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A nurse is caring for a client with Addison’s disease. What skin manifestation should the nurse assess?
a-Bronze pigmentation of exposed and unexposed skin.
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A nurse is instructing a client of the patho of acromegaly, the nurse explains to the client that acromegaly occurs with excessive production of what?
a- Somatotropin
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A nurse is caring for a client admitted with the diagnoses of hyperthyroidism caused by an adenoma of the thyroid gland. Twelve hours following the thyroidectomy, what findings should the nurse report to the provider?
a-Tachycardia and hypertension, fever, sweating, restlessness and tremors are s/s of a thyroid storm. Laryngeal stridor and hoarseness are s/s of swelling in affected area, or damage to the laryngeal nerve. A positive Trousseuas sign shows hypocalcemia- this occurs when the parathyroid is removed as well because it removes the body’s calcium regulation.
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A community health nurse is planning prevention efforts for community member who could be considered at high risk for development of DM II. Which population should the nurse focus on if reaching the highest number of at-risk individuals is the goal?
a-Obese individuals
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A nurse is caring for a client with suspected pheochromocytoma. The nurse understands that an appropriate test for this condition is a 24-hr urine collection for what?
a-VMA
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A nurse is caring for a client with hyperparathyroidism who has undergone surgical removal of the parathyroid glands. The knows that improvement in the client’s condition is indicated by a decrease in serum?
a-Calcium
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A nurse is assessing a client with Grave’s disease. The nurse should expect the client to report what?
a-difficulty sleeping
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The nurse is teaching a client with DM I about early manifestations of hypoglycemia. What should the nurse be sure to include in her teaching?
a-drowsiness
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The nurse suspects that a client with DM may be non-compliant with the treatment plan. The nurse should know that a reliable test to evaluate if the client is routinely compliant with the prescribed regimen is what?
a-Glucosylated hemoglobin levels or Hemoglobin A1C
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A nurse is assessing a client with Diabetes Insipidus. The nurse knows that what assessment finding is typical with this condition?
a-polyuria, polydipsia, and large quantity of urine with low specific gravity.
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A nurse admits that a client with newly diagnosed DM. When reviewing the client’s lab work, the nurse notes that the result consistent with diabetic ketoacidosis is what?
a-bicarbonate level of 12.
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A nurse is instructing a client with DM I about exercise. What is an appropriate statement by the nurse?
a-Always where a medical identification tag while exercising.
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A nurse is caring for a client with DM II. What findings indicate to the nurse of hyperglycemia?
a- sweating and increased urination
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A nurse is instructing a client with DM II regarding the patho of the client’s condition. What statement made by the client shows that learning is taking place?
a-“my cells are resistant to the effects of insulin.”
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A nurse is caring for a client with Cushing’s syndrome due to corticosteroid use. The nurse assesses the client for the development of complications related to Cushing’s syndrome including what?
a-Osteoporosis
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The nurse is planning care for a client expecting the Somogyi effect. What action is appropriate for the nurse to take?
a-Monitor night time blood glucose levels.
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A nurse is monitoring a client with Grave’s disease for the development of thyroid storm. What should the nurse report to the provider?
a-Hypertension, fever, abd pain, and tachycardia
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A nurse is caring for a client following an adrenalectomy. The nurse should know that glucocorticoids are administered following the procedure for what?
a-compensate for the decrease after surgery.
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A nurse is caring for a client with SIADH. The nurse should monitor to client for what closely?
a-hyponatremia
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The nurse is teaching a client with Addison’s disease about appropriate snack foods. The nurse knows that learning took place when the client list the follow foods that are good for snacks.
a-American cheese with saltine crackers
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