Adult-Endocrine Flashcards
A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperosmolar hyperglycemic syndrome (A serious complication of diabetes mellitus) is made. the nurse would immediately prepare to initiate which anticipated primary health care providers prescription?
intravenous infusion of normal saline
an external insulin pump is prescribed for a client with diabetes mellitus. when the client ask the nurse about the functioning of the pump, the nurse bases the response on which information about the pump?
it administers a small continuous dose of short duration insulin subcutaneously. the client can self administer an additional bolus dose from the pump before each meal.
A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. which findings support this diagnosis? select all that apply.
Comatose state
deep, rapid breathing
elevated blood glucose level
the nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. the client demonstrate an understanding of the teaching by stating that a form of glucose should be taken if which symptom develop? select all that apply.
shakiness
palpitations
lightheadedness
a client with diabetes mellitus demonstrate acute anxiety when admitted to the hospital for the treatment of hyperglycemia (high blood glucose, body has too little insulin). what is the appropriate intervention to decrease the clients anxiety?
convey empathy, trust, and respect toward the client.
the nurse provides instructions to a client newly diagnosed with type 1 mellitus. the nurse recognizes accurate understanding of measures to prevent diabetic ketoacidosis (DKA is a serious complication of diabetes that can be life threatening) when the client makes which statement.
“i will notify my primary health care provider (PHCP) if my blood glucose level is higher than 250mg/dL (13.9mmol/L)
A client admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950mg/dL (52.9mmol/L). a continuous intravenous (IV) infusion of short -acting insulin is initiated, along with IV rehydration with normal saline. the serum glucose level is no decreased to 240mg/dL (13.3mmol/L). The nurse will next prepare to administer which medication?
IV fluids containing dextrose
the nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. which sign or symptom, if frequently exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?
polyuria (excessive urination)
the home health nurse visits a client with diagnosis of type one diabetes mellitus. the client reports a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24hrs. which additional statement by the client indicates a need for further teaching?
” i need to stop my insulin”
the nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. the nurse places priority on which clients problem?
inadequate fluid volume
maslows hierarchy of needs theory
Physiological Needs. Food, water, clothing, sleep, and shelter are the bare necessities for anyone’s survival. …
Safety and Security. Once a person’s basic needs are satisfied, the want for order and predictability sets in. …
Love and Belonging. …
Esteem. …
Self-Actualization.
the nurse is caring for a client after hypophysectomy (surgery done to remove the pituitary gland) and notes clear nasal drainage from the clients nostril. the nurse should take which initial action?
test the drainage for glucose.
the nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and has serum sodium of 118 mEq/L (118mmol/L). which primary health care provider prescriptions should the nurse anticipate receiving? select all that apply.
initiate an infusion of 3% NaCl.
restrict fluids to 800mL over 24hr.
administer a vasopressin antagonist as prescribed.
a client admitted to an emergency department , and a diagnosis of myxedema coma is made. which action should the nurse prepare to carry out initially?
maintain a patent airway.
the nurse is caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA). in the acute phase, the nurse plans for which priority intervention?
administer short duration insulin intravenously.
a client with type 1 diabetes mellitus who takes NPH daily in the morning calls the nurse to report recurrent episode of hypoglycemia with exercising. which statement by the client indicates an adequate understanding of the peak action of NPH insulin and exercise?
“the best time for me to exercise is after breakfast.”
The nurse is completing an assessment on a client who is being admitted for a diagnostic workup for primary hyperparathyroidism. which client complains would be characteristic of this disorder?
polyuria
bone pain
the nurse is teaching a client with hyperparathyroidism how to manage the condition at home. which response by the client indicates the need for additional teaching?
“i should consume less than one liter of fluid per day.”
a client with diagnosis of Addisonian crisis (a life threatening situation that results in low blood pressure, low blood levels of sugar and high blood levels of potassium.)is being admitted to the intensive care unit. which findings will be inter-professional health care team focus on? select all that apply
hypotension (bp under 90/60mm/hg)
hyperkalemia (potassium level in your blood thats higher than normal)
the nurse in monitoring a client who was diagnosed with type 1 diabetes mellitus and is being treated with NPH and regular insulin. which manifestations would alert the nurse to the presence of a possible hypoglycemic reaction (blood sugar drops too low)
tremors
irritability
nervousness
the nurse is performing an assessment on a client with pheochromocytoma (a type of neuro endocrine tumor that grows from cells called chromaffin cells). which assessment data would indicate potential complication associated with this disorder?
a heart rate that is 90 beats per minute and irregular
the nurse is monitoring a client diagnosed with acromegaly who was treated with transsphenoidal hypophysectomy (an effective surgical technique for removing pituitary) and is recovering in the intensive care unit. which finding should alert the nurse to a presence of a possible postoperative complication? select all that apply
leukocytosis
urinary output of 800mL/hr
clear drainage on nasal dripper pad
the nurse performs a physical assessment on a client with type 2 diabetes mellitus. finding include a fasting blood glucose level of 70mg/dL (3.9 mmol/L), temperature of 101 F (38.3 C), pulse of 82 beats per minute, respirations of 20 breaths per minute, and blood pressure of 118/68mm Hg. which finding would be the priority concern to the nurse?
temperature (in the client with type 2 diabetes mellitus an elevated temperature may indicate infection. infection is a leading cause of hyperosmolar hyperglycemic syndrome (BLOOD GLUCOSE LEVELS ARE TOO HIGH FOR A LONG PERIOD, LEADING TO DEHYDRATION AND CONFUSION))
The nurse is preparing a client with a new diagnoses of hypothyroidism (thyroid doesnt create and release enough thyroid hormone into your blood stream) for discharge. the nurse determines that the client understands discharge instructions if the client states that which signs and symptoms are associated with this diagnosis?
feeling cold
loss of body hair
persistent lethargy
puffiness of the face
