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Nursing 4 Exam 1
NCLEX questions for Endocrine system
| Question | Answer |
|---|---|
| a client is brough to the ER in an unresponsive state, & a dx of hyperglycemic hyperosmolar nonketotic syndrome is made. The nurse would immediately prepare to initiate which of the following anticipated physicians rx's? | IV infusion of normal saline |
| an exteranl insulin pump is prescribed for a pt w/DM and the pt asks the nurse about the functioning of the pump. the nurse bases the response on the info that the pump: | gives a mall continous dose of regular insulin subQ and the pt an self-administer a bolus w/an additional dose from the pump before each meal |
| a client w/ a dx of DKA is being treated in an ER. Which finding would a nurse expect to note as confirming this diagnosis | elevated blood glucose level and low plasma bicarbonate level |
| a nurse teaches a client w/DM about differentiating between hypoglycemia and ketoacidosis.The pt demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which of the following symptoms develop? | shakiness |
| a pt w/DM demonstrates acute anxiety when first admitted for the tx of hyperglycemia. teh appropriate intervention to decrease the clients anxiety is to: | convey empathy, trust, and respect toward the client |
| a nurse provides instructions to a client newly diagnosed with type 1 DM. The nurse recognizes accurate understanding of measures to prevent DKA when the pt states: | "I will notify my physician if my blood glucose level is higher than 250 mg/dL" |
| a pt is admitted to a hospital w/a dx of DKA. the initial blood glucose levels was 950. a continuous IV infusion of regular insulin is initiated, along w/IV rehydration w/NS. the serum glucose level is now 240, the nurse would prepare to admin what? | IV fluids containing 5% dextrose |
| a nurse is monitoring a pt newly diagnosed w/DM for signs of complications. Which of the following, if exhibitede in the client, would indicate hyperglycemia and warrant physician notification? | polyuria |
| a nurse is preparing a plan of care for a pt w/DM who has hyperglycemia. The priority nursing diagnosis would be: | deficient fluid volume |
| a home health nurse visits a pt w/a dx of type 1 DM. the pt relates a hx of vomitting & diarrhea and tells the nurse that no food has been consumed for the last 24 hrs. Which additional statement by the client indicates a need for further teaching? | "I need to stop my insulin" |
| A nurse is caring for a client after hypophysectomy. The nurse notices clear nasal drainage from the clients nostril. Teh initial nursing action would be to? | test the drainage for glucose |
| after several diagnostic tests, a pt is diagnosed w/Diabetes Insipidus. a nurse performs an assessment on the client, knowing which symtom is most indicative of this disorder? | polydipsia |
| a pt is admitted to an ER and a dx of myxedema coma is made. which action would the nurse prepare to carry out initially? | maintain a patent airway |
| a nurse is caring for a client admitted to the ER with DKA. In the acute phase, the priority nursing action is to prepare to: | administer regular insulin IV |
| a pt with type 1 DM calls the nurse to report recurrent episodes of hypoglycemia w/exercising. which statement by th client indicates an inadequate understanding of teh peak action of NPH insulin and exercise? | "the best time for me to exercise is mid-late afternoon" |
| a nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. which client complaint would be characteristic of this disorder? | polyuria |
| a nurse is caring for a postop parathyroidectomy pt. which client complaint would indicate that a serious, life threatening complication may be developing, requiring immediate notification of the physician? | laryngeal stridor |
| a client is diagnosed w/pheochromcytoma. a nurse prepares a plan of care for the client; while planning, the nurse understands that pheochromcytoma is a condition that: | causes the release of excessive amounts of catecholamines |
| a nurse is caring for a pt with pheochromocytoma who is scheduled for adrenalectomy. in the preop period, the priortiy nursing action wouldd be to monitor: | vital signs |
| a nurse is performing an assessment on a client with pheochromocytoma. which of the following assessment data would indicate a potential complication associated with this disorder? | a heart rate of 90 bpm and irregular |
| a nursing instructor asks a student to describe the pathophysiology that occurs in cushing's dx. which statemetn by the student indicates an accurate understanding of this disorder? | "cushing dx results from an increased pituitary secretion of ACTH(adrenocorticotropic hormone) |
| a nurse performs a physical assessment on a client w/ type 2 DM. findings include a fbs of 120 mg/dL, temp 101, pulse 88 bpm, resp 22 bpm, bp of 100/72. which finding owuld be of most concern to the nurse? | temperature |
| a nurse is interviewing a client w/type 2 DM. which statement by the client indicates an understanding of the tx for this disorder? | "the medications i'm taking help release the insulin I already make" |
| a nurse is providing d/c instructions to a client who has cushing's syndrome. which client statement indicates that instructions r/t dietary management are understood? | "i can eat foods that have a lot of potassium in them" |
Created by:
jbittner
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