Question 1

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.

Accepted Answer

A)  "Your TSH level is increased." 
B)  "Your thyroid antibodies test is increased." 
C)  "Your serum T4 is decreased." 
D)  "Your serum T3 is increased." 
E)  "Your T3 uptake is decreased."

Question 2

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?

Accepted Answer

A)  "Thin people can be diabetic, too." 
B)  "Your condition makes it impossible for you to gain weight." 
C)  "Your lab tests indicate the presence of diabetes." 
D)  "You are eating large quantities because your condition makes it difficult for your body to obtain energy from the foods taken in."

Question 3

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?

Accepted Answer

A)  Nothing, because there is little effect on the quality of life in older adults. 
B)  A partial thyroidectomy 
C)  The ingestion of radioactive sodium iodine, I131 
D)  A combination treatment with levothyroid (Synthroid) and amiodarone (Cordarone)

Question 4

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.

Accepted Answer

A)  Oxygen consumption 
B)  Exercise 
C)  Injury prevention 
D)  Diet 
E)  Behavior modification

Question 5

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.

Accepted Answer

A)  Hypothermia 
B)  Hot flashes 
C)  Nausea 
D)  Fatigue 
E)  Tachycardia

Question 6

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?

Accepted Answer

A)  "I have removed all scatter rugs from my home." 
B)  "I frequently take long walks in the sun." 
C)  "My pain is relieved by Tylenol." 
D)  "I am allergic to dairy products."

Question 7

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?

Accepted Answer

A)  Vitamin K 
B)  Ferrous sulfate 
C)  Platelets 
D)  Folic acid

Question 8

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?

Accepted Answer

A)  Using furniture as obstacles to keep the client in the bed 
B)  Keeping the bed in the lowest position 
C)  Keeping a nightlight on in the room 
D)  The use of wrist restraints

Question 9

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?

Accepted Answer

A)  Activity Intolerance 
B)  Disturbed Body Image 
C)  Defensive Coping 
D)  Constipation

Question 10

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.

Accepted Answer

A)  Pollution 
B)  Variations in alcohol metabolism 
C)  Stress due to socioeconomic factors 
D)  Consuming alcohol with food 
E)  Climate

Question 11

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?

Accepted Answer

A)  Smoking is a major factor in the development of diabetic neuropathy. 
B)  Smoking increases insulin resistance. 
C)  Smoking accelerates arteriosclerotic changes in blood vessels. 
D)  Smoking promotes weight gain.

Question 12

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.

Accepted Answer

A)  Gonads 
B)  Pituitary gland 
C)  Thyroid gland 
D)  Adrenal gland 
E)  Parathyroid gland

Question 13

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.

Accepted Answer

A)  Chronic Pain 
B)  Knowledge Deficit 
C)  Ineffective Coping (Family) 
D)  Risk for Unstable Blood Glucose 
E)  Risk for Injury

Question 14

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.

Accepted Answer

The answer of During a home visit,the nurse evaluates teaching...

Question 15

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?

Accepted Answer

A)  Deltoid 
B)  Thigh 
C)  Hip 
D)  Abdomen

Question 16

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?

Accepted Answer

A)  Muscle wasting 
B)  Hypothermia 
C)  Bleeding gums 
D)  Hemorrhoids

Question 17

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?

Accepted Answer

A)  Obesity 
B)  An emaciated body 
C)  Hunger pangs 
D)  Anorexia

Question 18

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.

Accepted Answer

A)  Prothrombin time 
B)  Albumin 
C)  Ammonia level 
D)  Liver functions studies 
E)  Hemoglobin and hematocrit

Question 19

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?

Accepted Answer

A)  Having a BMI that indicates obesity 
B)  Using corticosteroids for ten years due to a chronic lung disorder 
C)  Eating 3-5 servings of shrimp and liver per week 
D)  Drinking three glasses of skim milk daily

Question 20

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

Accepted Answer

A)  "Is your skin often clammy?" 
B)  "Do you have brown, shiny patches on your legs?" 
C)  "Is your skin smooth?" 
D)  "Is your skin rough and dry?"

Exam 12: Metabolism