Exam 59: Metabolism

A nurse is shopping and notes an individual who is acting oddly. The nurse notes that the person is sweating and appears confused. The nurse approaches the individual, helps him find a seat, and takes the pulse, which is increased. The person complains of a headache. Which is this nurse's first action in assisting this individual?

The nurse is interviewing a client with a suspected endocrine disorder. Which question by the nurse would BEST obtain subjective data related to this client's possible diagnosis?

The nurse is discussing issues related to childbearing with a woman who has a low prolactin level and knows that this woman may experience difficulty related to which childbearing activity?

The nurse is working with a client who has just been diagnosed with diabetes mellitus and informs the client to adhere to which principles that will be most helpful at preventing complications of this disease? Select all that apply.

A client diagnosed with acromegaly is scheduled for a growth hormone test. When the client arrives for the test, the nurse notes that the client appears to have been crying. The nurse shares with the client this observation and the client begins to cry again and tells the nurse about some serious family problems. Which should the nurse do at this time in relation to the client's growth hormone test?

The healthcare provider has ordered a radioactive iodine (RA)uptake exam for a client who has complained of constipation, fatigue, and weight gain. The client asks the nurse to explain again why this test has been ordered in relation to these symptoms. Which is the nurse's BEST response to this client?

The client tells the nurse that he doesn't check his blood sugar as often as he should because his fingers are so sore from pricking them. How can the nurse assist this client to be more compliant with his blood sugar monitoring?

The nurse in the clinic receives a call from a client diagnosed with diabetes mellitus who states his blood sugar is 275 mg/dl and he doesn't feel well. Which is the first thing the nurse should tell the client to do?

The charge nurse is discussing the endocrine system and the new nurse correctly identifies which organ as the one that influences the release of hormones into the portal circulation?

The nurse is observing a client obtain a capillary blood specimen for glucose and notes that the client actively squeezes the finger after piercing it with a lancet and then places a drop of blood on the test strip. The meter shows the blood glucose as 126 mg/dl. How does the nurse interpret these results?

The client calls the clinic complaining of an unusual problem. Which client statement to the nurse is most suggestive of a subjective symptom related to an endocrine problem?

The nurse is caring for a client with a large abdomen. Which assessment technique would assist the nurse in determining whether the client is experiencing ascites or the large abdomen is related to obesity?

The nurse is caring for a client who just had 1,500 mL of fluid removed during a paracentesis. The client asks the nurse why his belly still feels so big even though that large amount of fluid was removed. Which is the nurse's BEST answer to this client?

Place in correct order the steps for obtaining capillary blood glucose sampling.

The nurse is discussing glucose control with a client who reports consistently elevated capillary blood glucose levels. The client appears unconcerned and says, "I don't see why this is a problem. I feel fine." Which is the nurse's BEST response to this client?

The client diagnosed with diabetes mellitus calls the nurse to complain about dizziness that occurs upon standing. The nurse informs the client that this may be caused by which initial complication related to diabetes mellitus?

The nurse is caring for a client who has just been diagnosed with diabetes mellitus. The client tells the nurse that she went to the doctor with symptoms of a urinary tract infection and ended up being admitted with diabetes mellitus. She then tells the nurse that her father had diabetes and he ended up dying with kidney failure. The client says, "It looks like that's what is going to happen to me. My kidneys are already messed up." Which is the nurse's BEST response to this client's statement?

The nurse is conducting an initial assessment of a client diagnosed with an endocrine disorder and identifies which signs and symptoms as subjective, as opposed to objective symptoms? Select all that apply.

The nurse is talking to a client who has come to the clinic for a fasting blood sugar to monitor the client's blood sugar. The nurse notes that the client is wearing new tennis shoes. Which statement by the client about the shoes would indicate that the client needs further instruction about diabetic foot care?

The nurse is caring for a client who is experiencing both decreased appetite and shortness of breath related to ascites. A paracentesis has been scheduled for this client. Immediately prior to the procedure, the nurse accompanies the client to the bathroom so the client can void. Which would be the nurse's BEST action when the client reports an inability to void?