Exam 2: Endocrine

You are a nurse who is discussing treatment involving insulin with Mrs. Christopher, who is newly diagnosed with type 1 diabetes mellitus. Mrs. Christopher asks, "Why can't I just take the pill like my friend who has diabetes?" After you give your explanation, which of the following responses by the patient would indicate that she understood your explanation?

Teasedale is to undergo a thyroidectomy. The nurse should be on the lookout for which electrolyte imbalance?

Lisa, the nurse on duty, is preparing to discharge a client newly diagnosed with diabetes mellitus. The client states, "I should eat a candy bar or cup of ice cream every time I feel shaky, hungry, or nauseated." Which of the following is Lisa's best response?

Pitt is obese and unable to look directly at the bottoms of his feet to assess for skin problems related to his diabetes. What could you, as a nurse, suggest that might help Mr. Pitt complete his foot assessment?

The nurse is working with a client who is just beginning to use a new external insulin pump. Which statement made by the client indicates a need for more teaching regarding the use of the pump?

A person who is diabetic is brought into the Emergency Department by a friend who found him on the floor unconscious. The first nursing action would be to:

Donna has Addison's disease and is receiving fludrocortisone acetate. The nurse knows that the therapeutic effect of this is to:

The most accurate description a nurse could give a colleague about a thyroid scan is that it:

The nurse administers a dose of six units of regular insulin (Humulin R) to a patient at 8:00 AM. Knowing the action of regular insulin, when would the nurse anticipate that a hypoglycemia reaction could occur?

Which of the following tests is used to diagnose Cushing's syndrome?

The nurse receives notification from the laboratory that the client, who is diabetic, has an HgbA1c of 6%. The best action by the nurse would be to:

Jeckyll, a 46-year-old hotelier, has been diagnosed with type 2 diabetes and needs to begin daily medications and blood glucose monitoring. Mr. Jeckyll's response was, "This is not possible. How can I have diabetes when I'm not sick?" What is the most appropriate response by the nurse?

Maia Clarins, 24 years old, was diagnosed with hypopituitarism. When performing the history and physical exam, which of the following findings should the nurse anticipate?

Thomas, newly admitted to your unit this morning, presents with lipodystrophy on both upper thighs. It would be most important to assess which of the following?

Joshua Caine, age 48 years old, had a bilateral adrenalectomy for Cushing's syndrome. He is being sent home with a new prescription for hydrocortisone. The best statement indicating understanding of the drug and associated risk is:

Following a hypophysectomy, the client complains of clear nasal drainage. What is the most appropriate initial action for the nurse?

Jena, age 32, visited a day clinic to report a sudden weight gain. She also reported to the nurse on duty that her abdomen is now bigger than before and her face looks "swollen" and rounded. Which additional assessment finding would lead the nurse to suspect that Jena has Cushing's syndrome rather than obesity?

Chandler has trouble remembering to rotate his sites for insulin injections. In the past week he has self-injected into the right abdomen, left abdomen, right upper arm, left thigh, and right thigh. Into which site should he self-inject his insulin next?

Vasopressin (Pitressin) is ordered for a client with diabetes insipidus in order to do which of the following?

Situation: Jenny, 43 years old, has consulted her family physician because she has been experiencing chest pains, intolerance to heat, nervousness, dizziness, frequent headaches, and palpitations during the past three months. The doctor diagnosed her with pheochromocytoma. The most important assessment that the nurse should carry out with regards to Jenny's condition is: