. Weight gain in arms and legs. Correct… Read More »
A male client with type 1 diabetes mellitus has a highly elevated glycosylated hemoglobin (Hb) test result. In discussing the result with the client, nurse Sharmaine would be most accurate in stating: A. “The test needs to be repeated following a 12-hour fast.” B. “It looks like you aren’t following the prescribed diabetic… Read More »
Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications? A. Tetanic contractions B. Neck vein distention C. Weight loss D. Polyuria Correct Answer: B. Neck vein distention SIADH secretion causes antidiuretic hormone overproduction, which leads… Read More »
Following a unilateral adrenalectomy, nurse Betty would assess for hyperkalemia shown by which of the following? A. Muscle weakness B. Tremors C. Diaphoresis D. Constipation Correct Answer: A. Muscle weakness Muscle weakness, bradycardia, nausea, diarrhea, and paresthesia of the hands, feet, tongue, and face are findings associated… Read More »
A female client with a history of pheochromocytoma is admitted to the hospital in an acute hypertensive crisis. To reverse hypertensive crisis caused by pheochromocytoma, nurse Lyka expects to administer: A. mannitol (Osmitrol) B. methyldopa (Aldomet) C. phentolamine (Regitine) D. felodipine (Plendil) Correct Answer: C. phentolamine (Regitine)… Read More »
Nurse Louie is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with diabetes insipidus? A. Antidiuretic hormone (ADH). B. Thyroid-stimulating hormone (TSH). C. Follicle-stimulating hormone (FSH). D. Luteinizing hormone (LH). Correct Answer:… Read More »
A male client with a history of hypertension is diagnosed with primary hyperaldosteronism. This diagnosis indicates that the client’s hypertension is caused by excessive hormone secretion from which of the following glands? A. Adrenal medulla B. Pancreas C. Adrenal cortex D. Parathyroid Correct Answer: C. Adrenal cortex… Read More »
Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, nurse Tina assesses the client, who now has nausea, a temperature of 105° F (40.5° C), tachycardia, and extreme restlessness. What is the most likely cause of these signs? A. Diabetic ketoacidosis B. Thyroid crisis C. Hypoglycemia D.… Read More »
Nurse Troy is aware that the most appropriate nursing diagnosis for a patient with Addison’s disease is which of the following? A. Excessive fluid volume B. Risk for infection C. Urinary retention D. Hypothermia Correct Answer: B. Risk for infection Addison’s disease decreases the production of all… Read More »