Exam 13: Test Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| A nurse is monitoring a client receiving desmopressin (DDAVP). What, if noted in the client, would indicate an adverse effect of the medication? | show 🗑
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| show | on an empty stomach
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| 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? | show 🗑
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| show | Tremors
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| 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: | show 🗑
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| show | Achieve normal thyroid hormone levels.
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| 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? | show 🗑
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| 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: | show 🗑
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| show | Whole-grain cereals
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| 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: | show 🗑
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| show | Withdraws the NPH insulin first
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| show | Immediately before eating
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| 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? | show 🗑
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| show | Test the drainage for glucose.
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| Following several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse understands that which symptom is indicative of this disorder? | show 🗑
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| A nurse caring for a client with Addison’s disease would expect to note which of the following? | show 🗑
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| show | “Usually, these physical changes slowly improve following treatment.”
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| show | Provide a restful environment.
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| 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: | show 🗑
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| show | 6 to 14 hours after administration
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| show | 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
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| 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? | show 🗑
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| 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: | show 🗑
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| show | In the morning to prevent sleeplessness
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| show | A glycosylated hemoglobin level of 18%
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| 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? | show 🗑
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| 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? | show 🗑
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| 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? | show 🗑
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| 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: | show 🗑
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| show | Increased levothyroxine dosage after checking the T4 level
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| 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? | show 🗑
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| show | Is manifested by severe hypoglycemia
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| show | Takes the client’s blood pressure
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| show | Vital signs
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| show | Hypertension
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| show | 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.
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| The amount of hormone released by any gland is controlled by | show 🗑
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| show | Glycosylated hemoglobin (HbA1c)
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| show | BS
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| 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 | show 🗑
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| show | Monitor her glucose level before, during, and after swimming to determine the need for alterations in food or insulin.
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| show | renal failure
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| 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 | show 🗑
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| show | antidiuretic hormone (ADH).
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| 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? | show 🗑
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| Which nursing diagnosis is appropriate for a patient diagnosed with hypothyroidism as the result of a newly developed goiter? | show 🗑
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| 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 | show 🗑
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| 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? | show 🗑
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| show | Semi-Fowler’s
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| show | Tracheotomy tray
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| A patient is depressed about the changes in her personal appearance related to Cushing’s disease. She is particularly likely to exhibit which change? | show 🗑
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| The human insulin whose onset of action occurs within ____ minutes is Humalog (Lispro). | show 🗑
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| A patient has asked why she needs to exercise. The nurse tells her that if the diabetic patient exercises, then the insulin requirement | show 🗑
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| Chvostek’s sign and Trousseau’s sign are tests to determine: | show 🗑
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| A patient has undergone tests that indicate a deficiency of the parathormone secretion. She should be informed of which potential complication? | show 🗑
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| show | prevent the introduction of additional microorganisms
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| show | prevent and insulin reaction
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| show | perspiration and trembling sensation
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| Common early signs and symptoms of diabetic ketoacidosis include | show 🗑
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| 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 | show 🗑
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| show | He should not go barefoot and should always wear shoes with soles.
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| 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? | show 🗑
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| A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation. Nutritional interventions should include | show 🗑
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| show | seeing his physician regularly for follow-up care.
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| show | at room temperature
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| 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? | show 🗑
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| show | Pituitary
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| show | danger to the Fetus
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| 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? | show 🗑
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| One of the side effects of administering calcium gluconate intravenously is | show 🗑
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| show | Hypercalcemia
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| show | Irritability, tremors, personality changes.
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| show | Hemorrhaging, tetany, Thyroid crisis (storm)
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| The adrenal cortex secretes glucocorticoids. The most important is cortisol. It is involved in: | show 🗑
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| The nurse is administering long-acting insulin once a day that provides insulin coverage for 24 hours. This insulin is _________________. | show 🗑
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| Another term for hyperglycemic reaction is ____________ ______________. | show 🗑
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| Only ________insulin can be administered intravenously. | show 🗑
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| show | hypopituitary dwarfism
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