Exam 12: Metabolism

What nursing intervention should be used to decrease pruritus in clients with liver disease?

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?

While performing an endocrine assessment on a client suspected of having an endocrine disorder, the nurse asks if the client has experienced recent weight changes. The nurse asks this question because he understands that alterations in which endocrine glands are most directly related to weight changes? Select all that apply.

Type 2 diabetes mellitus is characterized by which underlying pathophysiology?

The nurse is assessing the vital signs of a client experiencing hypoparathyroidism. While monitoring the blood pressure, the nurse notes the client's hand begins to spasm. Which term is appropriate for the nurse to use when documenting this assessment finding?

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?

A client with liver disease presents to the hospital with severe ascites. What pathophysiologic changes does the nurse recognize as contributing to the development of ascites? Select all that apply.

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

Which client is at the greatest risk for developing hypothyroidism?

Which type of infection has been implicated in destruction of pancreatic beta cells and thus causes type 1 diabetes?

The nurse is completing an assessment interview with an older adult client being seen for a yearly physical examination. Which client statement would indicate a possible diagnosis of diabetes mellitus?

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

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?

A nurse is caring for a client with end-stage liver disease. Which alterations should the nurse anticipate with this client? Select all that apply.

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?

A nurse is caring for a client who was recently admitted for treatment of cirrhosis. The client is currently experiencing ascites, +3 pitting edema, and oliguria. Which nursing diagnosis should the nurse select as a priority for this client?

Restricted blood flow through the liver results in which condition?

The nurse is planning care for a 4-year-old child 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.

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?

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.