Exam 12: Metabolism

A client with Graves disease requests that the nurse discuss the results of laboratory tests with the client.Which statements would the nurse include? Select all that apply.

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?

An older adult client with hyperthyroidism is not a candidate for surgery.Which treatment could be used to quickly reduce the clinical manifestations that the client is experiencing as a result of the disorder?

The nurse is planning care for a client with upper body obesity.What teaching should the nurse include in this client's care? Select all that apply.

A nurse is caring for an adult client recently diagnosed with hypothyroidism.After reviewing the nursing admission assessment,on which documented findings should the nurse plan care for this client? Select all that apply.

The nurse identifies the nursing diagnosis of Imbalanced Nutrition as appropriate for a client with osteoporosis.Which client statement supports the use of this diagnosis when planning care?

A client with liver cirrhosis begins to drain bright red blood through the nasogastric tube.Which should the nurse prepare to administer to this client?

An adult client who resides in a long-term care facility is diagnosed with osteoporosis.The client has a history of falls and dementia.Which nursing intervention will best aid in meeting an outcome goal of injury prevention for this client?

The nurse is working with a morbidly obese client who is seeking help to lose weight at a bariatric clinic.When planning this client's care,which nursing diagnosis is the priority?

The community health nurse is planning education for a group of individuals from Alcoholics Anonymous on the risk factors for liver disease.The group has a high number of Native Americans in attendance.What should the nurse explain as the reasons for the high incidence of cirrhosis in this ethnic group? Select all that apply.

An adult client who is newly diagnosed with type 2 diabetes has smoked for 30 years.When teaching the client on ways to optimize health outcomes,what should the nurse explain about the effects of smoking and diabetes?

While performing an endocrine assessment on a client suspected of having Cushing disease,the nurse asks if the client has experienced recent weight changes.Which portions of the endocrine systems is the nurse assessing? Select all that apply.

The nurse is planning care for a young school-age client newly diagnosed with type 1 diabetes mellitus.The child's mother appears unconcerned with the diagnosis and is complaining about the cost of medication,as three additional children in the family have needs.On which nursing diagnoses should the nurse focus when planning this client's care? Select all that apply.

During a home visit,the nurse evaluates teaching provide to a client with type 1 diabetes mellitus on the ability to prepare an insulin injection.List the order in which the client prepared the injection that indicates teaching has been effective. A) Wipe the selected skin site with alcohol and wait for it to dry. B) Fill the syringe with an amount of air equal to the number of units of insulin, and insert the needle into the vial. C) Insert the insulin. D) Push air into the vial, invert the vial, and withdraw the prescribed units of insulin. E) Pinch up a fold of skin, and insert the needle into the tissue. F) Withdraw the needle and apply firm pressure to the site for a few seconds.

The nurse is preparing to teach a client who is newly diagnosed with type 1 diabetes mellitus on the preferred area to self-inject insulin.On which area should the nurse focus based upon insulin absorption rates?

The family of a client with cirrhosis of the liver asks what symptoms they need to look for while the client is being cared for in their home.Which manifestation should the nurse teach the family that indicates that the client is experiencing portal hypertension?

A nurse working in a community health center is counseling an adolescent regarding a suspected eating disorder.The adolescent is of normal weight but admits to periods of overeating,especially when experiencing stress.Based on this data,for which potential health problem should the nurse counsel the adolescent?

The nurse is reviewing the laboratory test results for a client with an endocrine disorder.For which tests should the nurse expect to have current values on the medical record? Select all that apply.

A nurse is conducting a health history on an older adult client in a medical practice.Which assessment finding places the client at risk for osteoporosis?

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