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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| show | Drowsiness
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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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| 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? | show 🗑
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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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| show | Sore throat
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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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| 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? | show 🗑
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| show | Early morning
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| 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? | show 🗑
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| show | Immediately before eating
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| show | Alcohol
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| 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: | show 🗑
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| show | Polydipsia
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| show | hypotension
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| show | “Usually, these physical changes slowly improve following treatment.”
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| 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? | show 🗑
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| show | Treat hypocalcemic tetany.
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| show | 6 to 14 hours after administration
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| 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: | show 🗑
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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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| show | “I will notify my physician if my blood glucose level is higher than 250 mg/dL.”
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| A physician prescribes levothyroxine (Synthroid), 0.15 mg orally daily, for a client with hypothyroidism. The nurse prepares to administer this medication: | show 🗑
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| show | A glycosylated hemoglobin level of 18%
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| show | “I can eat foods that have a lot of potassium in them.”
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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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| show | Rotates sites for injection
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| 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? | show 🗑
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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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| 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: | show 🗑
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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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| show | a negative feedback system.
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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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| 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? | show 🗑
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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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| In diabetes insipidus, clinical manifestations are caused by a deficiency of | show 🗑
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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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| show | Disturbed body image
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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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| 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? | show 🗑
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| What would be most necessary to place postoperatively at the bedside of the patient with a subtotal thyroidectomy? | show 🗑
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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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| show | 15 minutes
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| show | decreases
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| show | low levels of blood calcium
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| show | Laryngeal spasm
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| 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 | show 🗑
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| show | prevent and insulin reaction
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| show | perspiration and trembling sensation
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| show | thirst and drowsiness
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| show | Pituitary gland
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| 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. | show 🗑
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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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| show | calorie-restricted meals
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| A 47-year-old patient with hypothyroidism is being given discharge instructions that should include | show 🗑
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| To prevent lipodystrophy, the nurse should administer insulin | show 🗑
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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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| The master gland of the endocrine system is the | show 🗑
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| Pregnant women should not be exposed to iodine-131 because of | show 🗑
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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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| show | Extravastation at the site
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| show | Hypercalcemia
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| Signs and symptoms of hypoglycemia include: | show 🗑
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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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| show | Lantus
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| show | Diabetic Ketoacidosis
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| Only ________insulin can be administered intravenously. | show 🗑
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| show | hypopituitary dwarfism
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