NU 185: Med-Surge II EXAM 4
A client is admitted for removal of a goiter. Which nursing intervention should receive priority during the
postoperative period? *Exam Cram Endocrine - (correct Answer) - Assessing the Clients Airway
A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse
would anticipate an order for? *Exam Cram Endocrine - (correct Answer) - Calcium
A client with Addison's Disease will most likely exhibit which symptom? *Exam Cram Endocrine - (correct
Answer) - Bronze Pigmentation
A client w/ Cushing's Syndrome should be instructed to? *Exam Cram Endocrine - (correct Answer) -
Limit the Sodium in her DIet
The client w/ a suspected pituitary tumor will most likely exhibit symptoms of? *Exam Cram Endocrine -
(correct Answer) - Alteration in Visual Acuity
A diabetic client has been maintained on GLucophage (Metformin) for regulation of his blood glucose
levels. Which teaching should be included in the plan of care? *Exam Cram Endocrine - (correct Answer)
- Report changes in Urinary Pattern
A client w/ diabetes experiences Somogyi's effect. To prevent this complication, the nurse should instruct
the client to? *Exam Cram Endocrine - (correct Answer) - Eat a protein and carbohydrate snack at
bedtime
Which item should be kept at the bedside of a client who has just returned from having a
thyroidectomy? *Exam Cram Endocrine - (correct Answer) - A tracheostomy set
Which vitamin is directly involved in the metabolism of the hormones secreted by the parathyroid?
*Exam Cram Endocrine - (correct Answer) - Vitamin D
A client w/ acromegaly will most likely experience which symptom? *Exam Cram Endocrine - (correct
Answer) - Bone Pain
A diabetic client is taking Lantus Insulin for regulation of his blood glucose levels. The nurse should know
that this insulin will most likely be administered? *Exam Cram Endocrine - (correct Answer) - At Night
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/ diabetes mellitus. The nurse would
expect that these symptoms are r/t? *Exam Cram Endocrine - (correct Answer) - Hyperglycemia
Which laboratory test conducted on the client w/ Diabetes Mellitus indicates compliance? *Exam Cram
Endocrine - (correct Answer) - Hgb A-1C
A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse understands that
the client's current illness is due to a... *Exam Cram Renal - (correct Answer) - Prior Bacterial Infection
The physician has prescribed hydralazine (Apresoline) for a client with acute glomerulonephritis. Which
finding indicates that the drug is having the desired effect? *Exam Cram Renal - (correct Answer) - The
clients bp has decreased
, A client with acute glomerulonephritis requests a snack. Which snack is suitable given the client's dietary
restrictions? *Exam Cram Renal - (correct Answer) - Applesauce
The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with nephrotic
syndrome. The nurse should administer the medication... *Exam Cram Renal - (correct Answer) - With a
snack or glass of milk
A client receiving Gentamicin (Garamycin) IVPB has a morning peak level of 12 micrograms/mL. The
nurse should...*Exam Cram Renal - (correct Answer) - Notify the physician because the level is too high
The nurse is teaching the client with an ileal conduit regarding skin care to prevent excoriation. In
addition to applying a well-fitted collection bag the client should be told to empty the collection bag...
*Exam Cram Renal - (correct Answer) - When it is one third full
A client with end stage renal disease has been managed by peritoneal dialysis. Which finding should be
reported to the doctor immediately? *Exam Cram Renal - (correct Answer) - The client complains of
abdominal pain and nausea
The nurse notes dark red blood and a few clots in the catheter of a client two days after transurethral
prostatectomy (TURP). The nurse should first... *Exam Cram Renal - (correct Answer) - Apply traction to
the urethral catheter
A client is admitted with a tentative diagnosis of bladder cancer. Which finding most likely contributed to
the development of bladder cancer? *Exam Cram Renal - (correct Answer) - Two PPD cigarette use for 25
years
The nurse is providing dietary instructions to a client with oxalate renal calculi. The nurse should tell the
client to avoid which of the following snacks... *Exam Cram Renal - (correct Answer) - Strawberries
Insulin kept at room temperature will last approximately... *Endocrine - (correct Answer) - 1 Month
How can you keep the insulin needle syringe clean? *Endocrine - (correct Answer) - By keeping it capped
when you're not using it. Cleaning it with alcohol removes the coating that helps the needle slide into
the skin easily
Sulfonylureas (Glyburide) *Endocrine - (correct Answer) - Action Site: Pancreas
Action: More insulin release from Pancreas
Side Effects: Low Blood Sugar, Weight Gain
Considerations: Some given on either empty stomach or w/ food
Interactions: Beta blockers mask low blood sugar symptoms. Glyburide & Cipro=Severe Low Blood Sugar
Biguanides (Glucophage/Metformin) *Endocrine - (correct Answer) - Action Site: Liver
Action: Less liver glucose production
Side Effects: Abdl Fullness, Gas, Diarrhea, & NV
A client is admitted for removal of a goiter. Which nursing intervention should receive priority during the
postoperative period? *Exam Cram Endocrine - (correct Answer) - Assessing the Clients Airway
A client is admitted for treatment of hypoparathyroidism. Based on the client's diagnosis, the nurse
would anticipate an order for? *Exam Cram Endocrine - (correct Answer) - Calcium
A client with Addison's Disease will most likely exhibit which symptom? *Exam Cram Endocrine - (correct
Answer) - Bronze Pigmentation
A client w/ Cushing's Syndrome should be instructed to? *Exam Cram Endocrine - (correct Answer) -
Limit the Sodium in her DIet
The client w/ a suspected pituitary tumor will most likely exhibit symptoms of? *Exam Cram Endocrine -
(correct Answer) - Alteration in Visual Acuity
A diabetic client has been maintained on GLucophage (Metformin) for regulation of his blood glucose
levels. Which teaching should be included in the plan of care? *Exam Cram Endocrine - (correct Answer)
- Report changes in Urinary Pattern
A client w/ diabetes experiences Somogyi's effect. To prevent this complication, the nurse should instruct
the client to? *Exam Cram Endocrine - (correct Answer) - Eat a protein and carbohydrate snack at
bedtime
Which item should be kept at the bedside of a client who has just returned from having a
thyroidectomy? *Exam Cram Endocrine - (correct Answer) - A tracheostomy set
Which vitamin is directly involved in the metabolism of the hormones secreted by the parathyroid?
*Exam Cram Endocrine - (correct Answer) - Vitamin D
A client w/ acromegaly will most likely experience which symptom? *Exam Cram Endocrine - (correct
Answer) - Bone Pain
A diabetic client is taking Lantus Insulin for regulation of his blood glucose levels. The nurse should know
that this insulin will most likely be administered? *Exam Cram Endocrine - (correct Answer) - At Night
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/ diabetes mellitus. The nurse would
expect that these symptoms are r/t? *Exam Cram Endocrine - (correct Answer) - Hyperglycemia
Which laboratory test conducted on the client w/ Diabetes Mellitus indicates compliance? *Exam Cram
Endocrine - (correct Answer) - Hgb A-1C
A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse understands that
the client's current illness is due to a... *Exam Cram Renal - (correct Answer) - Prior Bacterial Infection
The physician has prescribed hydralazine (Apresoline) for a client with acute glomerulonephritis. Which
finding indicates that the drug is having the desired effect? *Exam Cram Renal - (correct Answer) - The
clients bp has decreased
, A client with acute glomerulonephritis requests a snack. Which snack is suitable given the client's dietary
restrictions? *Exam Cram Renal - (correct Answer) - Applesauce
The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with nephrotic
syndrome. The nurse should administer the medication... *Exam Cram Renal - (correct Answer) - With a
snack or glass of milk
A client receiving Gentamicin (Garamycin) IVPB has a morning peak level of 12 micrograms/mL. The
nurse should...*Exam Cram Renal - (correct Answer) - Notify the physician because the level is too high
The nurse is teaching the client with an ileal conduit regarding skin care to prevent excoriation. In
addition to applying a well-fitted collection bag the client should be told to empty the collection bag...
*Exam Cram Renal - (correct Answer) - When it is one third full
A client with end stage renal disease has been managed by peritoneal dialysis. Which finding should be
reported to the doctor immediately? *Exam Cram Renal - (correct Answer) - The client complains of
abdominal pain and nausea
The nurse notes dark red blood and a few clots in the catheter of a client two days after transurethral
prostatectomy (TURP). The nurse should first... *Exam Cram Renal - (correct Answer) - Apply traction to
the urethral catheter
A client is admitted with a tentative diagnosis of bladder cancer. Which finding most likely contributed to
the development of bladder cancer? *Exam Cram Renal - (correct Answer) - Two PPD cigarette use for 25
years
The nurse is providing dietary instructions to a client with oxalate renal calculi. The nurse should tell the
client to avoid which of the following snacks... *Exam Cram Renal - (correct Answer) - Strawberries
Insulin kept at room temperature will last approximately... *Endocrine - (correct Answer) - 1 Month
How can you keep the insulin needle syringe clean? *Endocrine - (correct Answer) - By keeping it capped
when you're not using it. Cleaning it with alcohol removes the coating that helps the needle slide into
the skin easily
Sulfonylureas (Glyburide) *Endocrine - (correct Answer) - Action Site: Pancreas
Action: More insulin release from Pancreas
Side Effects: Low Blood Sugar, Weight Gain
Considerations: Some given on either empty stomach or w/ food
Interactions: Beta blockers mask low blood sugar symptoms. Glyburide & Cipro=Severe Low Blood Sugar
Biguanides (Glucophage/Metformin) *Endocrine - (correct Answer) - Action Site: Liver
Action: Less liver glucose production
Side Effects: Abdl Fullness, Gas, Diarrhea, & NV
