The nurse admits a client diagnosed with a new onset of Type 1 diabetes mellitus. Which symptoms should the nurse expect to find during his initial physical assessment? 1. polydipsia, polyuria, and weight loss A client presents with diaphoresis, palpitations and tachycardia approximately two hours after receiving 20 units of insulin regular. What is the nurses's most appropriate intervention? 1. Administer 15 grams of a simple carbohydrate The nurse is caring for a preoperative client who has type 1 diabetes mellitus. Which action
should the nurse take on the morning of the surgery? 1. Clarify the insulin dose with the healthcare provider
The nurse is teaching health promotion to a group of adults in the community. Which action would the nurse advise to decrease the risk factors for type 2 diabetes mellitus? 2. Maintaining an ideal weight and participating in daily exercise The nurse is caring for a client with type 2 diabetes mellitus. One hour after taking an oral diabetic medication, the client becomes nauseous and commits. The nurse should: 3. monitor blood glucose closely, and assess for signs of hypoglycemia What priority information regarding diet and exercise should the nurse teach a client newly
diagnosed with type 1 diabetes mellitus? 4. Dietary goals, dietary composition, and physical activity are key A nurse is teaching a client recently diagnosed with type 1 diabetes mellitus about chronic complications associated with the disease. Which information should the nurse include? 2. Schedule yearly eye examination The nurse is teaching a client newly diagnosed with type 1 diabetes mellitus about the rotation of insulin injection sites. The nurse determines that teaching was effective when the client states: 1. rotate injection sites within on anatomical region The nurse is providing education to a group of clients newly diagnosed with type 1 diabetes mellitus. One client asks why
the glycosylated hemoglobin blood test (HbA1c) is done. What is the nurses's best response? 2.
HbA1c is used to assess long-term glycemic control The nurse is providing diabetes education to a group of clients previously diagnosed with type 1 diabetes mellitus. One of the clients asks about the advantage of using a continuous subcutaneous insulin infusion (CSII) pump. Whats nurse's best response would be: 4. CSII allows for flexibility in meal timing The nurse is admitting a client with a diagnosis of myxedema. During the initial assessment, which findings would the
nurse be most concerned about? 4. Bradycardia and decreased intellectual function The nurse is caring for a
client who is on day postoperative from a total thyroidectomy. Which symptoms would prompt the nurse to immediately call the rapid response team (RRT) of intervention? 2.Harsh, high-pitched respiratory sounds
1. polydipsia, polyuria, and weight loss
2. weight gain, tiredness, and bradycardia
3. Irritability, diaphoresis, and tachycardia
4. Diarrhea,
abdominal pain, and weigh loss
1. Administer 15 grams of a simple
carbohydrate
2. Administer additional insulin based on a sliding scale
3. Administer lorazepam per PRN order
4. Draw blood for a glucose level
1. Clarify the insulin dose with the healthcare provider
2. hold all insulin for the day
3. Administer oral anti-diabetic agents only
4. Administer the full daily insulin dose
1. Following a fat free diet and non impact exercise three times a week
2. Maintaining an ideal weight and participating in daily exercise
3. Following a very low carbohydrate diet that includes moderate amounts of fat
4. Smoking cessation and a diet high in protein and fat
1. administer another dose of the drug
2. administer subcutaneous insulin
3. monitor
blood glucose closely, and assess for signs of hypoglycemia
4. monitor blood glucose closely, and assess for signs of hyperglycemia
1. Exercise will increase blood glucose
2. Fluid, protein, and electrolytes should be managed
3. Calorie intake should be reduced prior to exercise
4. Dietary goals, dietary composition, and physical activity are key
1. Buy shoes that are half a size larger
2. Schedule yearly eye examination
3. Exercise will increase insulin resistance
4. Podiatry visits are necessary every five years
1. rotate injection sites within on anatomical region
2. Rotate injection sites from one anatomic region to another
3. rotation of
injection sites does not affect speed of absorption
4. rotation of injection sites does not prevent lipohypertrophy
1. HbA1c measures hemoglobin level in addition to blood glucose level
2. HbA1c is used to assess long-term glycemic control
3. HbA1c provides information about conditions that effect a red blood cell's life span
4. HbA1c provides information about serum protein and albumin
1. CSII is easy to use, and requires very little education
2. CSII eliminates the potential
for ketoacidosis
3. CSII is cheaper to use than traditional insulin injections
4. CSII allows for flexibility in meal timing
1. Hypertension and weight loss
2. Heat Intolerance and emotional lability
3. Corneal ulcerations and increased appetite
4. Bradycardia and decreased intellectual function
1.Blood pressure of 150/92mmHg
2.Harsh, high-pitched respiratory sounds
3.Weak voice or hoarseness
4.Decreased deep tendon reflexes
The nurse admits a client with a diagnosis of chronic adrenal insufficiency. Which assessment findings confirm the diagnosis? Select all that apply.
1.Hyponatremia
2. Hyperkalemia
3. Hyperglycemia
4.Hypercalcemia
5. Hypocalcemia
A nurse is caring for a client diagnosed with diabetes insipidus. Which laboratory value is most important for the nurse to
monitor?
1. Glucose
2. Hemoglobin
3. Creatinine
4. Sodium
A client diagnosed with Addisons disease is concerned about dark areas of skin around his knees and elbows. . The nurse's best response would be:
1. This finding is not related to Addison's disease. I will refer you to a dermatologist
2.This skin change is related to your medication therapy, and should subside in a few weeks
3.This is related
to hormonal changes caused by Addisons disease
4.This change is related to sun exposure and should not be a concern
3.This is related to hormonal changes caused by Addisons disease
The nurse is caring for a postoperative client who has undergone a transsphenoidal hypophysectomy. Which assessments would
be most important for this client? Select all that apply.
1.Urinary output
2. Psychological status
3.Fluid and electrolyte balance
4.gastrointestinal status
5.visual assessment
The nurse is caring for a postoperative client who has undergone surgical removal of the pituitary gland (hypophysectomy), and has now developed diabetes insipidus (DI). The nurse should assess for:
1.hypertension and
bradycardia
2.glucosuria and weight gain
3.fluid overload and hyponatremia
4.severe dehydration and hypernatremia
4.severe dehydration and hypernatremia
The nurse is caring for a client with diabetes insidious (DI). What is the nurse's priority intervention?
1. watching for signs and
symptoms of septic shock
2. Maintaining adequate hydration
3. Checking weight every three days
4. Monitoring urine for specific gravity >1.030
2. Maintaining adequate hydration
The nurse has completed an assessment of a client who has a head injury. Which assessment finding requires
intervention?
1.The client states she is not thirsty
2.The clients urine has a specific gravity <1.005
3.The client has a mild headache
4.The clients potassium level is 3.5 meq/L
2.The clients urine has a specific gravity <1.005
A client was diabetes insipidus (DI) is receiving
desmopressin. Which symptom would require immediate intervention?
1.rash and difficulty breathing
2.abdominal cramping
3.buring at the injection site
4.headache
1.rash and difficulty breathing
The nurse caring for a client who is diagnosed with diabetes insidious (DI). The nurse
should carefully assess this client to prevent:
1.decreased hemoglobin and hyponatremia
2.hypertension and bradycardia
3.hypotension and increased urine output
4. high urine specific gravity and hypertension
3.hypotension and increased urine output
The nurse is a admitting a
client suspected of having Addison's disease. An initial serum chemistry test is done. Which findings should the nurse expect?
1.hyponatremia and hyperkalemia
2.hypernatremia and hypokalemia
3.hyperglycemia and hypernatremia
4.hypercalcemia and hyperglycemia
1.hyponatremia and hyperkalemia
Which assessment findings should the nurse expect in a patient with Addisons disease?
1.weight gain and loss of skin pigment
2.fatigue and muscle weakness
3.hypertension and hypernatremia
4.increased appetite and hypokalemia
2.fatigue and muscle weakness
The nurse is caring for a
client with Addisons disease. Which laboratory value would indicate the treatment has been effective?
1. Sodium of 147 meq/L
2.Potassium of 2.9 meq/L
3. Sodium of 142 meq/L
4.Potassium of 6.0 meq/L
The nurse caring for a client admitted with Addisonian crisis. Which outcome is he priority?
1.Preventing irreversible shock
2. Preventing infection
3. Relieving anxiety
4. Lowering blood pressure
1.Preventing irreversible shock
What assessment finding is expected for a client diagnosed with Addisons disease?
1.Fatigue
2. Edema
3. Heat intolerance
4. Respiratory acidosis
The nurse is planning care for a client
with Addisons disease. What is an appropriate outcome for this client?
1.Fluid intact of less than 1000 mL a day
2.Participating in daily relaxation techniques
3.Ambulating in the hall five to six times per day
4.Choosing low sodium foods
2.Participating in daily relaxation techniques
The nurse is providing education about disease management to a client with Addisons disease. The nurse's teaching should include:
1.eating a low-sodium diet
2.decreasing fluids to 1000ml/day
3.wearing medic-alert bracelet
4.taking daily cortisone on an empty stomach
3.wearing medic-alert bracelet
The nurse is admitting a client to the unit with Cushing's syndrome. The nurse is likely to find which signs or symptoms during his initial assessment?
1."Moon face" and truncal obesity
2.Weight loss and heat intolerance
3.Changes in skin texture and low body temperature
4.Polyuria and dehydration
1."Moon face" and
truncal obesity
The nurse is planning care for a client diagnosed with Cushing's syndrome. Which potential complication should the nurse instruct this client about?
1.Dehydration
2.Infections
3.Breathing difficulty
4.Acute pain
The nurse is aware that the client with Cushing's syndrome is at risk for:
1.hypoglycemia and
dehydration
2. hypotension and hyperkalemia hyperglycemia
3. hyponatremia and dehydration
4. hypertension and heart failure
4. hypertension and heart failure
The nurse is admitting a client with newly diagnosed Cushing's syndrome. Which laboratory values should the nurse expect to
find?
1. decreased sodium and decreased glucose
2. decreased cortisol and decreased glucose
3. increased cortisol and decreased sodium
4. increased cortisol and increased sodium
4. increased cortisol and increased sodium
The nurse is caring for a client who is diagnosed with Cushing's
syndrome. What is the priority assessment?
1.serum glucose
2.daily weight
3.urinary output
4.abdominal girth
The nurse is caring for a client in the post anesthesia care unit following an adrenalectomy. What is the nurse's priority action?
1.assessing serum potassium
2.assessing blood pressure
3.administering dextrose in water
4.administering opioids
2.assessing blood pressure
Th nurse is caring for a client recently diagnosed with Cushings syndrome. Which assessment finding should the nurse expect to find?
1.bruising and hypotension
2.truncal obesity and abdominal striae
3.hypertension and emanciation
4.Weight loss and "moon face"
2.truncal obesity and abdominal striae
The nurse providing education for a client with Cushing's syndrome. Which information would the nurse include in the teaching plan?
1.dietary sodium should increased
2.physical changes are disease related
3.high fluid intake is important
4.dietary protein
should be restricted
2.physical changes are disease related
The nurse is providing community education to a group of clients about the prevention of type 2 diabetes mellitus.Which client would be a highest risk for the development of diabetes mellitus?
1.A young adult who plays basketball
regularly
2.an elderly woman who is sedentary
3.a middle-age woman who delivers mail
4.a middle-age man with a basal metabolic rate within normal limits
2.an elderly woman who is sedentary
A client with type 1 diabetes mellitus often skips his ordered dose of insulin. What priority
information should the nurse give to this client regarding the omission of insulin doses?
1. may lead to ketoacidosis
2. may cause hypoglycemic coma
3. may lead to pancreatitis
4. may cause diabetes insidious
1. may lead to ketoacidosis
A client with type 1 diabetes mellitus presents with
poluphagia, polydipsia, and polyuria. Further assessment shows signs of dehydration. The nurse determines that this client may be experiencing:
1.Diabetes insipidus
2.diabetic ketoacidosis
3.hypoglycemia
4.syndrom of inappropriate antidiuretic hormone (SIADH)
A client with type 1 diabetes mellitus is exhibiting Kussmaul's respirations, abdominal discomfort, and lethargy. What interventions should the nurse
perform?
1. assess complete blood count (CBC)
2. administer insulin as ordered
3. start an intravenous infusion of dextrose
4. assess neurological status
2. administer insulin as ordered
The nurse is admitting a client diagnosed with diabetic ketoacidosis (DKA). What is the nurse's priority
intervention?
1.subcutaneous glucagon administration
2.transfusion of whole blood
3.glucocorticoid administration
4.inrtravenous insulin
The nurse is caring for a client diagnosed with diabetic ketoacidosis (DKA). The client is receiving insulin and IV fluids. Which laboratory test would be a priority for the nurse to monitor?
1.Serum potassium
2.Hemoglobin A1C (HbA1c)
3.serum calcium
4.serum nitrogen
The home health nurse is visiting a client newly diagnosed with type 1 diabetes mellitus. The client reports nausea and abdominal pain. The nurse observes dehydration and dry skin. What question should the nurse ask the client?
1.what did you drink today?
2.are you taking your insulin daily?
3.when is the last time you had a checkup?
4.Did you weigh yourself today?
2. are you taking your insulin daily?
The nurse is preparing to administer IV insulin to a client diagnosed with diabetic ketoacidosis (DKA). What will the nurse monitor while the client is receiving this intervention?
1.hypokalemia and hypoglycemia
2.hypocalcemia and hyperkalemia
3.hyperkalemia and
hyperglycemia
4.hypernatremia and hypercalcemia
1.hypokalemia and hypoglycemia
A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is most at risk for the development of :
1.infection
2.confusion
3.dehydration
4.skin breakdown
The nurse teaches a client diagnosed with hyperglycemic hyperosmolar state (HHS) how to monitor his condition . What is a potential warning sign of this condition?
1.symptoms of hyperglycemia
2.symptoms of hypoglycemia
3.ketones in the urine
4.rapid and deep respirations
1. symptoms of hyperglycemia
The nurse is administering an insulin infusion for a client diagnosed with diabetic ketoacidosis (DKA). Which outcome indicates that treatment has been effective?
1.lowered blood glucose level to normal limits within one hour
2.the replacement of fluids during the first 24 hours
3.an increase in anion gap within 24 hours
4.an increase in blood glucose levels within the first three hours
2.the replacement of fluids during the first 24 hours
A client with type 2 diabetes mellitus comes to the emergency department with weakness, thirst, and an inability to concentrate. What should the nurse assess?
1.thyroid hormones
2.weight
3.apical pulse
4.blood glucose
The nurse is providing sick day rules to a group of clients with type 1 diabetes mellitus. Which information is appropriate to include?
1.monitor blood glucose at lease once a day
2.do not take insulin until you feel well
3.drink 8-12 oz of fluid each waking hour
4.if nauseous, do not eat or drink
3.drink 8-12 oz of fluid
each waking hour
A client who suffered a brain injury after falling off a ladder has recently developed syndrome of inappropriate antidiuretic hormone (SIADH). What findings indicate that the treatment being received for SIADH is effective? Select all that apply.
1.decrease in body weight
2.rise in blood pressure; drop in heart rate
3.absence of wheezes in the lungs
4.increase in urine
output
5.decrease in urine osmolarity
A client with Addison's disease is scheduled for discharge after being hospitalized for an adrenal crisis. Which statements would indicate that the nurse's teaching has been effective? Select all that apply.
1.i hat to take my steroids for 10 days
2.i need to weigh myself daily to be sue i don't eat too many calories
3.I need to call my healthcare provider to discuss my steroid
needs before I have dental work
4.I will call the healthcare provider if I start to feel fatigues, weak, or dizzy
5. if i feel like i have the flu, I'll carry on as usual because this is an expected response
6. I need to obtain and wear a medical alert bracelet
A client is admitted with a diagnosis of diabetic ketoacidosis. An insulin drink is initiated with 50 unites of insulin in 100 ml of normal saline solution. The IV is being infused via an infusion pump, and th pump is currently set at 10 ml/hr. How many units of insulin each hour is this client receiving?
The nurse is providing education for a client diagnosed with Cushing's syndrome. Which statement indicates an understanding of the disease?
1. My blood sugar is low, so I don't need to watch my diet
2. I should increase my fluid intake to three liters a day
3. I will
weigh myself daily and report any gain
4. With this disease process, it is okay to increase my sodium intake.
`3. I will weigh myself daily and report any gain
An adolescent client who has type 1 diabetes mellitus has a decreased level of 45. Which is the priority nursing
intervention?
1. Placing a Salem sump tube and providing tube feedings
2. Administering 500 ml bolus of normal saline solution
3. Administering 1mg of glucagon intramuscularly or subcutaneously
4. Calling the healthcare provider for orders
3. Administering 1mg of glucagon intramuscularly or subcutaneously
A client diagnosed with diabetic ketoacidosis (DKA) had a serum glucose level of 485 mg/dL. After treatment, the serum glucose level dropped to 185 mg/dL. The client developed an irregular heart rate. Which assessment finding most likely caused this irregularity?
1. Decreased serum chloride level
2. Decreased serum potassium level
3. Elevated serum glucose level
4. Elevated serum sodium level
2. Decreased serum potassium level
A client is being treated for Addisonian crisis. Which laboratory values are most important for the nurse to monitor?
1. Serum bicarbonate and sodium
2. serum glucose and ketones
3. serum sodium and potassium
4. serum calcium and magnesium
3. serum sodium and potassium
The nurse is providing education for a client newly diagnosed with Addison's disease. The client is receiving a maintenance dose of steroids. What priority information should the nurse include?
1. Fluid maintenance
2. Symptoms of hypo and hyperglycemia
3. Taking steroids exactly as
prescribed
4. Exercise schedule
3. Taking steroids exactly as prescribed
A client has developed diabetic ketoacidosis (DKA), secondary to infection. The nurse should assess for which potential problems?
1. Kussmaul's respirations and a fruity odor to the breath
2. Shallow respirations
and sever abdominal pain
3. Decreased respirations and increased urine output
4. Cheyne-Stokes respirations and foul-smelling urine
1. Kussmaul's respirations and a fruity odor to the breath