Exam 19: The Endocrine System

The nurse is caring for an older patient with hypothyroidism. Which manifestations would the nurse anticipate? Select all that apply.

During a home visit the nurse learns that an older patient with type 2 diabetes mellitus and chronic renal failure is experiencing headache, polydipsia, and lethargy. What is the most important assessment that the nurse should make at this time?

The healthcare provider has ordered a monofilament test on a patient with diabetes mellitus. What should be included in the nurse's instruction?

The nurse is planning interventions to achieve the goal of maintaining glycemic control for an older patient with type 2 diabetes mellitus. Which interventions will the nurse include in this patient's plan of care? Select all that apply.

Which dietary guideline would be important for the nurse to instruct a patient with diabetes mellitus?

The nurse is performing a blood glucose test on an older patient with type 2 diabetes mellitus. Which are manifestations of hyperglycemia? Select all that apply.

Metformin has been prescribed for an older patient with renal insufficiency and a new diagnosis of type 2 diabetes mellitus. What is the nurse's priority action?

The nurse is preparing a teaching plan for a patient with type 2 diabetes mellitus regarding proper foot care. Which instructions should the nurse include in this plan? Select all that apply.

Why should the nurse counsel an older patient with a history of occasional high blood glucose levels to stop smoking?

The nurse is performing an admission assessment on an older patient with type 2 diabetes mellitus. Which assessment data is a risk factor for hypothyroidism? Select all that apply.

The healthcare provider suggests that an older patient with type 2 diabetes mellitus begin a walking program. What should the nurse include when teaching the patient about this program? Select all that apply.

The nurse is caring for an older patient experiencing new-onset atrial fibrillation. Which lab result is most concerning?

The nursing instructor asks a student to describe Graves disease. Which statement by the student indicates an accurate understanding of this disorder?

An older patient has been diagnosed with hyperthyroidism. Which treatment will the nurse anticipate?

An older patient with type 2 diabetes mellitus has a capillary blood glucose level of 44 mg/dL. What is the nurse's priority action? What should the patient ingest to provide an immediate source of carbohydrate?

An older patient diagnosed with type 2 diabetes mellitus has been prescribed a combination of long and short-acting insulin. What should be included in the nurse's medication instruction?

The lab results for an older patient indicate a glycosylated hemoglobin (HbA1c) result of 6.5%. What is the nurse's best response to the patient?

While conducting a health interview the nurse suspects an older patient might be experiencing diabetes. What comment did the patient make that could indicate this diagnosis?

The nurse is preparing discharge teaching for an older patient receiving insulin injections for diabetes. What should the nurse teach the patient about the insulin?

The nurse is teaching management of type 2 diabetes mellitus to a group of older adults. Which participant statement indicates that additional instruction is needed?