Metabolism_Flash_Cards.

A nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse expects to find: • hypotension. • thick, coarse skin. • deposits of adipose tissue in the trunk and dorsocervical area. • weight gain in arms and legs QUESTION deposits of adipose tissue in the trunk and dorsocervical area. A nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will order daily supplements of calcium and • folic acid. • vitamin D. • potassium. • iron QUESTION vitamin D. The nurse is teaching her client with hepatobiliary disease about her diet. She tells her that she may have steatorrhea, which is the malabsorption of which dietary component? • Fat • Starch • Protein • Calcium QUESTION Fat A nurse is caring for a client with cirrhosis. The nurse assesses the client at noon and discovers that the client is difficult to arouse and has an elevated serum ammonia level. The nurse should suspect which situation? • The client's hepatic function is decreasing. • The client didn't take his morning dose of lactulose (Cephulac). • The client is relaxed and not in pain. • The client is avoiding the nurse. QUESTION The client's hepatic function is decreasing. A nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will order daily supplements of calcium and: • folic acid. • vitamin D. • potassium. • iron. QUESTION vitamin D. x Which statement about bone mass and older adults is accurate? • Bone mass is increased with aging due to all the wear and tear of the joints. • Once skeletal growth has been attained, there is no longer any replacement or repair. • Bone resorption and formation are no longer perfectly coupled, and bone mass is lost. • Hormones, like parathyroid hormone, are much slower to be released as one ages QUESTION Bone resorption and formation are no longer perfectly coupled, and bone mass is lost. x A patient who is diagnosed with type 1 diabetes would be expected to: • Be restricted to an American Diabetic Association diet. • Have no damage to the islet cells of the pancreas. • Need exogenous insulin. • Receive daily doses of a hypoglycemic agent. QUESTION Need exogenous insulin x The nurse is caring for a client who has a congenital disease. The nurse is describing the etiology of the disease to a colleague and refers to the role of the nucleus. The nucleus is commonly described as the "control center" of the cell because it: • can differentiate into varied body cells to meet short-term and long-term physiologic needs. • contains the genetic material and directly regulates the other components of the cell. • is capable of communicating with cells that are not in close proximity. • synthesizes ATP which is essential for cell communication and regulation. • contains the genetic material and directly regulates the other components of the cell. A client with type 1 diabetes asks the nurse about taking an oral antidiabetic agent. The nurse explains that these medications are effective only if the client: • prefers to take insulin orally. • has type 2 diabetes. • has type 1 diabetes. • is pregnant and has type 2 diabetes QUESTION has type 2 diabetes An extremely lethargic client arrives by ambulance at the emergency department. His blood glucose level is 32 mg/dL (1.78 mmol/L). The nurse will anticipate that this client will be diagnosed with: • Dawn phenomenon • Hypoglycemia • Diabetic ketoacidosis • Autonomic neuropathy QUESTION Hypoglycemia A nurse is assessing a female client prior to educating about healthy lifestyle changes. The client has a body mass index (BMI) of 32.4. According to the BMI, the nurse would classify this client as: • underweight. .....................................................continued.......................................................