A nurse is planning care for a client who has Cushing's Syndrome due to chronic corticosteroid use. Which of the following action should the nurse include in the plan of care?
Check your in specific gravity
Urine specific gravity to assess for fluid volume overload
A nurse is providing teaching to a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching?
Turkey and cheese sandwich
Turkey and cheese sandwich is high in protein, carbohydrates, and sodium.
Clients with Addison's disease requires a diet low in potassium and high in sodium, carbohydrates, and protein. I Addison's disease is a hormone deficiency caused by damage to the outer layer of the adrenal gland the adrenal cortex.
addison's disease occurs when adrenal
glands do not produce enough of the hormone cortisol and in some cases the hormone aldosterone.
A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The nurse should understand that which of the following laboratory values is consistent with diabetic ketoacidosis?
Bicarbonate level 12 mEq/L
A nurse is caring for a client who has type two diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyper glycemia?
Increased urination
Increase urination (polyuria) is a manifestation of hyperglycemia due to a deficiency of insulin, which can lead to osmotic diuretics.
A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find?
Bronze pigmentation of skin
Darkening of the skin in both exposed and unexposed parts of the body with Addison's disease is due to hormone deficiency caused by a damage to the outer layer of the adrenal gland the adrenal cortex.
A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor?
Polyuria
R: Diabetes insipidus is characterized by increased thirst (polydipsia) and increased urine (polyuria) The client who has diabetes insipidus will excrete large quantities of urine with very low specific gravity.
A nurse is monitoring a client who has Graves' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider?
hypertension
A patient experiencing thyroid storm will have an exaggerated condition of hyperthyroidism associated with the development of fever, hypertension, abdominal pain, and tachycardia. Graves' disease is a common cause of hyperthyroidism, which is an imbalance of metabolism caused by over production of the fire hormone.
A nurse is preparing a 24 hour urine specimen for a client who is suspected to have pheochromocytoma. Which of the following laboratory test from the 24 hour urine specimen sure the nurse used to determine the clients condition?
Vanillylmandelic acid VMA
This test is used to determine if the client has pheochrome wall cytoma, which measures the level of catecholamine metabolite in a 24 hour urine sample. Pheochromocytoma is a tumor of the adrenal gland which causes excess release of the catecholamines epinephrine and norepinephrine which regulate BP and HR.
A nurse is caring for a client who is postoperative following a bilateral Adrenalectomy. The nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects?
Compensate for decreased in cortisol levels
One of the hormones produced by the adrenal glands is cortisol, a glucocorticoid.
A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect the client to display
Difficulty sleeping
R: A client who has Graves' disease can have difficulty sleeping and anxiety due to the overproduction of thyroid hormone.
A nurse is providing teaching to a client who has type one diabetes Mellitus about hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
Shakiness
Other early manifestations include fatigue, headache, difficulty thinking, sweating, and nausea.
A nurse is assessing a client who has manifestations of acromegaly. Which of the following findings should the nurse expect?
increased head size
R: The client who has acromegaly will manifest an enlarged head size due to the excessive production of growth hormones after closing the epiphyses (The growth plate at the ends of the long bones) by the pituitary gland. It results in the gradual enlargement of the client's body tissues, such as the bones of the face, jaw, hands feet and skull.
A nurse is providing teaching to a client who has type two diabetes mellitus about the pathophysiology of the disease. Which of the following statements by the client indicates an understanding of the teaching?
"my cells are resistant to the effects of insulin"
Resistance to insulin and decrease in the secretion of insulin by the pancreatic beta cells.
A nurse is planning a community health screening for a group of clients Who are at risk for type two diabetes Mellitus. Which of the following clients should the nurse include in the screening?
Men and women who are obis
There is a high correlation between obesity and type two diabetes. Obesity plays a major role in the development of type two diabetes by decreasing the number of available insulin receptors in skeletal muscles in fat cells. This is referred as peripheral insulin resistance.
A nurse is monitoring client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect?
Hyponatremia
A patient with the syndrome will have hyponatremia caused by the excessive release of antidiuretic hormone (ADH). As a result of the excess ADH, the client retains water that causes dilution all hyponatremia
A nurse is providing teaching to a client who has type one diabetes mellitus us about exercise. Which of the following statements to the nurse include in the teaching
Wear a medical alert identification tag when you exercise.
In the event of a hypoglycemic response, because exercise can potentiate the effects of insulin and cause the blood glucose levels to decrease.
A nurse is caring for a client who is postoperative following a parathyroidectomy to treat hyperparathyroidism. Which of the following laboratory values should the nurse expect to decrease as a therapeutic effect of the procedure?
Calcium
The parathyroid hormone release calcium, phosphorous, and magnesium balance within the clients blood and bone by maintaining a balance between the mineral levels in the blood and the bone. Hyperparathyroidism is associated with hypercalcemia, therefore, a decrease in the calcium levels indicate an improvement in a clients condition.
Are nurses check in laboratory values to determine if a client who has diabetes Molite us is it here until the treatment plan. Which of the following tissue the nurse used to make this determination
Glycosylated hemoglobin levels
HbA1C, is an accurate method to determine if the client is routinely complaint. Hemoglobin A-1C refers to hemoglobin that is connected to glucose. Since the lifespan of an RBC is four months, this value will not be affected by recent changes in the Kleins diet or medication.
A nurse is planning care for a client who is experiencing the Somogyi affect and takes interment tent acting insulin. Which of the following actions should the nurse include in the plan?
Monitor the client nighttime blood glucose levels
The Somogyi effect is a swing of a high blood glucose level in the morning after an extremely low blood glucose level during the night. The swing is caused by the release of stress hormones to counter low glucose levels. Monitoring the client's nighttime blood glucose levels over time can provide an accurate diagnosis of the Somogyi effect.
A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by an add a noma. Which of the following findings should the nurse report to the provider? Select all that apply
Tachycardia
and hypertension
Laryngeal stridor and hoarseness
Positive Trousseau's sign
-Normal respiratory rate: 12-18 bpm
-Positive Chvostek's sign: Facial muscle spasm after tapping the facial nerve in front of the ear. This indicates hypercalcemia, a complication of thyroid removal. This happens when the parathyroid glands are also removed and regulation of serving costume is in pair.
-Laryngeal stridor and hoarseness are unexpected findings and can indicate swelling in the area of the
surgery or damage to the laryngeal nerve. This should be reported to the provider before respiratory distress develops.
-Positive Trousseau's sign: indication of hypercalcemia, which is a complication of thyroid removal. This occurs when the parathyroid glands are also removed and regulation of serum calcium is impaired.