Endocrine Flashcards
A nurse is monitoring the laboratory values of a client who has diabetes and is taking insulin which of the following results indicate a therapeutic outcome of insulin therapy
fasting blood glucose range= 70- 110
Postprandial= <180
preprandial= 70-130
Random= <200 
A nurse is caring for a client via thyroidectomy the nurse should assess for which of the following findings as an indication of hypocalcemia
tingling and numbness of the hands and feet
Increased G.I. motility
Week thready pulse
Hyperreactive DTR
A nurse is caring for a client who has pheochromocytoma which of the following action should the nurse take
elevate the head of the bed to reduce blood pressure and abdominal pressure
Do not palpate the abdomen because this can release catecholamines and increase blood pressure
Monitor the patient for hypertension

The nurse is assessing a client who is taking propylthiouracil the nurse should identify which of the following findings as an indication of the medication is effective 
propylthiouracil suppresses the production of thyroid hormone and allows for weight gain. Excessive weight gain could indicate that the dose is too high
A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone which of the following findings should the nurse report to the provider
Sodium below 135 – a client with SIADH retains fluid which causes dilutional hyponatremia

A nurse is assessing a client who has diabetes insipidus the nurse should expect which of the following findings
increased amount of credit due to dehydration
A nurse is caring for a client who has diabetes mellitus and has developed peripheral neuropathy which of the following measures should the nurse recommend to prevent injuries to the clients feet
Monitor the temperature of bathwater with a thermometer should be below 110°F
Examine skin of the feet daily
Shop for shoes later in the day when feet are likely to have slight swelling
Trim toenails straight across and smoothie edges with an emery board
A nurse is planning teaching for a client who has type one diabetes mellitus which of the following instruction should the nurse plan to include
Ingest food with alcohol traduce alcohol induced hypoglycemia
A nurse is managing the care of a client who is postoperative and has acute adrenal insufficiency which of the following action should the nurse take
Administer IV hydrocortisone sodium to replace the cortisol deficiency that occurs with adrenal insufficiency
A nurse is caring for a client who has type two diabetes and is experiencing a hyper glycemic hyperosmolar state which of the following laboratory findings should the nurse expect
serum pH 7.45 – patient produces enough insulin to prevent ketosis but not enough to prevent hyperglycemia therefore the serum pH is within expected range.
Glucose levels will be above 600
A nurse is reviewing the laboratory result of a client undergoing screening for primary Cushing’s disease the nurse should expect an elevation in which of the following laboratory findings
steroids, sugar, sodium
A nurse is teaching a client who has diabetes mellitus about insulin injections the clients Prescription includes evening doses of insulin glargine and regular insulin which of the following instruction should the nurse include
draw update insulins into separate syringes glargine Is not compatible with any other insulins
A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care which of the following statement by the client indicates an understanding of the teaching
I will apply lotion to the dry areas of my feet but not between my toes
I will not use over-the-counter medicine to treat calluses on my feet
I will wear close toed shoes to prevent injury to my feet
I will dry my feet thoroughly after washing to prevent bacterial growth between the toes
A nurse is teaching a client who is scheduled for a vanillylmandelic acid test to screen for pheochromocytoma which of the following statements should the nurse include in their teaching
Restrict coffee and take 2 to 3 days prior to the test
you should avoid coffee and tea even if they are decaffeinated, bananas, chocolate, and vanilla for 2 to 3 days prior to the test
avoid aspirin because it can affect the test results
discard the first morning urine and then collect all urine after that for 24 hours
A nurse is monitoring a client who is 24 hours postoperative after a total thyroidectomy which of the following findings should the nurse report to the provider
laryngeal strider
harsh high pitch sound with inspiration that Indicates respiratory obstruction the nurse should take immediate action to preserve a client airway
A nurse is assessing a client who has adrenal insufficiency which of the following findings should the nurse expect
-calcium 12.8
a patient who has adrenal insufficiency will have a calcium level above expected range of 9 to 10
-weight loss
-sodium level below expected range
A nurse is admitting a client who has hyperthyroidism When assessing a client the nurse should expect which of the following findings
Trimmers, diaphoresis, insomnia
And a nurse is assessing a client who has a new diagnosis of Cushing’s disease which of the following findings should the nurse expect
hirsutism , Weight gain, elevated blood pressure, thinning skin
A nurse is teaching a client about Glycosylated hemoglobin HB A1c testing which of the following client statements indicates an understanding of the teaching
The test results are a good indicator of my average blood glucose levels over 120 day. Which is the lifespan of a red blood cell
A nurse is teaching a client who has type one DM about how to prevent complications during illness which of the following statements by the client indicates an understanding of the teaching
I should call my provider if my BG level exceed 250 during illness
I should check my BG level every four hours
A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm which of the following findings indicates that the client is having the therapeutic response
Reduction of the effects of thyroid hormone on the heart propranolol decreases the rapid heart rate caused by excessive thyroid stimulation
A nurse is providing discharge teaching to a client who has the guy and a new prescription for Desmopressin nasal spray which of the following instruction should the nurse include in her teaching
blow your nose gently prior to using the nasal spray primed the nasal spray
pump by pressing down four times before the initial use
sit upright with head tilted forward slightly when administering the spray
A nurse is assessing a client who has DM and reports feeling anxious which of the following findings should the nurse expect if the client is hypoglycemic
Cool, clammy skin in addition to anxiety, nervousness, tachycardia, and confusion
A nurse is preparing a teaching plan for a client who has DI and requires intranasal Desmopressin which of the following information should the nurse include
Report nocturia because it requires a dose adjustment. The provider will increase the dosage until the client no longer has nocturia 
A nurse is reviewing lab values for a client who has DKA which of the Following should the nurse expect
-Low pH
-PaCO2 with an expected range
-HCO 3/ bicarbonate low
A nurse is teaching a client who has auto immune disease about adverse effects of long-term corticosteroid therapy which of the following adverse effects should the nurse include
-osteoporosis
due to the suppression of bone formation and the acceleration of bone reabsorption that can be caused
-moon shaped face
Cushing syndrome including moon shaped face a potbelly and a buffalo hunt can occur due to long-term use
- increased risk of infection
due to the reduction of macrophages, neutrophils, suppressing immune system
A nurse is developing a teaching plan for a client who had a thyroidectomy and takes thyroid hormone replacement which of the following instruction should the nurse plan to include
take this medication on an empty stomach do not eat or drink anything for 30 to 60 minutes after
Do not take with ant acids they can reduce the effectiveness of thyroid replacement
Take the medication with a full glass of water
The nurse is teaching a client who has DM which of the following should the nurse include as an expected finding of diabetic keto acidosis DKA
-blood glucose levels above 300
-deep labored breathing known as Kussmaul respirations
-weight loss
-polydipsia, polyuria, polyphagia
A nurse is teaching a client about adrenocorticotropic hormone ACTH stimulation test the nurse explain the purpose of this test is to assess for which of the following disorders
Addison’s disease – his test measures the cortisol response to ACTH the responses absent or very decreased inclined to have primary adrenal insufficiency
A home health nurse is assessing a client who requires lifelong hormone replacement therapy for the treatment of hypothyroidism the client has not been taking the medication regularly which of the following findings should the nurse expect
Hypotension, Brady piña, dysrhythmias, cold intolerance, cool dry skin
These are all expected findings of hypothyroidism
