CH 44 Pit, THy, & Adre d/o; CH 45 DM

Question 1

Which symptom should the nurse monitor the client for that is diagnosed with diabetes insipidus?

1. Increased dilute urine output
2. Hyperglycemia
3. Hyponatremia
4. Fluid retention

Answer 1

1. Increased dilute urine output

Question 2

29. Which initial question should the nurse ask the client who is receiving chlorpropamide (Diabinese) and is experiencing nausea, flushing, and palpitations?
30. “Have you taken your medication as directed?”
31. “Did you eat or drink anything new this week?”
32. “Have you increased the amount of fiber in your diet?”
33. “Have you had any alcoholic beverages to drink this week?”

Answer 2

4. “Have you had any alcoholic beverages to drink this week?

Question 3

12) Which information should the nurse include in the education about the mechanism of action for metformin (Glucophage)?
Select all that apply.
1. Decreases sugar production in the liver
2. Inhibits absorption of carbohydrates
3. Stimulates the pancreas to produce more insulin
4. Reduces insulin resistance
5. Increases energy use

Answer 3

1. Decreases sugar production in the liver

4. Reduces insulin resistance

Question 4

19) Which prescription is classified as a biguanide?
1. Metformin HCI (Glucophage)
2. Repaglinide (Prandin)
3. Tolbutamide (Orinase)
4. Acarbose (Precose)

Answer 4

1. Metformin HCI (Glucophage)

Question 5

6) The nurse is preparing to educate a client prescribed levothyroxine (Synthroid). Which information should the nurse include in the teaching?
1. Monitor daily temperature.
2. Assess for decreased appetite.
3. Assess weekly serum blood levels.
4. Assess for altered sleep patterns.

Answer 5

4. Assess for altered sleep patterns.

Question 6

20) Which information should the nurse include in the education for a client who has been prescribed levothyroxine (Levothroid)?
Select all that apply.
1. “It may take a few weeks for you to see the full benefits from this drug.”
2. “Be sure to keep all of your follow-up appointments.”
3. “Take this medication at whatever time you eat your evening meal.”
4. “Do not start a fiber laxative without first discussing it with your healthcare team.”
5. “Take your calcium supplement at least 4 hours after taking this drug.”

Answer 6

1. “It may take a few weeks for you to see the full benefits from this drug.”
2. “Be sure to keep all of your follow-up appointments.”
3. “Do not start a fiber laxative without first discussing it with your healthcare team.”
4. “Take your calcium supplement at least 4 hours after taking this drug.”

Question 7

15) For which condition does vasopressin (Vasostrict) treat?
1. Diabetes insipidus
2. Dehydration
3. Electrolyte imbalances
4. Diabetes mellitus

Answer 7

1. Diabetes insipidus

Question 8

4) The nurse finds a client with diabetes mellitus type 1 unresponsive. Which is the priority nursing action?
5. Call the rapid response team.
6. Administer glucagon.
7. Administer oxygen.
8. Assess the vital signs.

Answer 8

6. Administer glucagon.

Question 9

11) Which symptom should the nurse associate with hypoglycemia?
1. Thirst
2. Increased urination
3. Moist skin
4. Nausea

Answer 9

3. Moist skin

Question 10

4) Which assessment findings should the nurse anticipate for the client with Cushing’s syndrome?
1. Hypotension
2. Tachycardia
3. Upper body obesity
4. Thin, gaunt appearance of the face

Answer 10

3. Upper body obesity

Question 11

19) Which assessment findings are associated with Cushing's disease?
Select all that apply.
1.	Acne
2.	Osteoporosis
3.	Confusion
4.	Delayed wound healing
5.	Lethargy

Answer 11

1. Acne
2. Osteoporosis
3. Delayed wound healing

Question 12

27) Which result from the diagnostic testing with cosyntropin (Cortrosyn) for adrenocortical insufficiency indicates secondary adrenocortical insufficiency has occurred?
1. The client’s plasma level of cortisol rises following the injection.
2. The client has carpal spasms following injection.
3. The client’s urine cortisol fails to rise following the injection.
4. The client experiences flushing following the injection.

Answer 12

1. The client’s plasma level of cortisol rises following the injection.