Adult Health - Endocrine
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The flashcards below were created by user nursedaisy98 on Card Set Information
FreezingBlue Flashcards.
Author: nursedaisy98
Get the free mobile app ID: 256678
Filename: Adult Health -
Take the Quiz Endocrine
Updated: 2014-04-20
Learn more 14:58:06
Tags: NCLEX RN
Folders: Adult Health
Description: Endocrine
1. A client is brought to the emergency department in an
Show Answers:
unresponsive state, and a diagnosis of hyperglycemic
hyperosmolar state (HHS) is made. The nurse would
immediately prepare to initiate which anticipated health
care provider's prescription?
1. Endotracheal intubation
2. 100 units of NPH insulin
3. Intravenous infusion of normal saline
4. Intravenous infusion of sodium bicarbonate
3. Intravenous infusion of normal saline
2. An external insulin pump is prescribed for a client with
diabetes mellitus and the client asks the nurse about the
functioning of the pump. The nurse bases the response
on which information about the pump?
1. Is timed to release programmed doses of short-
duration or NPH insulin into the bloodstream at specific
intervals
2. Continuously infuses small amounts of NPH insulin
into the bloodstream while regularly monitoring blood
glucose levels
3. Is surgically attached to the pancreas and infuses
regular insulin into the pancreas, which in turn releases
the insulin into the bloodstream
4. Gives a small continuous dose of short-duration
insulin subcutaneously, and the client can self-
administer a bolus with an additional dose from the
pump before each meal
, 4. Gives a small continuous dose of short-duration
insulin subcutaneously, and the client can self-
administer a bolus with an additional dose from the
pump before each meal
3. A client with a diagnosis of diabetic ketoacidosis (DKA)
is being treated in the emergency department. Which
findings would the nurse expect to note as confirming
this diagnosis? Select all that apply.
1. Increase in pH
2. Comatose state
3. Deep, rapid breathing
4. Decreased urine output
5. Elevated blood glucose level
6. Low plasma bicarbonate level
o 3. Deep, rapid breathing
o 5. Elevated blood glucose level
o 6. Low plasma bicarbonate level
4. The nurse teaches a client with diabetes mellitus about
differentiating between hypoglycemia and ketoacidosis.
The client demonstrates an understanding of the
teaching by stating that a form of glucose should be
taken if which symptoms develop? Select all that
apply.
1. Polyuria
2. Shakiness
3. Palpitations
4. Blurred vision
5. Lightheadedness
6. Fruity breath odor
o 2. Shakiness
o 3. Palpitations
o 5. Lightheadedness
5. A client with diabetes mellitus demonstrates acute
anxiety when first admitted to the hospital for the
treatment of hyperglycemia. What is the most
appropriate intervention to decrease the client's
, anxiety?
1. Administer a sedative.
2. Convey empathy, trust, and respect toward the client.
3. Ignore the signs and symptoms of anxiety so that they
will soon disappear.
4. Make sure that the client knows all the correct
medical terms to understand what is happening.
2. Convey empathy, trust, and respect toward the client.
6. The nurse provides instructions to a client newly
diagnosed with type 1 diabetes mellitus. The nurse
recognizes accurate understanding of measures to
prevent diabetic ketoacidosis when the client makes
which statement?
1. "I will stop taking my insulin if I'm too sick to eat."
2. "I will decrease my insulin dose during times of
illness."
3. "I will adjust my insulin dose according to the level
of glucose in my urine."
4. "I will notify my health care provider (HCP) if my
blood glucose level is higher than 250 mg/dL."
4. "I will notify my health care provider (HCP) if my
blood glucose level is higher than 250 mg/dL."
7. A client is admitted to a hospital with a diagnosis of
diabetic ketoacidosis (DKA). The initial blood glucose
level was 950 mg/dL. A continuous intravenous infusion
of short-acting insulin is initiated, along with
intravenous rehydration with normal saline. The serum
glucose level is now 240 mg/dL. The nurse
would next prepare to administer which item?
1. Ampule of 50% dextrose
2. NPH insulin subcutaneously
3. Intravenous fluids containing dextrose
4. Phenytoin (Dilantin) for the prevention of seizures
3. Intravenous fluids containing dextrose
8. The nurse is monitoring a client newly diagnosed with
diabetes mellitus for signs of complications. Which
sign, if exhibited in the client, would indicate
hyperglycemia?
1. Polyuria
, 2. Diaphoresis
3. Hypertension
4. Increased pulse rate
1. Polyuria
9. The nurse is preparing a plan of care for a client with
diabetes mellitus who has hyperglycemia. The nurse
places highest priority on which client problem?
1. Lack of knowledge
2. Inadequate fluid volume
3. Compromised family coping
4. Inadequate consumption of nutrients
2. Inadequate fluid volume
10. The home health nurse visits a client with a diagnosis of
type 1 diabetes mellitus. The client relates a history of
vomiting and diarrhea and tells the nurse that no food
has been consumed for the last 24 hours. Which
additional statement by the client indicates a need for
further teaching?
1. "I need to stop my insulin."
2. "I need to increase my fluid intake."
3. "I need to monitor my blood glucose every 3 to 4
hours."
4. "I need to call the health care provider (HCP) because
of these symptoms."
1. "I need to stop my insulin."
11. The nurse is caring for a client after hypophysectomy
and notes clear nasal drainage from the client's nostril.
The nurse should take which initial action?
1. Lower the head of the bed.
2. Test the drainage for glucose.
3. Obtain a culture of the drainage.
4. Continue to observe the drainage.
2. Test the drainage for glucose.
12. After several diagnostic tests, a client is diagnosed with
diabetes insipidus. The nurse performs an assessment on
the client, knowing that which symptom is most
indicative of this disorder?
Home > Preview
The flashcards below were created by user nursedaisy98 on Card Set Information
FreezingBlue Flashcards.
Author: nursedaisy98
Get the free mobile app ID: 256678
Filename: Adult Health -
Take the Quiz Endocrine
Updated: 2014-04-20
Learn more 14:58:06
Tags: NCLEX RN
Folders: Adult Health
Description: Endocrine
1. A client is brought to the emergency department in an
Show Answers:
unresponsive state, and a diagnosis of hyperglycemic
hyperosmolar state (HHS) is made. The nurse would
immediately prepare to initiate which anticipated health
care provider's prescription?
1. Endotracheal intubation
2. 100 units of NPH insulin
3. Intravenous infusion of normal saline
4. Intravenous infusion of sodium bicarbonate
3. Intravenous infusion of normal saline
2. An external insulin pump is prescribed for a client with
diabetes mellitus and the client asks the nurse about the
functioning of the pump. The nurse bases the response
on which information about the pump?
1. Is timed to release programmed doses of short-
duration or NPH insulin into the bloodstream at specific
intervals
2. Continuously infuses small amounts of NPH insulin
into the bloodstream while regularly monitoring blood
glucose levels
3. Is surgically attached to the pancreas and infuses
regular insulin into the pancreas, which in turn releases
the insulin into the bloodstream
4. Gives a small continuous dose of short-duration
insulin subcutaneously, and the client can self-
administer a bolus with an additional dose from the
pump before each meal
, 4. Gives a small continuous dose of short-duration
insulin subcutaneously, and the client can self-
administer a bolus with an additional dose from the
pump before each meal
3. A client with a diagnosis of diabetic ketoacidosis (DKA)
is being treated in the emergency department. Which
findings would the nurse expect to note as confirming
this diagnosis? Select all that apply.
1. Increase in pH
2. Comatose state
3. Deep, rapid breathing
4. Decreased urine output
5. Elevated blood glucose level
6. Low plasma bicarbonate level
o 3. Deep, rapid breathing
o 5. Elevated blood glucose level
o 6. Low plasma bicarbonate level
4. The nurse teaches a client with diabetes mellitus about
differentiating between hypoglycemia and ketoacidosis.
The client demonstrates an understanding of the
teaching by stating that a form of glucose should be
taken if which symptoms develop? Select all that
apply.
1. Polyuria
2. Shakiness
3. Palpitations
4. Blurred vision
5. Lightheadedness
6. Fruity breath odor
o 2. Shakiness
o 3. Palpitations
o 5. Lightheadedness
5. A client with diabetes mellitus demonstrates acute
anxiety when first admitted to the hospital for the
treatment of hyperglycemia. What is the most
appropriate intervention to decrease the client's
, anxiety?
1. Administer a sedative.
2. Convey empathy, trust, and respect toward the client.
3. Ignore the signs and symptoms of anxiety so that they
will soon disappear.
4. Make sure that the client knows all the correct
medical terms to understand what is happening.
2. Convey empathy, trust, and respect toward the client.
6. The nurse provides instructions to a client newly
diagnosed with type 1 diabetes mellitus. The nurse
recognizes accurate understanding of measures to
prevent diabetic ketoacidosis when the client makes
which statement?
1. "I will stop taking my insulin if I'm too sick to eat."
2. "I will decrease my insulin dose during times of
illness."
3. "I will adjust my insulin dose according to the level
of glucose in my urine."
4. "I will notify my health care provider (HCP) if my
blood glucose level is higher than 250 mg/dL."
4. "I will notify my health care provider (HCP) if my
blood glucose level is higher than 250 mg/dL."
7. A client is admitted to a hospital with a diagnosis of
diabetic ketoacidosis (DKA). The initial blood glucose
level was 950 mg/dL. A continuous intravenous infusion
of short-acting insulin is initiated, along with
intravenous rehydration with normal saline. The serum
glucose level is now 240 mg/dL. The nurse
would next prepare to administer which item?
1. Ampule of 50% dextrose
2. NPH insulin subcutaneously
3. Intravenous fluids containing dextrose
4. Phenytoin (Dilantin) for the prevention of seizures
3. Intravenous fluids containing dextrose
8. The nurse is monitoring a client newly diagnosed with
diabetes mellitus for signs of complications. Which
sign, if exhibited in the client, would indicate
hyperglycemia?
1. Polyuria
, 2. Diaphoresis
3. Hypertension
4. Increased pulse rate
1. Polyuria
9. The nurse is preparing a plan of care for a client with
diabetes mellitus who has hyperglycemia. The nurse
places highest priority on which client problem?
1. Lack of knowledge
2. Inadequate fluid volume
3. Compromised family coping
4. Inadequate consumption of nutrients
2. Inadequate fluid volume
10. The home health nurse visits a client with a diagnosis of
type 1 diabetes mellitus. The client relates a history of
vomiting and diarrhea and tells the nurse that no food
has been consumed for the last 24 hours. Which
additional statement by the client indicates a need for
further teaching?
1. "I need to stop my insulin."
2. "I need to increase my fluid intake."
3. "I need to monitor my blood glucose every 3 to 4
hours."
4. "I need to call the health care provider (HCP) because
of these symptoms."
1. "I need to stop my insulin."
11. The nurse is caring for a client after hypophysectomy
and notes clear nasal drainage from the client's nostril.
The nurse should take which initial action?
1. Lower the head of the bed.
2. Test the drainage for glucose.
3. Obtain a culture of the drainage.
4. Continue to observe the drainage.
2. Test the drainage for glucose.
12. After several diagnostic tests, a client is diagnosed with
diabetes insipidus. The nurse performs an assessment on
the client, knowing that which symptom is most
indicative of this disorder?
