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M6 13-005
Exam 13: Test Review
| Question | Answer |
|---|---|
| A nurse is monitoring a client receiving desmopressin (DDAVP). What, if noted in the client, would indicate an adverse effect of the medication? | Drowsiness |
| A nurse reinforces instructions to a client taking levothyroxine (Synthroid). The nurse determines that the teaching was effective if the client states that he or she will take the medication: | on an empty stomach |
| Thyroid replacement therapy is prescribed for a client diagnosed with hypothyroidism. The client asks the nurse when the medication will no longer be needed. The nurse makes which response to the client? | “The medication will need to be continued for life.” |
| A nurse reinforces medication instructions to a client taking levothyroxine (Synthroid). The nurse instructs the client to notify the physician if which of the following occurs? | Tremors |
| A nurse reviews the health record of a client seen in the physician’s office and noted that the client is taking propylthiouracil (PTU) daily. The nurse suspects that the client has a history of: | Graves’ disease |
| Pt C/O fatigue, a lack of energy, constipation, and depression. Following diagnostic studies, hypothyroidism is diagnosed. Levothyroxine (Synthroid) is prescribed. The nurse tells the client that the primary expected outcome of the medication is to: | Achieve normal thyroid hormone levels. |
| Propylthiouracil (PTU) is prescribed for a client with hyperthyroidism and the nurse reinforces instructions to the client regarding the medication. The nurse informs the client to notify the physician if which of the following signs occur? | Sore throat |
| A client is scheduled for subtotal thyroidectomy. Iodine solution (Lugol solution) is prescribed. The nurse understands that the therapeutic effect of this medication is to: | Suppress thyroid hormone production. |
| Calcitriol (Rocaltrol) is prescribed for the client with hypocalcemia and the nurse provides dietary instructions to the client. Which food item would the nurse instruct the client to avoid while taking this medication? | Whole-grain cereals |
| A daily dose of prednisone (Deltasone) is prescribed for a client. A nurse provides instructions to the client regarding administration of the medication and tells the client that the best time to take this medication is: | Early morning |
| A nurse is teaching the client how to mix Regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the client, would indicate the need for further teaching? | Withdraws the NPH insulin first |
| Lispro insulin (Humalog), a rapid-acting form of insulin, is prescribed for a client. The nurse instructs the client to administer the insulin: | Immediately before eating |
| Tolbutamide (Orinase) is prescribed for the client with diabetes mellitus. The nurse instructs the client to avoid which of the following while taking this medication? | Alcohol |
| A nurse is caring for a client following hypophysectomy. The nurse notices clear nasal drainage from the client’s nostril. The appropriate nursing action would be to: | Test the drainage for glucose. |
| Following several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse understands that which symptom is indicative of this disorder? | Polydipsia |
| A nurse caring for a client with Addison’s disease would expect to note which of the following? | hypotension |
| A client with Cushing’s syndrome verbalizes concern to the nurse regarding the appearance of the buffalo hump that has developed. The nurse makes which statement to the client? | “Usually, these physical changes slowly improve following treatment.” |
| A nurse assists in developing a plan of care for a client with Graves’ disease. Which of the following would the nurse include in the plan of care? | Provide a restful environment. |
| A nurse is caring for a client following thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medication has been prescribed to: | Treat hypocalcemic tetany. |
| A client is taking NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is: | 6 to 14 hours after administration |
| An external insulin pump is prescribed for a client with diabetes mellitus and the client asks the nurse about the functioning of the pump. The nurse plans to base the response on the information that the pump: | Gives a small continuous dose of regular insulin subcutaneously, and the client can bolus self with an additional dose from the pump prior to each meal |
| A client newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. The nurse assists in preparing a discharge teaching plan regarding the insulin and includes which of the following concepts? | Systematically rotate insulin injection sites. |
| A nurse reinforces instructions to a client newly diagnosed with type 1 diabetes mellitus. The nurse determines accurate understanding of measures to prevent diabetic ketoacidosis (DKA) when the client says: | “I will notify my physician if my blood glucose level is higher than 250 mg/dL.” |
| A physician prescribes levothyroxine (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse prepares to administer this medication: | In the morning to prevent sleeplessness |
| A nurse is monitoring a client receiving chlorpropamide (Diabinese). The nurse understands that which of the following is an ineffective therapeutic outcome indicating poor glycemic control? | A glycosylated hemoglobin level of 18% |
| A nurse is doing discharge teaching with a client who has Cushing’s syndrome. Which of the following statements by the client indicate that the instructions related to dietary management were understood? | “I can eat foods that have a lot of potassium in them.” |
| A nurse is collecting data from an older 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 |
| A nurse is caring for a postoperative parathyroidectomy client. Which client complaint would indicate that a serious life-threatening complication may be developing that requires immediate notification of the physician? | Laryngeal stridor |
| A nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper thighs. The nurse would most appropriately inquire if the client: | Rotates sites for injection |
| A client who is currently taking levothyroxine (Synthroid) complains of cold intolerance, constipation, dry skin, weight gain, and puffy eyes. Based on these findings, the nurse would anticipate which of the following physician prescriptions? | Increased levothyroxine dosage after checking the T4 level |
| A nurse is caring for a client with diabetes insipidus receiving vasopressin (Pitressin). The nurse understands that which of the following is a therapeutic effect of this medication? | Decreased urine output |
| A client is diagnosed with pheochromocytoma. The nurse helping to prepare a nursing care plan for the client understands that pheochromocytoma is a condition that: | Is manifested by severe hypoglycemia |
| A nurse is collecting data on a client admitted to the hospital with a diagnosis of pheochromocytoma. The nurse observes for the major symptom associated with pheochromocytoma when the nurse: | Takes the client’s blood pressure |
| A nurse is caring for a client with pheochromocytoma. The client is scheduled for an adrenalectomy. In the preoperative period, the priority nursing action would be to monitor: | Vital signs |
| A nurse is caring for a client following thyroidectomy and is monitoring for signs of thyroid storm. The nurse understands that which of the following is a manifestation associated with this disorder? | Hypertension |
| Pt with type 1 diabetes mellitus received NPH and regular insulin 2 hours ago (at 7:30 am). Calls nurse and reports that he is feeling hungry, shaky, and weak. He breakfast at 8 am and is due to eat lunch at 12:00 noon. What's is his action priority? | Check the client’s blood glucose level. Give the client ½ cup of fruit juice to drink. Take the client’s vital signs. Give the client a small snack of carbohydrate and protein. Document the client’s complaints, actions taken, and outcome. |
| The amount of hormone released by any gland is controlled by | a negative feedback system. |
| Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks? | Glycosylated hemoglobin (HbA1c) |
| The patient is a newly diagnosed diabetic. Until he has his diabetes under control, which test will furnish valuable immediate feedback information? | BS |
| A 63-year-old patient on the medical floor has a diagnosis of adrenal hyperfunction (Cushing’s syndrome). She will probably have to adhere to a diet that contains | less sodium. |
| 20-year-old college student who has type 1 diabetes and normally walks each evening as part of her exercise regimen. Plans to enroll in a swimming class. Which adjustment in her treatment plan will the nurse help this patient make? | Monitor her glucose level before, during, and after swimming to determine the need for alterations in food or insulin. |
| A long-term complication of diabetes mellitus is | renal failure |
| A patient has returned to his room after a thyroidectomy. He is presenting with signs and symptoms of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of | congestive heart failure. |
| In diabetes insipidus, clinical manifestations are caused by a deficiency of | antidiuretic hormone (ADH). |
| A patient has recently been diagnosed with acromegaly. Using Maslow’s hierarchy, which of the nursing diagnoses listed below should be of the highest priority in caring for him? | Risk for trauma |
| Which nursing diagnosis is appropriate for a patient diagnosed with hypothyroidism as the result of a newly developed goiter? | Disturbed body image |
| 40 y/o possible disorder of the thyroid gland. The nurse noting the physician’s orders recalls that there are several diagnostic tests to determine thyroid disorders. The test that employs radioactive iodine and use of a scintillation camera is called the | radioactive iodine uptake test (RAIU). |
| A patient is diagnosed with hyperthyroidism. In the treatment of hyperthyroidism, which one of these medications is likely to be prescribed to decrease the activity of her thyroid gland? | Propylthiouracil |
| Pt admitted with a subtotal thyroidectomy. Post anesthesia. She is receiving fluids intravenously. When this patient has completely recovered from anesthesia, and her vital signs are stable, which position would be most appropriate for her? | Semi-Fowler’s |
| What would be most necessary to place postoperatively at the bedside of the patient with a subtotal thyroidectomy? | Tracheotomy tray |
| A patient is depressed about the changes in her personal appearance related to Cushing’s disease. She is particularly likely to exhibit which change? | Weight gain, moonface, and increased facial hair |
| The human insulin whose onset of action occurs within ____ minutes is Humalog (Lispro). | 15 minutes |
| A patient has asked why she needs to exercise. The nurse tells her that if the diabetic patient exercises, then the insulin requirement | decreases |
| Chvostek’s sign and Trousseau’s sign are tests to determine: | low levels of blood calcium |
| A patient has undergone tests that indicate a deficiency of the parathormone secretion. She should be informed of which potential complication? | Laryngeal spasm |
| A 69-year-old patient with diabetes mellitus is admitted with cellulitis of the right foot. In applying moist packs to his ulcerated foot, the nurse should use aseptic techniques to | prevent the introduction of additional microorganisms |
| The physician orders an 1,800-calorie diabetic diet and 40 units of (Humulin N) insulin U-100 subcutaneously daily for a patient with diabetes mellitus. A mid-afternoon snack of milk and crackers is given to | prevent and insulin reaction |
| A patient has type 1 diabetes (IDDM). The nurse is teaching her early signs and symptoms of insulin reaction, which include | perspiration and trembling sensation |
| Common early signs and symptoms of diabetic ketoacidosis include | thirst and drowsiness |
| A patient, age 28, has sought medical attention because her hands and feet have become enlarged. She also has noticed amenorrhea and increased hair growth. These symptoms most likely indicate problems with the | Pituitary gland |
| 61 y/o, type II diabetes for 20 years. He has symmetrical peripheral polyneuropathy of his feet and legs with almost total loss of sensitivity to touch and temperature. He also has PVD evidenced by ↓ peripheral pulses and dependent rubor. Prevent injury. | He should not go barefoot and should always wear shoes with soles. |
| The physician prescribes glyburide (Micronase, DiaBeta, Glynase) for a patient, age 57, when diet and exercise have not been able to control her type 2 diabetes. Which information does the nurse include when teaching her about the glyburide? | Glyburide and other hypoglycemic agents are thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. |
| A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation. Nutritional interventions should include | calorie-restricted meals |
| A 47-year-old patient with hypothyroidism is being given discharge instructions that should include | seeing his physician regularly for follow-up care. |
| To prevent lipodystrophy, the nurse should administer insulin | at room temperature |
| Pt w/ Hx of Graves’ disease is admitted to the unit with SOB. The nurse notes the patient’s vital signs: T 103° F, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. The nurse suspects the patient has which medical emergency? | Thyroid Storm |
| The master gland of the endocrine system is the | Pituitary |
| Pregnant women should not be exposed to iodine-131 because of | danger to the Fetus |
| Hypothyroidism is treated with replacement therapy. The patient should be instructed to eat well-balanced meals including intake of iodine. Which food is rich in iodine? | Eggs |
| One of the side effects of administering calcium gluconate intravenously is | Extravastation at the site |
| The primary clinical manifestation of hyperparathyroidism is | Hypercalcemia |
| Signs and symptoms of hypoglycemia include: | Irritability, tremors, personality changes. |
| The three major life-threatening complications postoperatively of a thyroidectomy are: | Hemorrhaging, tetany, Thyroid crisis (storm) |
| The adrenal cortex secretes glucocorticoids. The most important is cortisol. It is involved in: | Glucose metabolism, providing extra reserve energy during stress |
| The nurse is administering long-acting insulin once a day that provides insulin coverage for 24 hours. This insulin is _________________. | Lantus |
| Another term for hyperglycemic reaction is ____________ ______________. | Diabetic Ketoacidosis |
| Only ________insulin can be administered intravenously. | Regular insulin |
| A condition with a deficiency in growth hormone is called _____________ ____________. | hypopituitary dwarfism |
Created by:
jtzuetrong
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