Exam 12: Metabolism

Which client is at the greatest risk for developing hypothyroidism?

What collaborative interventions are likely to improve outcomes for an 11-year-old client diagnosed with type 2 diabetes mellitus? Select all that apply.

The nurse,teaching a class to a group of community members about the importance of weight loss in decreasing the risk of type 2 diabetes mellitus,is asked why weight loss reduces the risk associated with the development of this health problem.Which response by the nurse is most appropriate?

The nurse is caring for a client who complains of jaundice and pruritus.The healthcare provider suspects that the client has liver disease.What modifiable risk factor for cirrhosis of the liver might the nurse see in the client's history?

The nurse suspects that a client is experiencing hypothyroidism.Which question should the nurse ask during the health history?

The destruction of which types of cells in the islets of Langerhans cause type 1 diabetes mellitus?

The nurse is caring for a woman who is at 14 weeks' gestation with her first child.The woman asks the nurse,"Am I at risk for osteoporosis since my baby takes calcium from my body?" What response by the nurse is correct?

The nurse is caring for a 76-year-old client with type 2 diabetes who is recovering from surgery following a hip fracture.In addition to blood glucose level,what should the nurse recognize as a sign of hyperosmolar hyperglycemic state (HHS)?

The nurse is concerned that a client with potential hepatic failure is at risk for developing ascites.Which assessment finding supports the development of liver failure as manifested by ascites?

Increasing circulating levels of thyroid hormone heighten the sympathetic nervous system's physiologic response to stimulation.What effect does this have on the cardiac system?

A client with hyperthyroidism is scheduled for surgery in a few days.Which collaborative intervention would address cardiovascular symptoms that may prevent the client from undergoing the procedure?

A new mother brings her 2-week-old infant in for a checkup because he looks jaundiced and his stools are white.The provider suspects the infant might have biliary atresia.What findings does the nurse anticipate upon assessment of the infant?

The nurse is counseling a couple who is planning a pregnancy.The woman was diagnosed with type 1 diabetes when she was 14 years old.She is now 27.Which examination should the nurse prepare the woman to have before,during,and after the pregnancy?

The client with diabetes mellitus reports having difficulty trimming the toenails because they are thick and ingrown.What should the nurse recommend to this client?

The nurse is providing care for a young adult client with exophthalmos.Which nursing diagnosis would be the most appropriate for this client?

The nurse is caring for a 34-year-old woman who is pregnant with her third child.The client was diagnosed with hypothyroidism between her second and third pregnancies.What special considerations should the nurse include when caring for this client?

What is the primary cause of loss of height in individuals with osteoporosis?

The healthcare provider prescribes sitagliptin (Januvia)for a client with type 2 diabetes mellitus.For which potential side effect should the nurse monitor in this client?

A client newly diagnosed with type 1 diabetes mellitus tells the nurse that the diagnosis must be wrong because the client is not overweight,eats all of the time,and is thin.Which response by the nurse is most appropriate?

The nurse identifies the nursing diagnosis Imbalanced Nutrition: Less Than Body Requirements as appropriate for a client with osteoporosis.Which client statement indicated to the nurse that this nursing diagnosis was appropriate?