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RN Nursing School · Med-Surg · 662 questions

Endocrine Disorders practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Endocrine Disorders, practise in the app.

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  1. 1A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?Answer →
  2. 2A client presents with symptoms of confusion, lethargy, and increased thirst. Laboratory tests reveal elevated serum calcium levels. Which intervention should the nurse prioritize based on the client's condition?Answer →
  3. 3A nurse is collecting data on a client who is receiving levothyroxine for treatment of hypothyroidism. Which of the following findings should the nurse recognize as a therapeutic response to this medication?Answer →
  4. 4A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?Answer →
  5. 5To help reduce the risk for neural tube defects, the nurse recommends the expectant mother should eat which foods high in folic acid?Answer →
  6. 6During patient teaching, a nurse explains the genetic nature of a client's diabetes. The client has a diagnosis of Maturity-Onset Diabetes of the Young (MODY). What teaching point is most appropriateAnswer →
  7. 7A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?Answer →
  8. 8A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply.)Answer →
  9. 9A client who has been taking 80mg of prednisone, a glucocorticoid, each day has been educated on the importance of gradually reducing the dosage over time rather than stopping the medication abruptly. What condition could develop from a sudden stop in glucocorticoid therapy?Answer →
  10. 10A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?Answer →
  11. 11A nurse is preparing to administer metformin to a client with type 2 diabetes who is scheduled for a CT scan with IV contrast later today. What is the priority nursing action?Answer →
  12. 12Aldosterone is released from the adrenal cortex in response to what?Answer →
  13. 13A nurse is teaching a client with diabetes about foot care. Which instructions should the nurse include based on the risk of peripheral neuropathy? Select all that apply.Answer →
  14. 14A nurse is teaching a client with type 2 diabetes who reports frequent post-meal blood glucose spikes. The client asks, "Why should I choose whole fruit instead of fruit juice if they both contain sugar?" Which response by the nurse is most appropriate?Answer →
  15. 15Click to highlight the findings that indicate that the client's condition is improving. To deselect a finding, click on the finding again.Answer →
  16. 16A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply.)Answer →
  17. 17The nurse is interviewing a new client with diabetes who takes rosiglitazone. Which information would the nurse anticipate resulting in the health care provider discontinuing the medication?Answer →
  18. 18Why are these significant?Answer →
  19. 19The nurse is caring for a patient with hyperparathyroidism. What level of activity would the nurse expect to promote?Answer →
  20. 20Early this morning, a patient had a subtotal thyroidectomy. During evening rounds, the nurse assesses the patient who is complaining of nausea and records a temperature of 105°F, tachycardia, and extreme restlessness. What is the most likely cause of these signs and symptoms?Answer →
  21. 21A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?Answer →
  22. 22A nurse is assessing a client who has diabetic ketoacidosis (DKA). Which of the following respiratory findings should the nurse recognize as a compensatory response to metabolic acidosis?Answer →
  23. 23A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?Answer →
  24. 24A nurse is teaching a client newly prescribed levothyroxine for hypothyroidism. The client asks, "How will I know if my medication dose is too high?" Which response by the nurse is most appropriate?Answer →
  25. 25A client diagnosed with Cushing syndrome exhibits increased irritability, difficulty concentrating, and feelings of isolation. Which nursing intervention best addresses the client's psychosocial needs?Answer →
  26. 26A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?Answer →
  27. 27A patient presents to the Emergency Department with aphasia, visual disturbances, confusion, and cold, clammy skin. The nurse performs a blood glucose test, which results in a glucose level of 55 mg/dl. (70 mg/dL-110 mg/dL normal). The patient is unsafe to take anything by mouth. The nurse is correct when they anticipate which care intervention.Answer →
  28. 28The nurse is teaching a newly diagnosed diabetic adolescent about hypoglycemia, a potential side effect of insulin administration. The nurse explains that hypoglycemia: Select all that applyAnswer →
  29. 29A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include?Answer →
  30. 30A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?Answer →
  31. 31What finding in a person with type 1 diabetes is most concerning?Answer →
  32. 32For each client finding below, indicate whether the finding is more consistent with glucocorticoid activity or mineralocorticoid activity. Each finding may be associated with more than one category.Answer →
  33. 33What is the first step the nurse should consider in the treatment of obesity?Answer →
  34. 34A nurse is teaching a client who has type 1 diabetes mellitus about exercise. Which of the following instructions should the nurse include?Answer →
  35. 35Mr. Carter's HHS has been corrected, and he is now ready to transition from IV insulin to subcutaneous insulin. Place the following steps in the correct order for safely transitioning Mr. Carter to subcutaneous insulin therapy.Answer →
  36. 36A nurse is assessing a client who has Graves' disease. The nurse should expect which of the following laboratory results?Answer →
  37. 37The nurse enters the client's room to answer the call light at 2pm. The client is diabetic and is complaining of frequent urination, weakness, and blurred vision. What is the priority action for the nurse?Answer →
  38. 38The nurse is planning education for a client with type 1 diabetes who was prescribed prednisone. For each client education, click to specify whether the education is appropriate or not appropriate.Answer →
  39. 39A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority?Answer →
  40. 40A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client most likely to be diagnosed with diabetic ketoacidosis (DKA)?Answer →
  41. 41A nurse is caring for a client who is postoperative and has a history Addison's disease. For which of the following manifestations should the nurse monitor?Answer →
  42. 42A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client's beta cells are restoring normal function?Answer →
  43. 43Which nursing action is a priority when caring for the patient with hyperthyroidism who is experiencing exophthalmos?Answer →
  44. 44A patient with diabetes is being evaluated for peripheral neuropathy. Which assessment finding should the nurse prioritize as a significant safety risk?Answer →
  45. 45Which of the following clinical manifestations following a thyroidectomy would alert the nurse that a client is going into a life-threatening thyroid storm? Select 3Answer →
  46. 46Education is being presented to clients newly diagnosed with diabetes. During the class, the instructor uses the teach back strategy to assess learning. Which statement demonstrates learning has occurred?Answer →
  47. 47The student nurse is reviewing precipitating factors associated with myxedema coma. Which of the following are associated with this disorder? (Select all that apply)Answer →
  48. 48The client with metabolic syndrome is being prescribed metformin. Which lab value would require the nurse to call the provider for clarification prior to administering the first dose?Answer →
  49. 49A student nurse is reviewing causes of hypothyroidism. The student nurse correctly identifies which of the following descriptions of secondary hypothyroidism?Answer →
  50. 50A school nurse is teaching a group of high school students about how to reduce the risk of developing diabetes. Which of the following actions is most effective in lowering the risk?Answer →
  51. 51All of the following are causes of hypothyroidism EXCEPT?Answer →
  52. 52What information would the nurse include when educating a patient newly diagnosed with type 1 diabetes?Answer →
  53. 53A client with type 1 diabetes presents with blood glucose of 65 mg/dL and reports feeling shaky. What is the priority nursing action?Answer →
  54. 54A nurse is caring for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse reviews the client's 12-hour trend in assessment data. Based on the trend of data, which condition has become the priority for nursing intervention?Answer →
  55. 55A nurse is providing care for a 71-year-old client who has diabetes insipidus (DI) and is receiving treatment with desmopressin. Which of the following lab values is most important for the nurse to monitor?Answer →
  56. 56The nurse is creating a plan of care about exercise for a client newly diagnosed with diabetes. What should be included in the plan?Answer →
  57. 57A nurse is caring for a client who is experiencing menopausal symptoms and requests information about hormone replacement therapy (HRT). Which of the following items in the client's health history is a contraindication for hormone replacement therapy?Answer →
  58. 58A nurse is assessing a client with a history of Addison's disease who presents with hypotension, generalized muscle weakness, and diffuse hyperpigmentation of the skin. Which of the following pathophysiological mechanisms best explains these findings?Answer →
  59. 59A nurse is caring for a client with diabetes insipidus who is receiving vasopressin (Pitressin). The nurse understands that which of the following is a therapeutic effect of the medication.Answer →
  60. 60A patient is receiving radioactive iodine treatment. What safety precautions should the patient take? (Select all that apply)Answer →
  61. 61A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?Answer →
  62. 62A patient presenting with myxedema coma is receiving IV levothyroxine. What secondary intervention is most important to prevent complications?Answer →
  63. 63A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?Answer →
  64. 64A nurse is aware of the need to screen specific clients for their risk of hyperglycemic hyperosmolar syndrome (HHS). In what patient population does this syndrome most often occur?Answer →
  65. 65A nurse is teaching a client who has been prescribed Levothyroxine (Synthroid). Which instructions should the nurse include?Answer →
  66. 66A nurse is assessing an adolescent who has an exacerbation of hyperthyroidism. Which of the following findings should the nurse expect?Answer →
  67. 67Which of the following appropriately matches the weight loss medication to its contraindication?Answer →
  68. 68A nurse is providing education to a client who has hypoglycemia. Which of the following information should the nurse include about the regulation of blood glucose levels?Answer →
  69. 69A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?Answer →
  70. 70The parents of a child with prediabetes reports to the nurse that the child wants to join a soccer team. Which action is best for the nurse to implement?Answer →
  71. 71A nurse on a medical-surgical floor is caring for a client with a new diagnosis of diabetes who has an order for insulin aspart — the nurse is preparing to administer the aspart insulin. Which of the following actions should the nurse take?Answer →
  72. 72Which clinical manifestations are associated with hyperthyroidism?Answer →
  73. 73Which one of the following clinical manifestations alerts the nurse to the possibility of Graves disease as the cause of hyperthyroidism?Answer →
  74. 74A nurse is caring for a client 1 hr following a subtotal thyroidectomy. In which of the following positions should the nurse place the client?Answer →
  75. 75A nurse is caring for a client 1 hr following a subtotal thyroidectomy. In which of the following positions should the nurse place the client?Answer →
  76. 76A patient is receiving total parenteral nutrition with a peripherally inserted central catheter. After 6 hours of infusion, the nurse checks the patient's blood glucose level and finds it to be 115 mg/dL. Which of the following nursing actions is appropriate?Answer →
  77. 77A 21-year-old with newly diagnosed Type I diabetes has received client education on diet. What statement made by the client indicates a need for additional education?Answer →
  78. 78A nurse is caring for a client diagnosed with hyperthyroidism and diabetes mellitus. The client presents to the emergency room with tachycardia, hypertension, hyperthermia, and blood glucose 100 mg/dL. Which diagnosis should the nurse plan care around?Answer →
  79. 79A client newly diagnosed with Grave's Disease asks the nurse about managing the disease. Which statement is the most appropriate response by the nurse?Answer →
  80. 80A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority?Answer →
  81. 81A nurse is caring for a client who has type 2 diabetes mellitus, and their glucose levels are rising. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?Answer →
  82. 82Which of the following manifestations are commonly associated with hyperthyroidism?Answer →
  83. 83The patient is ordered for Humulin insulin IV to run continuously at 15 units/hr. The pharmacy dispensed 100 units Humulin insulin in 100 mL of 0.9% NSS. Calculate the infusion rate in mL/hr (Round your answer to the nearest whole number at the end)Answer →
  84. 84For young adulthood ages nineteen to thirty, what is the AMDR for carbohydrates as a percentage of daily calories?Answer →
  85. 85A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)Answer →
  86. 86A patient with hypercalcemia reports severe abdominal pain and confusion. What should the nurse prioritize?Answer →
  87. 87A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?Answer →
  88. 88The results of a 44-year-old obese man's recent diagnostic workup have culminated in a new diagnosis of type 2 diabetes. Which of the following pathophysiologic processes underlies the client's new diagnosis?Answer →
  89. 89Which instructions should the nurse include when teaching a client with diabetes about sick-day management? (Select all that apply.)Answer →
  90. 90A nurse reviews the following lab values. Which result requires immediate intervention? Common Lab Values Normal Reference Ranges Sodium 135–145 mEq/L Potassium 3.5–5.0 mEq/L Phosphorus 2.5–4.5 mg/dL Magnesium 1.8–3.0 mg/dL BUN 10–20 mg/dL Creatinine 0.6–1.2 mg/dL Blood Glucose 60–100 mg/dLAnswer →
  91. 91The nurse correlates which laboratory results with a diagnosis of diabetes?Answer →
  92. 92Fill in the blanks: The [blank1] and produces TRH (Thyrotropin-Releasing Hormone) which causes the anterior pituitary to produce [blank2] which causes the thyroid to [blank3].Answer →
  93. 93The client has had a thyroidectomy and develops muscle twitching and a positive Chvostek's sign. Which treatment is the nurse most likely to administer?Answer →
  94. 94A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?Answer →
  95. 95A nurse is talking with a client whose thyroid-stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test?Answer →
  96. 96A nurse is reviewing the laboratory results of a client who is at risk for developing diabetes mellitus. The nurse should recognize that which of the following results indicates the client meets the criteria for diagnosis of diabetes mellitus?Answer →
  97. 97Which information in this male client's electronic health record as shown in the accompanying figure will the nurse use to confirm metabolic syndrome? (Select all that apply)Answer →
  98. 98A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow? (Move the steps of mixing insulin on the left into the box on the right, placing them in the selected order of performance. All steps must be used.)Answer →
  99. 99A nurse is caring for a client who has type 2 diabetes mellitus and reports blurred vision, numbness in feet, and has had a wound on the right leg for the last 2 months. The clinic nurse notes that the client's Hemoglobin A1C is 8.1%. Which of the following should the nurse include in the client's plan of care?Answer →
  100. 100A nurse is preparing to administer subcutaneous regular insulin to a client before he eats breakfast at 0800. Which of the following actions should the nurse take?Answer →
  101. 101Radioactive Iodine Therapy (RAI). What is the priority nursing action for this client to prior to receiving the treatment?Answer →
  102. 102A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. Identify the steps the nurse should take when preparing the two insulins. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)Answer →
  103. 103Which combination of adverse effects should a nurse monitor for when administering IV insulin to a client with diabetic ketoacidosis?Answer →
  104. 104A patient is brought to the emergency department. The patient is a type 2 diabetic, experiencing hyperglycemic hyperosmolar state (HHS). The nurse should identify what components of HHS?Answer →
  105. 105A nurse is teaching a client about the manifestations of menopause. Which of the following findings should the nurse include?Answer →
  106. 106The nurse is aware that IV insulin may do which of the following?Answer →
  107. 107Review history and physical, and laboratory results. Based on the findings, indicate whether the finding represents a modifiable risk factor, a nonmodifiable risk factor, or is unrelated to type 2 diabetes mellitus. Each row must have one option selected.Answer →
  108. 108A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?Answer →
  109. 109What is key to the prevention of chronic disease?Answer →
  110. 110During a 3 month clinic visit for type II diabetes, the patient tells the nurse that despite following the recommended diet, no weight was lost. Which is the best indicator of the patient's control of diabetes?Answer →
  111. 111A nurse is assessing a client who has Graves' disease. The nurse should expect which of the following laboratory results?Answer →
  112. 112From a public health perspective, how is the term "obesity" defined?Answer →
  113. 113A young adult develops sudden severe hypertension, episodic headache, sweating, and palpitations. Which cause is most likely?Answer →
  114. 114A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting a physical manifestation of hypercortisolism?Answer →
  115. 115In reviewing the dietary teaching for a young adult client with hyperthyroidism, the nurse learns that the client has increased the intake of protein and calories. Which action should the nurse take?Answer →
  116. 116A nurse is caring for a client who has diabetes and plans to administer his regular insulin subcutaneously before he eats breakfast at 0000. After checking the client's morning glucose level, which of the following actions should the nurse take?Answer →
  117. 117A nurse is assessing an adolescent who has an exacerbation of Graves' disease. Which of the following findings should the nurse expect?Answer →
  118. 118A patient experiencing an Addisonian crisis presents with severe hypotension and confusion. What should the nurse prioritize in the initial intervention?Answer →
  119. 119After undergoing a thyroidectomy, a patient exhibits signs of tetany and a positive Chvostek's sign. According to evidence-based practice, which medication would the nurse administer?Answer →
  120. 120Review history, nurses' note, and laboratory results. Click to mark whether the client statement indicates understanding or no understanding of the education given. Each row must have one option selected.Answer →
  121. 121A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?Answer →
  122. 122A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following statements should the nurse make to the client?Answer →
  123. 123A nurse is aware of the need to screen specific clients for their risk of hyperglycemic hyperosmolar syndrome (HHS). In what patient population does this syndrome most often occur?Answer →
  124. 124A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?Answer →
  125. 125A nurse is collecting data from a client who has hypocalcemia. Which of the following findings should the nurse expect?Answer →
  126. 126A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?Answer →
  127. 127A nurse is assessing four clients on a medical unit. The nurse should identify which of the following clients as exhibiting a physical manifestation of hypercortisolism?Answer →
  128. 128Which finding by the nurse when assessing a client with Hashimoto's thyroiditis (hypothyroidism) and a goiter will require the most immediate action?Answer →
  129. 129A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?Answer →
  130. 130A nurse is teaching a client with type 2 diabetes who reports frequent post-meal blood glucose spikes. The client asks, "Why should I choose whole fruit instead of fruit juice if they both contain sugar?" Which response by the nurse is most appropriate?Answer →
  131. 131Which nursing diagnosis takes highest priority for a client with hyperthyroidism?Answer →
  132. 132A nurse is reinforcing teaching with a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse reinforce?Answer →
  133. 133A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?Answer →
  134. 134A nurse is collecting data from the medical record of an older adult client and sees that the client is taking Amiodarone. The client has reported feeling frequently tired and unable to tolerate the heat. Which of the following conditions should the nurse suspect?Answer →
  135. 135A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?Answer →
  136. 136A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect?Answer →
  137. 137A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?Answer →
  138. 138The nurse plans post-operative education for a client having a subtotal thyroidectomy due to uncontrolled hyperthyroidism. What statement(s) should the nurse plan to include in the teaching? Select all that apply.Answer →
  139. 139A patient with type 1 diabetes plans to start an exercise program. What pre-exercise teaching will help prevent hypoglycemia during activity?Answer →
  140. 140A nurse is assessing a client who reports unintentional weight loss despite increased appetite, along with palpitations and heat intolerance. Which of the following conditions should the nurse suspect?Answer →
  141. 141Which statement by an 18 year old patient with Diabetes Mellitus type 1 who has a fasting blood glucose of 340 mg/dL requires additional teaching by the nurse?Answer →
  142. 142The nurse evaluates the effectiveness of obesity interventions. Which findings indicate progress? Select 4 optionsAnswer →
  143. 143A nurse is assessing a patient who has hypothyroidism and recently started treatment with thyroid hormone replacement therapy. Which of the following findings should indicate that the patient might need a decrease in the dosage or discontinuation of the medication?Answer →
  144. 144The nurse is caring for a patient diagnosed with hypothyroidism secondary to Hashimoto's thyroiditis. When assessing this patient, what sign or symptom would the nurse expect?Answer →
  145. 145A parent calls the nurse reporting that their child with newly diagnosed type 1 diabetes mellitus is confused and very sleepy. Which emergency action should the nurse advise the parent to perform before seeking immediate medical care?Answer →
  146. 146The nurse admits a client to the hospital in Addisonian crisis. Which patient statement supports the need for further teaching?Answer →
  147. 147A client with diabetes mellitus tells the nurse of using cranberry juice to help prevent urinary tract infections. Which instruction should the nurse provide?Answer →
  148. 148A nurse is reinforcing teaching with a client who has diabetes mellitus type 1 about sick-day management. Which of the following is the priority action for the nurse to recommend to the client?Answer →
  149. 149A nurse is reinforcing teaching about manifestations of hypoglycemia with a client who has type 1 diabetes mellitus. Which of the following manifestations should the nurse include in the teaching?Answer →
  150. 150A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone. Which of the following findings should the nurse expect?Answer →
  151. 151A patient with type 2 diabetes has been taking metformin and glimepiride for the past 3 months. The provider reviews the patient's laboratory results to evaluate the effectiveness of the treatment plan. Which result best demonstrates improved long-term glycemic control?Answer →
  152. 152An 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 plans to base the response on the fact that the insulin pump:Answer →
  153. 153A nurse working in a long-term care facility is assigned care of four clients following the 0700 morning change-of-shift report. Which of the following clients should the nurse attend to first?Answer →
  154. 154A nurse in an emergency department is caring for a client who was brought in by their family. The nurse suspects the client has uncontrolled type 2 diabetes mellitus. Which of the following actions should the nurse take?Answer →
  155. 155Complete the following sentence by using the lists of options. The nurse should plan to first administer [blank1] followed by [blank2]Answer →
  156. 156A nurse is collecting data from a client. The provider suspects the client may have syndrome of inappropriate antidiuretic hormone (SIADH). When obtaining a medical history, the nurse should ask for additional information about which of the following conditions? (Select all that apply.)Answer →
  157. 157The patient with a recent bilateral adrenalectomy is admitted to the emergency room after experiencing weight loss, diarrhea, palpitations, hypoglycemia, weakness and confusion. The nurse is suspecting which condition? __(1)__ The nurse recognizes a need to initiate which priority interventions based upon the nurse's assessment and patient information? __(2)__Answer →
  158. 158For a patient with hyperthyroidism, which task will the RN delegate to an unlicensed assistive personnel (UAP)?Answer →
  159. 159A patient receiving IV potassium chloride reports burning at the IV site. What is the nurse's first action?Answer →
  160. 160Which of the following is a common adverse effect of methimazole in the treatment of hyperthyroidism?Answer →
  161. 161A nurse is teaching a client, who is newly diagnosed with type 1 diabetes mellitus, about insulin safety. Which of the following statements by the nurse is appropriate?Answer →
  162. 162The nurse is teaching a client who was recently diagnosed with COVID-19 infection about managing the client's diabetes mellitus during sick days. Which statement by the client indicates a need for further teaching?Answer →
  163. 163Which important teaching point should the nurse include in the discharge instructions for a client diagnosed with Cushing's disease?Answer →
  164. 164A nurse is caring for a client who has capillary blood glucose 48 mg/dL. Which of the following findings should the nurse expect?Answer →
  165. 165Which clinical manifestations can the nurse expect to assess in the patient with diabetes mellitus type 2 who is admitted with Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNK)?Answer →
  166. 166A nurse is educating a group of newly diagnosed diabetic clients. Which rationale correctly differentiates type 1 diabetes from type 2 diabetes?Answer →
  167. 167A nurse is reinforcing teaching with a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?Answer →
  168. 168A nurse is preparing to administer the 0900 medications to clients admitted to the unit. Which medication should the nurse question before administering?Answer →
  169. 169A home care nurse teaches an older client newly diagnosed with type 2 diabetes. Which instructions should the nurse include? (Select all that apply.)Answer →
  170. 170A client receives 10 units of insulin lispro at 0815. At 0925, the client is drowsy, sweating, and incoherent. What finding indicates the reason for the client's condition?Answer →
  171. 171A client admitted with diabetic ketoacidosis (DKA). Which nursing action(s) are appropriate for this client? (Select all that apply)Answer →
  172. 172What is the primary advantage of giving radioactive iodine prior to thyroidectomy?Answer →
  173. 173Which federal assistance program is specifically designed to provide nutritious, low-cost or free meals to children during the school day?Answer →
  174. 174A nurse is caring for a client with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse reviews the client's 12-hour trend in assessment data. Based on the trend of data, which condition has become the priority for nursing intervention?Answer →
  175. 175A nurse is caring for a client who has Cushing's syndrome. Which of the following clinical manifestations should the nurse expect to observe? (Select all that apply.)Answer →
  176. 176A patient is brought to the emergency department. The patient is a type 2 diabetic, experiencing hyperglycemic hyperosmolar state (HHS). The nurse should identify what components of HHS?Answer →
  177. 177A nurse is reinforcing teaching with a client who has diabetes mellitus about using a glucometer to monitor her blood glucose. Which of the following actions should the nurse identify as an indication that the client understands the instructions?Answer →
  178. 178What is a gerontologic consideration related to diabetes?Answer →
  179. 179A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?Answer →
  180. 180A nurse is caring for a client who has diabetes mellitus, type 1. Select the 3 findings that require immediate follow-up.Answer →
  181. 181Which outcome indicates the nursing interventions are successful in caring for the patient with Graves Disease experiencing exophthalmos?Answer →
  182. 182A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?Answer →
  183. 183A nurse is caring for a hospitalized client with type 2 diabetes who is scheduled to eat lunch at 12:00 PM. At 11:30 AM, the client's capillary blood glucose is 256 mg/dL. The client has no symptoms of hypoglycemia. Based on the sliding scale below, how many units of Humalog insulin should the nurse administer before lunch? (Enter the number only)Answer →
  184. 184A 16-year-old adolescent is at the office for a checkup. The parent states, "My child keeps forgetting to take insulin. What can we do to make sure my child takes it?" Which is the best response by the nurse?Answer →
  185. 185Which of the four assigned clients would the nurse see first?Answer →
  186. 186A nurse is reviewing a client's admission laboratory findings that indicate the client has hyponatremia. Which of the following laboratory findings should the nurse also expect to be below the expected reference range?Answer →
  187. 187A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)Answer →
  188. 188Which of the following manifestations are commonly associated with hyperthyroidism?Answer →
  189. 189The nurse would teach a diabetic group that which category of antidiabetic drugs is considered an incretin mimetic?Answer →
  190. 190A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?Answer →
  191. 191A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due to its effect on blood glucose levels?Answer →
  192. 192What is a calcium-rich food you could suggest for a vegan client?Answer →
  193. 193A nurse is reinforcing teaching with a client who has hypoglycemia. Which of the following information should the nurse include about the regulation of blood glucose levels?Answer →
  194. 194A client has high T3 & T4 levels. Which of the following signs and symptoms are associated with this condition? Select 2 that apply:Answer →
  195. 195Review H and P and laboratory results. Which item(s) should be included in the treatment regimen for this client? Select all that apply.Answer →
  196. 196A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?Answer →
  197. 197A nurse receives a new prescription from the provider that reads "Give regular insulin 14 units and NPH insulin 28 units subcutaneously at breakfast." How many syringes should the nurse prepare?Answer →
  198. 198A client diagnosed with Cushing's syndrome is complaining of muscle weakness, weight gain, and bruising. Which clinical finding should the nurse prioritize for follow-up?Answer →
  199. 199A 55-year-old male presents with bilateral gynecomastia and tenderness. Which history factor is most likely contributing?Answer →
  200. 200A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?Answer →
  201. 201The nurse is teaching the patient about toxic effects of Lugol's solution. Which statement by the patient indicates that the patient understands the teaching?Answer →
  202. 202A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves' disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?Answer →
  203. 203The nurse is admitting a client diagnosed with Primary Adrenal Cortex Insufficiency (Addison's disease). Which of the following concepts would be a priority for this patient?Answer →
  204. 204The nurse is caring for the client with Type I diabetes who is unconscious and experiencing seizures. The patient's only IV was accidently removed as a result of the seizure activity. The blood glucose is 20mg/dL. Which immediate actions are appropriate by the nurse? Drag the action into the correct action column. Select all that apply.Answer →
  205. 205Which of the following should be included when teaching a patient about Graves' disease?Answer →
  206. 206An older adult with type 2 diabetes develops altered mental status, profound dehydration, hypotension, glucose 780 mg/dL, Na 155 mEq/L, K3.2 mEq/L, and serum osmolality 340 mOsm/kg. Based on these feeding what is his likely diagnosis?Answer →
  207. 207A nurse is preparing to assess a client who has hyperthyroidism. Which of the following findings should the nurse expect?Answer →
  208. 208A person with a history of Type I DM has been admitted to the intensive care unit for Diabetic Ketoacidosis. The nurse should prioritize which assessment during the patient's initial phase of treatment?Answer →
  209. 209A nurse is preparing to administer desmopressin 0.2 mg daily to a client. Available is desmopressin 0.1 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number.)Answer →
  210. 210A home care nurse teaches an older client newly diagnosed with type 2 diabetes. Which instructions should the nurse include? (Select all that apply.)Answer →
  211. 211A patient with metabolic acidosis (low pH) has potassium 5.8 mEq/L. Why is hyperkalemia present?Answer →
  212. 212A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?Answer →
  213. 213A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?Answer →
  214. 214The nurse is caring for a client who is 5 feet 10 inches tall and weighs 106 lb (48.1 kg). What insulin injection technique would the nurse select?Answer →
  215. 215Based on the client information provided, classify each provider prescription as Anticipated, Nonessential, or Contraindicated.Answer →
  216. 216When monitoring the laboratory values for a patient who is taking antithyroid drugs, the nurse needs to report which important value to the healthcare provider?Answer →
  217. 217The nurse is caring for a patient suffering from hypoparathyroidism. Which of the following interventions should the nurse promote?Answer →
  218. 218A nurse is reviewing the laboratory results of a client and notes a calcium level of 7.2 mg/dL. Which of the following findings should the nurse expect?Answer →
  219. 219Review H and P and laboratory results. Based on the laboratory data, the client has [blank1] related to [blank2].Answer →
  220. 220A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?Answer →
  221. 221A nurse is assessing a client to identify risk factors for disease. Which of the following findings is a risk factor for metabolic syndrome?Answer →
  222. 222Which client with diabetes would the endocrine unit's charge nurse assign to a registered nurse (RN) who floated from the labor/delivery unit?Answer →
  223. 223An 18-year-old has been admitted to the ED with diabetic ketoacidosis (DKA). The nurse anticipates provider orders for which of the following: Select all that applyAnswer →
  224. 224Mr. James Carter, a 68-year-old male with a 10-year history of type 2 diabetes, presents to the emergency department with confusion, extreme thirst, and frequent urination over the past 3 days. His wife reports he has a respiratory infection for a week and has not been eating well. Based on the above assessment, choose the two most critical results that you would prioritize in his immediate care.Answer →
  225. 225The nurse is reviewing the laboratory results of a patient with a 15-year history of type 1 diabetes. Which finding most strongly suggests the onset of diabetic nephropathy?Answer →
  226. 226A client with a history of diabetes presents to the emergency department following several days of polyuria and polydipsia with nausea/vomiting. On admission, the client labs show a blood glucose level of 480 mg/dL and bicarbonate level of 7.8 mEq/dL. The nurse suspects the client has diabetic ketoacidosis (DKA). The priority intervention should include:Answer →
  227. 227A nurse is caring for a patient with diabetes who becomes unresponsive due to severe hypoglycemia. The provider orders 1 mg of glucagon intramuscularly (IM). After administering the glucagon, which assessment finding would indicate that the treatment was effective?Answer →
  228. 228The nurse is caring for a client with hyperparathyroidism and a calcium level of 11.2 mg/dL. What action should the nurse prioritize in this client's care?Answer →
  229. 229Which assessment leads the nurse to suspect the patient with diabetes may be experiencing the Dawn Phenomenon?Answer →
  230. 230A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?Answer →
  231. 231A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?Answer →
  232. 232The nurse is reviewing the orders of a client admitted with Graves' disease with severe exophthalmos. Which order would the nurse call the provider to clarify?Answer →
  233. 233A nurse is providing care for a client who has diabetes insipidus (DI). Which of the following is a cause of acquired central DI?Answer →
  234. 234A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow?Answer →
  235. 235A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?Answer →
  236. 236A nurse is reviewing blood glucose monitoring logs with a patient using continuous glucose monitoring (CGM). Which patient statement requires follow-up teaching?Answer →
  237. 237Drag from the choices below to specify what condition [blank1] the client is most likely experiencing, 2 actions [blank2] and [blank3] the nurse should take to address that condition, and 2 parameters [blank4] and [blank5] the nurse should monitor to assess the client's progress.Answer →
  238. 238A nurse is caring for a client with a history of uncontrolled diabetes mellitus and a blood glucose level of 300 mg/dL (16.7 mmol/L) and is positive for ketone bodies. Which of the following interventions are appropriate for the nurse to implement? Select all that apply.Answer →
  239. 239A patient has just been admitted to the Intensive Care Unit (ICU) following a thyroidectomy. Which assessment is the priority for this patient?Answer →
  240. 240A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves' disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?Answer →
  241. 241A client scheduled for a partial thyroidectomy asks why they are receiving a solution of potassium iodine (SSKI) before surgery. Which is the best response by the nurse?Answer →
  242. 242A home health nurse is teaching a client who has a new diagnosis of diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?Answer →
  243. 243A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?Answer →
  244. 244A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?Answer →
  245. 245The nurse is discussing the epidemiology of type 2 diabetes mellitus with a group of nursing students. Which of the following statements is appropriate for the nurse to make?Answer →
  246. 246A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?Answer →
  247. 247After change-of-shift report, which client will the nurse assess first?Answer →
  248. 248A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?Answer →
  249. 249A nurse is providing health education to an adolescent newly diagnosed with Type I DM. The nurse teaches the patient and family about which non-pharmacologic measure that may decrease the body's need for insulin?Answer →
  250. 250A nurse is reviewing the laboratory results for a patient being screened for diabetes mellitus. Which finding should the nurse identify as a diagnostic criterion for diabetes?Answer →
  251. 251What hormone affects glucose regulation?Answer →
  252. 252The nurse prepares to implement the orders for Mr. Carter. The priority interventions for Mr. Carter are (1) and (2).Answer →
  253. 253A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?Answer →
  254. 254A nurse is providing discharge teaching to a client who will be self-administering insulin at home. Which of the following information should the nurse include regarding needle disposal?Answer →
  255. 255What is a manifestation of hyperosmolar hyperglycemia syndrome (HHS)?Answer →
  256. 256A 65-year-old with Diabetes Type 1 complains of waking up in the middle of the night feeling shaky, sweaty, and hungry, even after eating the prescribed bedtime snack. Self-monitoring blood glucose readings in the morning range between 250 to 280 mg/dL. What is the priority education for this client?Answer →
  257. 257A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?Answer →
  258. 258A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?Answer →
  259. 259A nurse is caring for a client who has type 2 diabetes mellitus and their glucose levels are rising. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?Answer →
  260. 260A nurse is caring for a client who has type 2 diabetes mellitus and their glucose levels are rising. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?Answer →
  261. 261A patient with diabetic ketoacidosis presents with deep, rapid respirations and fruity breath odor. ABG shows pH 7.20. What compensatory mechanism is occurring?Answer →
  262. 262A nurse is preparing to administer IV potassium to a client who has a potassium level of 2.8 mEq/L and reports muscle weakness. The client's urine output over the last 4 hours has averaged 20 mL/hr. Which nursing actions are essential when administering IV potassium? (Select all that apply.)Answer →
  263. 263A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse attend to first?Answer →
  264. 264Which assessment finding would be unexpected in a patient with hyperthyroidism?Answer →
  265. 265A nurse is caring for a patient with Addison's disease who is experiencing fatigue, muscle weakness, and nausea. Which nursing intervention best demonstrates providing care and comfort to this patient?Answer →
  266. 266A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?Answer →
  267. 267What is a function of the thyroid gland?Answer →
  268. 268A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?Answer →
  269. 269A nurse is assessing a client recovering from a total thyroidectomy and notes the sudden onset of a high-pitched wheezing breath sound. The nurse recognizes this as stridor. Which priority action should the nurse take?Answer →
  270. 270A nurse is performing a peripheral sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?Answer →
  271. 271A nurse is teaching about levothyroxine with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client?Answer →
  272. 272A nurse is assisting in the plan of care for a client who has hypernatremia. Which of the following IV solutions should the nurse plan to initiate?Answer →
  273. 273A nurse is teaching a client who has type 1 diabetes mellitus about treating a hypoglycemic episode. Which of the following statements should the nurse include in the teaching?Answer →
  274. 274A nurse reviews findings for a client with type 2 diabetes reporting blurry vision and decreased urine output. Which complication is the client likely experiencing?Answer →
  275. 275You are caring for a patient with hyperthyroidism. Which nursing intervention is appropriate?Answer →
  276. 276A nurse is assessing a client who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?Answer →
  277. 277A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?Answer →
  278. 278A nurse is reinforcing teaching with a client who has diabetes mellitus about using a glucometer to monitor her blood glucose. Which of the following actions should the nurse identify as an indication that the client understands the instructions?Answer →
  279. 279Review H and P, nurses' note, and flow sheet. Drag from the choices area to specify which condition the client is most likely experiencing [blank1], two actions the nurse should take to address that condition [blank2] and [blank3], and two parameters the nurse should monitor to assess the client's progress [blank4] and [blank5].Answer →
  280. 280A nurse on a medical-surgical floor is caring for a client with a new diagnosis of diabetes who has an order for insulin aspart. The nurse is preparing to administer the insulin aspart. Which of the following actions should the nurse take?Answer →
  281. 281The healthcare provider also prescribes Glargine insulin 35 units at bedtime for a client with Type 2 diabetes. The client weighs 149.9 kg. The client's glucose level is 301 mg/dL at bedtime. Which action should the nurse take? Blood Glucose Sliding Scale (Regular Insulin): 151-200 give 2 units 201-250 give 4 units 251-300 give 6 units 301-350 give 10 units Greater than 351 mg/dL, give 12 units. Call healthcare provider for further instructions.Answer →
  282. 282For an older adult patient, why might a slightly elevated BMI (25-29.9) be considered protective?Answer →
  283. 283A nurse is preparing to administer acetaminophen 10 mg/kg PO to a preschool child for fever. The child weighs 22 lb. Available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  284. 284What complication is associated with diabetes insipidus?Answer →
  285. 285A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?Answer →
  286. 286A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings should the nurse report as a priority finding?Answer →
  287. 287A client with hyperosmolar hyperglycemic syndrome (HHS) arrives in the emergency department unresponsive. What intervention should the nurse anticipate?Answer →
  288. 288Which of the following describes the pathophysiology of diabetes mellitus type II?Answer →
  289. 289A patient post-thyroidectomy is experiencing stridor and hoarseness. What should the nurse do first?Answer →
  290. 290A nurse is talking with a client whose thyroid-stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test?Answer →
  291. 291A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?Answer →
  292. 292A nurse is caring for a client who has hypoparathyroidism. Which of the following findings should indicate to the nurse that the treatment is effective?Answer →
  293. 293A nurse is providing health education to an adolescent newly diagnosed with Type I DM including the parents in the teaching. Which of the following should the nurse prioritize when teaching about the effect of exercise on blood sugar?Answer →
  294. 294A nurse is providing teaching to a client who has diabetes mellitus. Which of the following instructions should the nurse provide to the client to help prevent the development of nephropathy?Answer →
  295. 295The nurse is creating a plan of care about exercise for a client newly diagnosed with diabetes. What should be included in the plan? Select 3 OptionsAnswer →
  296. 296A nurse has received morning report on the following four clients. Which of the following clients should the nurse assess first?Answer →
  297. 297A client with hypothyroidism reports difficulty falling asleep because of feelings of depression. Which action should the nurse implement?Answer →
  298. 298A nurse is reinforcing teaching with a client who has a new diagnosis of metabolic syndrome. Which of the following statements by the nurse regarding treatment options is appropriate to include in the teaching?Answer →
  299. 299Health risks associated with being underweight include which of the following? Select all that apply.Answer →
  300. 300The nurse is assessing the patient with suspected Diabetes Insipidus. Which findings can the nurse anticipate? Select all that applyAnswer →
  301. 301The nurse is providing teaching to a client after a thyroidectomy explaining symptoms to watch for after discharge. Determine if the symptom would be associated with hyperthyroid or hypothyroid. Be sure to provide an answer for each row before submitting.Answer →
  302. 302The nurse admits a client with hyperthyroidism to the medical-surgical unit after undergoing a total thyroidectomy. What assessment finding requires immediate follow-up by the nurse?Answer →
  303. 303A nurse has received morning report on the following four clients. Which of the following clients should the nurse assess first? A client who was administered erythromycin for acute glomerulonephritis and reports reddish-brown urinary output A client who was administered adalimumab for Crohn's disease, has a serum calcium level of 10 mg/dL, and reports a headache A client who was administered glipizide for type 2 diabetes mellitus and has a blood glucose of 58 mg/dL A client who was administered acyclovir for cellulitis reports pain in the affected legAnswer →
  304. 304Which of the following medications may alter thyroid test results? (Select all that apply)Answer →
  305. 305What should you teach a patient about the duration of levothyroxine therapy?Answer →
  306. 306A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?Answer →
  307. 307A nurse is educating a client newly diagnosed with Latent Autoimmune Diabetes in Adults (LADA). Which explanation is most appropriate to include?Answer →
  308. 308A nurse is collecting data from a client who has diabetes mellitus. The client is confused, flushed, and has an acetone odor on his breath. The nurse should anticipate a prescription for which of the following types of insulin to treat the client?Answer →
  309. 309A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  310. 310A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following is a priority for the nurse to monitor during the first 24 hr of care for this client?Answer →
  311. 311Indicate which of the following side effects of levothyroxine would be concerning for medication toxicity. Be sure to provide an answer for each row before submitting.Answer →
  312. 312A nurse is reviewing laboratory results for a patient suspected of primary thyroid disease with cold intolerance, constipation, and fatigue. Which finding is expected?Answer →
  313. 313Which finding is a distinguishing characteristic of Type 1 Diabetes Mellitus compared to Type 2 Diabetes Mellitus?Answer →
  314. 314The nurse is reviewing the use of Glucagon with a patient newly diagnosed with diabetes. Which condition warrants the use of Glucagon?Answer →
  315. 315A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?Answer →
  316. 316A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?Answer →
  317. 317A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?Answer →
  318. 318The nurse is caring for an obese client that is having difficulty with the weight loss plan and asks for some advice. What is the best response by the nurse?Answer →
  319. 319What is a manifestation of hypoparathyroidism?Answer →
  320. 320A nurse is preparing to administer 30 units of NPH and 10 units of regular insulin to a client. Which of the following actions should the nurse take?Answer →
  321. 321A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)Answer →
  322. 322What is considered a normal Body Mass Index (BMI)?Answer →
  323. 323Which metabolic disorder is associated with renal calculi formation?Answer →
  324. 324A client plans to eat an apple and a package of chips. Using a 15:1 carbohydrate-to-insulin ratio (1 unit of lispro for every 15 g of carbohydrate), how many units of insulin should the client bolus using their insulin pump? Carbohydrate intake: Apple ≈ 25 g Chips ≈ 20 g Total = 45 g Calculation: 45 ÷ 15 = ___Answer →
  325. 325A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  326. 326A nurse receives a client in the emergency department who was found unconscious at home. The client's medical alert bracelet indicates type 1 diabetes. The fingerstick glucose is 22 mg/dL, and IV access is established. Which action should the nurse take first?Answer →
  327. 327A nurse is preparing to administer pramlintide to a patient with type 1 diabetes. Which nursing action is most appropriate?Answer →
  328. 328The nurse is caring for a patient with newly diagnosed hypoparathyroidism. The nurse is looking at the patient's lab values and correctly identifies which common electrolyte imbalance?Answer →
  329. 329A nurse is caring for a patient with Addison's disease who is experiencing fatigue, muscle weakness, and nausea. Which nursing intervention best demonstrates providing care and comfort to this patient?Answer →
  330. 330A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?Answer →
  331. 331A nurse is monitoring a client diagnosed with diabetes mellitus and is being treated with insulin. Which client assessment data would alert the nurse to the presence of a possible hypoglycemic reaction? (Select all that apply)Answer →
  332. 332A nurse is assessing a client with long-standing diabetes who has black, dry, well-demarcated tissue on two toes. The client reports minimal pain. Which action should the nurse take first?Answer →
  333. 333A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)Answer →
  334. 334A nurse is caring for a critically ill hospitalized patient with diabetes. Which blood glucose range aligns with current guidelines for optimal glycemic control in this patient?Answer →
  335. 335A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)Answer →
  336. 336What statement accurately describes type 1 diabetes mellitus?Answer →
  337. 337The charge nurse is making assignments on a medical unit. Which patient would be the best for the charge nurse to assign to the licensed practical nurse (LPN)?Answer →
  338. 338What condition(s) occur when insufficient antidiuretic hormone is secreted? Select all that apply.Answer →
  339. 339A client with hyperthyroidism reads about the regulation of thyroid hormone and asks the nurse how the body knows when enough hormone is in the system and no more should be secreted. Which system does the nurse tell the client is responsible for this process?Answer →
  340. 340A client with type 1 diabetes prepares to begin an exercise program and checks a blood glucose level of 268 mg/dL. The client asks the nurse, "Why can't I exercise when my glucose is this high?" Which response by the nurse is most appropriate?Answer →
  341. 341A client with type 2 diabetes is prescribed an SGLT2 inhibitor. The nurse explains how this medication affects renal glucose handling, which statement best describes the mechanism of action of SGLT2 inhibitors in the kidneys?Answer →
  342. 342A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?Answer →
  343. 343A nurse assesses a patient with diabetes mellitus and notes that the patient only responds to a sternal rub by moaning, has capillary blood glucose of 33 mg/dL (1.8 mmol/L), and has an Intravenous line that is infiltrated. What action would the nurse take first?Answer →
  344. 344A nurse is caring for a client who is in a myxedema coma. Which of the following actions should the nurse take?Answer →
  345. 345The nurse is responsible for the care of a patient with diabetes who is unable to swallow, is unconscious and seizing, and has a blood glucose of less than 20 mg/dL (1.1 mmol/L). Which actions are most appropriate responses for this patient at this time? Select all that apply.Answer →
  346. 346A nurse is preparing to administer the 0900 medications to clients admitted to the unit. Which medication should the nurse question before administering?Answer →
  347. 347A student nurse is caring for a client who is receiving parenteral nutrition. The student should prioritize which of the following assessments?Answer →
  348. 348An older adult client with long-term type 2 diabetes mellitus (DM) is seen in the clinic for a routine health assessment. Which assessment(s) would the nurse complete to determine if a patient with type 2 diabetes mellitus (DM) is experiencing long-term complications? Select all that apply.Answer →
  349. 349A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?Answer →
  350. 350Which intervention should the nurse implement for the patient who has undergone a trans-sphenoidal hypophysectomy?Answer →
  351. 351A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?Answer →
  352. 352A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DKA). Which of the following characteristics are associated with DKA? (Select All that Apply.)Answer →
  353. 353A client with a new diagnosis of an endocrine disorder is unclear how the body can control the levels of different hormones over time. Which statement most accurately underlies the dominant regulation process of hormone levels in the body?Answer →
  354. 354A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?Answer →
  355. 355A client who has a body mass index (BMI) of 29 kg/m² expresses a desire to lose weight. Which action should the nurse implement?Answer →
  356. 356What supplements would the nurse recommend that the client will need lifelong after malabsorptive bariatric surgery?Answer →
  357. 357A patient with Diabetes Insipidus presents with increased urine output and severe dehydration. What is the priority nursing intervention?Answer →
  358. 358A nurse is aware of the need to screen specific clients for their risk of hyperglycemic hyperosmolar syndrome (HHS). In what patient population does this syndrome most often occur?Answer →
  359. 359A patient on liraglutide (a GLP-1 agonist) reports persistent nausea and vomiting. Which nursing intervention is most appropriate?Answer →
  360. 360Which serum lab result can the nurse expect to assess in the patient with increased levels of aldosterone?Answer →
  361. 361A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?Answer →
  362. 362A nurse teaches a client with type 2 diabetes about preventing vision loss. Which client statement indicates a correct understanding of how to protect vision?Answer →
  363. 363A patient with type 2 diabetes has been taking metformin and glimepiride for the past 3 months. The provider reviews the patient's laboratory results to evaluate the effectiveness of the treatment plan. Which result best demonstrates improved long-term glycemic control?Answer →
  364. 364A nurse is reinforcing teaching with a client, who is newly diagnosed with type 1 diabetes mellitus, about insulin safety. Which of the following statements by the nurse is appropriate?Answer →
  365. 365A group of student nurses are working on a presentation for class about the adrenal glands. They have made a list of clinical manifestations. Determine if the clinical manifestations would be seen in Cushing's Syndrome or Addison's Disease. Be sure to make a selection for each row before submitting.Answer →
  366. 366Which food groups are included in the United States Department of Agriculture (USDA) food patterns?Answer →
  367. 367The nurse is caring for the client in the ED. The nurse understands that the client at risk of developing which of the following complications? Select all that apply.Answer →
  368. 368Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?Answer →
  369. 369Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?Answer →
  370. 370A nurse checks a patient's blood glucose level and finds it to be 115 mg/dL. Which of the following nursing actions is appropriate for the care of this patient?Answer →
  371. 371A nurse who wants to recommend things to help alleviate morning sickness may include teaching the mother to:Answer →
  372. 372A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?Answer →
  373. 373A nurse in the emergency department is caring for a client who appears shaky, pale, clammy, and is tachycardic. The client states, "I think I'm having an anxiety attack and need some medication." Which of the following is an appropriate action for the nurse to take?Answer →
  374. 374A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?Answer →
  375. 375A client is about to be discharged from the postpartum unit after giving birth 48 hr ago. The client is breastfeeding and asks a nurse about which hormones decrease in the early postpartum period. Which of the following hormones should the nurse identify as declining in the early postpartum period? (Select All that Apply.)Answer →
  376. 376Adipose tissue that is deposited deep within the abdominal cavity and surrounds the internal organs is known as which of the following?Answer →
  377. 377Which assessment action would help the nurse determine if an obese client has metabolic syndrome?Answer →
  378. 378A nurse is caring for a client who is in a myxedema coma. Which of the following actions should the nurse take?Answer →
  379. 379A 72-year-old client has been admitted to the hospital with a diagnosis of hyperosmolar hyperglycemia syndrome (HHS). The family arrives to the room and asks the nurse what could have caused this condition. What is the nurse's best response?Answer →
  380. 380A 5-year-old child with type 1 diabetes experienced hypoglycemia after soccer. Which statement by the parents indicates a need for further teaching about preventing exercise-induced hypoglycemia?Answer →
  381. 381The nurse is caring for several clients on a hospital unit. Which of the following clients is most at risk for hypoglycemia?Answer →
  382. 382A client newly diagnosed with hypothyroidism is being discharged from the hospital. Which statement by the client would require further education?Answer →
  383. 383A nurse is preparing to administer medications to a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following medications should the nurse question?Answer →
  384. 384A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following data should the nurse identify as the priority to monitor?Answer →
  385. 385The nurse is assessing a client's understanding of their Addison's disease treatment plan. Which statement demonstrates a need for further education?Answer →
  386. 386Three months after receiving the diagnosis of type 2 diabetes, the client reports following a reduced calorie diet; however, the client is unable to lose weight. Upon further assessment the nurse finds that the client is not recording blood glucose readings. Which lab test provides the most data on blood glucose management?Answer →
  387. 387What is a manifestation of type 1 diabetes?Answer →
  388. 388For each potential provider's prescription, click to specify if the prescription is anticipated, nonessential, or contraindicated.Answer →
  389. 389A client has been diagnosed with Addison's disease, and the nurse is providing discharge education. Which item would not be included in the discharge teaching?Answer →
  390. 390A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following conditions should the nurse monitor the client for due to the client's lack of insulin production?Answer →
  391. 391The nurse administers atenolol (Tenormin) to a patient who has multinodular thyroid disease. Which parameter should the nurse assess to evaluate the therapeutic effect of the pharmacotherapy?Answer →
  392. 392A nurse emphasizes the importance of managing stress levels. Which rationale supports this teaching?Answer →
  393. 393Place the steps in the correct order for drawing a peripheral blood sample. 1. Verify the client's identity. 2. Clean the site and apply a tourniquet 3-4 inches above the vein being used for the blood draw. 3. Insert the vacutainer needle. 4. Insert the specimen tube into the holder, maintaining the steadiness of the needle. 5. Lightly swirl the blood tube to ensure the specimen is mixed thoroughly and ensure the specimen is labeled correctly and remove the needle and apply gauze with light pressure.Answer →
  394. 394What should the nurse consider as the cornerstone of any weight loss program?Answer →
  395. 395A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?Answer →
  396. 396A nurse is providing education to a client who has hypoglycemia. Which of the following information should the nurse include about the regulation of blood glucose levels?Answer →
  397. 397A client is prescribed Desmopressin (DDAVP) nasal spray for the treatment of central Diabetes Insipidus. Which finding indicates the medication is effective?Answer →
  398. 398A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?Answer →
  399. 399A nurse is reinforcing teaching about manifestations of hypoglycemia with a client who has type 1 diabetes mellitus. Which of the following manifestations should the nurse include in the teaching?Answer →
  400. 400Which of the following statements provides a rationale to the nurse as to why a patient with hypoparathyroidism has altered blood calcium levels?Answer →
  401. 401A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneous daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?Answer →
  402. 402Which information obtained from a review of the medical record of a client with type 2 diabetes mellitus indicates that the client is focused on changing factors?Answer →
  403. 403What is the term for "nutrients that our bodies need in relatively large amounts to support normal function and health"?Answer →
  404. 404A patient is diagnosed with hypothyroidism. Which of the following would the nurse expect to see in this patient? Select four correct responses.Answer →
  405. 405A nurse is caring for a client who has type 2 diabetes mellitus and their glucose levels are rising. Which of the following would indicate the client is in a hyperosmolar hyperglycemic state (HHS)?Answer →
  406. 406Mr. James Carter, a 68-year-old male with a 10-year history of type 2 diabetes, presents to the emergency department with confusion, extreme thirst, and frequent urination over the past 3 days. His wife reports he has a respiratory infection for a week and has not been eating well. Which of the following are likely contributing factors to Mr. Carter's current condition? (Select all that apply.)Answer →
  407. 407A nurse reinforces instructions to a client taking levothyroxine (Synthroid). The nurse determines that the teaching was effective if the client states that he or she will take the medication:Answer →
  408. 408A client received 12 units of Lispro SQ 45 minutes ago, and now is complaining of a headache. What would be the priority intervention for the nurse?Answer →
  409. 409A nurse is caring for a patient with hypoparathyroidism. During assessment, the nurse elicits a positive Trousseau's sign. What does the nurse observe to verify this finding?Answer →
  410. 410A blood sugar of 201 is charted at 7:45 am and the meal tray has just arrived. Using the following orders, how many units of insulin will the nurse prepare in the syringe for the 8 am dose?Answer →
  411. 411While assessing a patient with diabetes, the nurse notes increased insulin resistance and reduced insulin secretion. How should the nurse interpret these findings?Answer →
  412. 412A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?Answer →
  413. 413What electrolyte imbalance should be monitored by the nurse and commonly occurs with mineralocorticoid excess in Cushing syndrome?Answer →
  414. 414A client complains of a consistent burning feeling to bilateral feet. The nurse understands the client may have neuropathy. What will the nurse include in the client teaching?Answer →
  415. 415A nurse is providing care for a 71-year-old client who has diabetes insipidus (DI) and is receiving treatment with desmopressin. Which of the following lab values is most important for the nurse to monitor?Answer →
  416. 416A nurse is caring for a patient following a hypophysectomy. The nurse notices clear nasal drainage from client's nostril. The appropriate nursing action would be to:Answer →
  417. 417A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? (Select all that apply.)Answer →
  418. 418What is a complex carbohydrate consisting of long chains of glucose?Answer →
  419. 419A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?Answer →
  420. 420A nurse is caring for a client who had a vaginal birth 2 hr ago and had a perineal laceration with repair. Which of the following interventions should the nurse include to help decrease the risk for perineal infection?Answer →
  421. 421A nurse is performing a peripheral sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?Answer →
  422. 422The nurse is caring for a client receiving insulin isophane suspension (NPH) at breakfast. What is an important dietary consideration for the nurse to keep in mind?Answer →
  423. 423The nurse reviews insulin lispro orders for several clients. For which client is insulin lispro indicated?Answer →
  424. 424A thyrotoxic crisis is a complication of which disorder?Answer →
  425. 425Which strategy is appropriate in the management of the patient with suspected Somogyi effect?Answer →
  426. 426The client receives glipizide 12.5 mg PO every morning. The drug is supplied in 5 mg scored tablets, how many tablets will you administer per dose? Answer in half or whole Tabs.Answer →
  427. 427One (1) kilocalorie is equivalent to how many calories?Answer →
  428. 428Hypoglycemia (BG 62 mg/dL): Select the 2 priority actions and 2 monitoring parameters the nurse should implement.Answer →
  429. 429The nurse is admitting a client diagnosed with Graves' disease. Which nursing action would be included in the client's plan of care?Answer →
  430. 430A client who has been diabetic for 20 years complains of a headache and reports feeling weak, diaphoretic and shaky. The client states "I'll be fine, if I can just lie down". What is the nurse's next intervention?Answer →
  431. 431A nurse in an emergency department (ED) is caring for a client. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  432. 432A patient with newly diagnosed diabetes has peripheral neuropathy. Which key points should the nurse include in the teaching plan for this patient? (Select all that apply)Answer →
  433. 433A nurse is receiving a change-of-shift report for four clients. Which of the following clients should the nurse attend to first?Answer →
  434. 434A nurse is caring for a post-operative parathyroidectomy patient. Which patient complaint would indicate that a serious life-threatening complication may be developing that requires immediate notification of a healthcare provider?Answer →
  435. 435A nurse is caring for a client who has hypoparathyroidism. Which of the following findings should indicate to the nurse that the treatment is effective?Answer →
  436. 436Which of the following should the nurse include in the client's plan of care?Answer →
  437. 437Which of the following 3 provider prescriptions does the nurse anticipate?Answer →
  438. 438A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?Answer →
  439. 439What clinical manifestations can the nurse anticipate in the patient when excessive catecholamines are secreted by a tumor on the adrenal medulla?Answer →
  440. 440The nurse is planning the care for a client newly determined positive for metabolic syndrome. Which intervention would have the highest priority?Answer →
  441. 441When treating a conscious patient with a blood glucose of 62 mg/dL, what is the correct action to take?Answer →
  442. 442The nurse correlates which patient finding to a diagnosis of SIADH?Answer →
  443. 443A nurse is preparing to administer morning insulin to a client who has a prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?Answer →
  444. 444The diabetic nurse educator is teaching a class on type 2 diabetes. The nurse explains that type 2 diabetes is likely two inter-related problems at work,Answer →
  445. 445A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following conditions should the nurse monitor the client for due to the client's lack of insulin production?Answer →
  446. 446The nurse is caring for a client with a history of uncontrolled diabetes mellitus and finds the client difficult to arouse before dinner. The current finger stick blood glucose (FSBG) is 39 mg/dL (2.16 mmol/L). Which is the priority nursing action for the client at this time?Answer →
  447. 447An older patient has been complaining of sleeping more, increased urination, anorexia, weakness, irritability, depression, and bone pain that interferes with her going outdoors. Based on these assessment findings, the nurse should suspect which disorder?Answer →
  448. 448Which response would the nurse use when a client scheduled for a glycosylated hemoglobin A1C test calls to change the test date because of nutritional plans at a family function the weekend before the test?Answer →
  449. 449A patient with Type 2 diabetes is admitted to the hospital with confusion, extreme thirst, and dry mucous membranes. Laboratory results reveal a blood glucose of 900 mg/dl and serum osmolality above normal, HHS is suspected. The nurse is preparing interventions to stabilize the patient. Which actions should the nurse prioritize? Select all that apply.Answer →
  450. 450A nursing is reviewing nutrition therapy with a client who has Cushing's disease. Which of the following dietary modifications should the nurse include in this discussion?Answer →
  451. 451A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?Answer →
  452. 452A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?Answer →
  453. 453Which laboratory test reflects a person's average blood glucose level over 2-3 months and is used to monitor treatment effectiveness?Answer →
  454. 454The nurse is assessing a 55-yr-old female client with type 2 diabetes who has a body mass index (BMI) of 32 kg/m² Which goal in the plan of care is most important for this client?Answer →
  455. 455A school nurse is teaching a group of high school students about how to reduce the risk of developing diabetes. Which of the following actions is most effective in lowering the risk?Answer →
  456. 456A nurse is collecting data from a client who has Cushing's syndrome. Which of the following findings should the nurse expect?Answer →
  457. 457A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round to nearest tenth/whole number)Answer →
  458. 458A nurse is preparing to administer a client's daily dose of NPH insulin at 0730. The nurse should expect this type of insulin to peak within which of the following timeframes after administration?Answer →
  459. 459A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves' disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?Answer →
  460. 460A nurse is teaching a client with type 2 diabetes how to use NPH insulin as part of their daily regimen. Which statement by the client indicates a correct understanding of how NPH insulin works?Answer →
  461. 461A nurse in an emergency department is caring for a client whose blood glucose level indicates diabetic ketoacidosis. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right. placing them in the order of performance. use all the steps.)Answer →
  462. 462Which of the following clinical manifestations would support the medical diagnosis of Cushing syndrome? Choose 3.Answer →
  463. 463Which instructions should the nurse include when teaching a client with diabetes about sick-day management? (Select all that apply.)Answer →
  464. 464An overweight male client tells the nurse that he plans to monitor the glycemic index of the foods he eats to ensure that he receives an adequate intake of vitamins and nutrients while he is trying to lose weight. Which action should the nurse implement?Answer →
  465. 465A nurse is reviewing discharge instructions with a client who has type II diabetes mellitus and a new prescription for insulin lispro 4 units to be administered with meals. Which statement by the client demonstrates an understanding of safe insulin administration?Answer →
  466. 466What BMI range defines obesity?Answer →
  467. 467Carbohydrates areAnswer →
  468. 468What statement describes a negative feedback loop related to hormonal regulation?Answer →
  469. 469Which part of the cell is composed of two layers of phospholipids?Answer →
  470. 470A child is hospitalized with dehydration as a result of rotavirus. When reviewing the plan of treatment, what can the nurse anticipate will be included? (Select All that Apply.)Answer →
  471. 471A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?Answer →
  472. 472A patient with diabetes has a serum glucose level of 834 mg/dL and is unresponsive. After assessing the patient, the nurse suspects diabetic ketoacidosis compared to hyperosmolar hyperglycemia syndrome based on the finding of:Answer →
  473. 473Which instruction is most appropriate for the nurse to provide to the patient with type 1 diabetes who calls the clinic and reports a sore throat, cough, and fever with a blood glucose level of 190 mg/dL?Answer →
  474. 474A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?Answer →
  475. 475A nurse is teaching a client who has diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?Answer →
  476. 476The nurse is caring for a type 1 diabetic client in diabetic ketoacidosis (DKA). Why is potassium monitoring critical during DKA treatment?Answer →
  477. 477Place the steps for obtaining a capillary blood sample for glucose testing in the correct order: 1. Clean area with alcohol. 2. Trigger lancet to obtain blood sample. 3. Wipe away first drop of blood and obtain second drop of blood. 4. Add drop of blood to test strip. 5. Read blood sugar (BS).Answer →
  478. 478A client with long-standing type 2 diabetes and HbA1c of 9.2% reports new blurry vision and has not had an eye exam in 5 years. Which is the nurse's priority concern?Answer →
  479. 479A nurse is assisting with the care of a client who 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take?Answer →
  480. 480A nurse is reviewing the dietary plan of a client with gestational diabetes mellitus (GDM) who regularly consumes high glycemic index (GI) foods such as white bread and potatoes. Which nursing action best prioritizes managing the client's blood glucose levels through dietary modification?Answer →
  481. 481A nurse is caring for a client who has type 2 diabetes mellitus and reports blurred vision, numbness in feet, and has had a wound on the right leg for the last 2 months. The clinic nurse notes that the client's Hemoglobin A1C is 8.1%. Which of the following should the nurse include in the client's plan of care?Answer →
  482. 482A nurse is reviewing the medical record of a client who has been on levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?Answer →
  483. 483The nurse is providing discharge teaching to a patient who is prescribed a calcium supplement with vitamin D for treatment of hypoparathyroidism. Which of the following statements by the patient warrants additional patient education?Answer →
  484. 484A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available is hydrocortisone 250 mg/2 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  485. 485Which of the following clinical manifestations would the nurse expect to find when performing an assessment and review of history on a patient with hyperparathyroidism? (Select all that apply)Answer →
  486. 486A nurse assesses a client who exhibits the following sign during blood pressure cuff inflation. Based on this finding, which electrolyte imbalance should the nurse prioritize for further assessment and intervention?Answer →
  487. 487What is the hormone deficiency associated with Addison's disease?Answer →
  488. 488A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?Answer →
  489. 489The nurse is reviewing the plan of care for a patient diagnosed with Graves' disease. Which of the following should the nurse anticipate being ordered to treat this disorder?Answer →
  490. 490A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?Answer →
  491. 491A nurse is caring for a client who reports increased anxiety and nervousness, heat intolerance, and unintentional weight loss. Blood testing reveals decreased thyroid-stimulating hormone (TSH), elevated thyroxine (T4), and elevated triiodothyronine (T3) levels. Which of the following vital sign abnormalities does the nurse anticipate?Answer →
  492. 492Which clinical manifestations are expected with Cushing's syndrome? Select all that apply.Answer →
  493. 493A client with Addison's disease is being started on corticosteroid replacement therapy. What information should be included in the education about this medication?Answer →
  494. 494A client with long-standing type 2 diabetes and HbA1c of 9.2% reports new blurry vision and has not had an eye exam in 5 years. Which is the nurse's priority concern?Answer →
  495. 495The nurse is caring for a client diagnosed with Addison's disease who has an order to receive methylprednisolone 100 mg IV. The label on the medication states: methylprednisolone 125mg in 2 ml. How many milliliters will the nurse administer?Answer →
  496. 496A nurse reviews updated medication orders for a client with type 2 diabetes whose metformin dose has been increased. Which assessment is the priority before continuing therapy?Answer →
  497. 497As the nurse you are educating a client with Type 2 diabetes on recommended screenings to monitor for possible complications from their diabetes. Which tests would be recommended at least yearly. Be sure to make a selection for each row before submitting a response.Answer →
  498. 498A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?Answer →
  499. 499A patient with uncontrolled hyperthyroidism is admitted with a temperature of 39.5°C (103.1°F), severe agitation, and profuse sweating. The nurse recognizes signs of thyroid storm. Which nursing action should take highest priority in the initial management of this patient?Answer →
  500. 500Review H and P, nurses' note, and laboratory results. Which other nutritional recommendation(s) would be helpful for this client in reducing risk(s) for type 2 diabetes mellitus? Select all that apply.Answer →
  501. 501A nurse is providing education to a client who has type 1 diabetes mellitus and has been experiencing hypoglycemic episodes. Which of the following statements by the nurse is appropriate?Answer →
  502. 502The nurse is caring for a diabetic client and was just notified the patient's blood glucose level is 52 mg/dL. Which of these patient assessment findings would be consistent with this glucose level?Answer →
  503. 503While assessing a patient with hypoparathyroidism, the nurse taps the patient's facial nerve and observes twitching of the mouth and tightening of the jaw. The nurse would document this finding as which of the following?Answer →
  504. 504A nurse is planning care for a client who has hyperthyroidism and is receiving radioactive iodine (radioiodine). Which of the following statements by the nurse regarding special precautions is appropriate?Answer →
  505. 505A nurse is reinforcing education with a client who has type 1 diabetes mellitus and has been experiencing hypoglycemic episodes. Which of the following statements by the nurse is appropriate?Answer →
  506. 506Which nutrients act as coenzymes to regulate metabolism?Answer →
  507. 507A client with long-standing type 2 diabetes is surprised at his high blood sugar readings while recovering from an emergency surgery. Which of the following factors may have contributed to the client's inordinately elevated blood glucose levels?Answer →
  508. 508A nurse is caring for a client who has a positive Trousseau's sign and bone pain. Which of the following electrolyte imbalances should the nurse suspect to find with this client?Answer →
  509. 509Which action should the nurse take first when the patient with Diabetes Mellitus type 1 complains of dizziness, shakiness, diaphoresis and ate little breakfast?Answer →
  510. 510A client who has Diabetes type 1 is starting on insulin therapy. Which type of insulin will the nurse explain for mealtime coverage?Answer →
  511. 511A nurse is assessing a client who has diabetes mellitus. Which of the following findings is the priority for the nurse to report?Answer →
  512. 512A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies.)Answer →
  513. 513The nurse is caring for a client receiving an insulin infusion for DKA. The patient's blood glucose is now 228. Which action should the nurse anticipate being taken next.Answer →
  514. 514A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?Answer →
  515. 515A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  516. 516A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?Answer →
  517. 517Which items should the nurse have immediately available when the patient is returning to the medical-surgical floor after undergoing a thyroidectomy? Select all that apply.Answer →
  518. 518A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?Answer →
  519. 519A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings are manifestations of hyponatremia? (Select All that Apply.)Answer →
  520. 520A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?Answer →
  521. 521The nurse is caring for a patient with diabetes who is developing diabetic ketoacidosis (DKA). Which task delegation or assignment is most important?Answer →
  522. 522A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. What action would the nurse take first?Answer →
  523. 523A patient with diabetic ketoacidosis presents with deep, rapid respirations and fruity breath odor. ABG shows pH 7.20. What compensatory mechanism is occurring?Answer →
  524. 524Which of the following best defines the state of energy balance?Answer →
  525. 525A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?Answer →
  526. 526What is a key component of a healthful diet?Answer →
  527. 527A client is 24 hours post-operative from a transsphenoidal hypophysectomy (removal of the pituitary gland) to treat Cushing's disease. The nurse notes clear drainage on the nasal mustache dressing. What is the priority nursing action?Answer →
  528. 528A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?Answer →
  529. 529A nurse is preparing to administer desmopressin 0.2 mg daily to a client. Available is desmopressin 0.1 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) tablet(s)Answer →
  530. 530A nurse is assessing a client with type 1 diabetes in the emergency department. Which finding most clearly suggests that the client is experiencing diabetic ketoacidosis (DKA)?Answer →
  531. 531A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?Answer →
  532. 532The nurse is providing discharge teaching to a 68-year-old client newly diagnosed with Type 2 Diabetes Mellitus. The client states, "I don't really use technology, and all this information feels overwhelming." Which nursing action best demonstrates appropriate use of the teach-back method?Answer →
  533. 533Review of history and physical, flow sheet, prescriptions, laboratory results, and nurse's notes. Select the 2 findings that require immediate follow-up.Answer →
  534. 534The nurse is teaching a client who has been diagnosed with Addison disease and is prescribed to take hydrocortisone daily. Which clinical finding is expected with this condition if left untreated?Answer →
  535. 535An adult client newly diagnosed with hypothyroidism begins a new prescription for levothyroxine. The client tells the nurse about wanting to lose weight. The client's current body mass index (BMI) is 32 kg/m² in the electronic medical record (EMR). How should the nurse respond? Reference Range: Body mass index (BMI) [18 to 24.9 kg/m²]Answer →
  536. 536What would be the expected arterial blood gas of a patient in diabetic ketoacidosis (DKA)?Answer →
  537. 537A nurse is assessing a client who has diabetes insipidus. Which of the following findings is a manifestation of this diagnosis?Answer →
  538. 538In older age, as saliva production decreases, which of the following can be affected?Answer →
  539. 539A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?Answer →
  540. 540A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?Answer →
  541. 541Why are diabetes and insulin resistance considered risk factors for the development of dyslipidemia?Answer →
  542. 542A nurse is teaching a group of adults about screening criteria for type 2 diabetes mellitus. Which individuals meet the ADA criteria for diabetes screening? (Select all that apply.)Answer →
  543. 543A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?Answer →
  544. 544A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?Answer →
  545. 545Which scenario best illustrates the physiological concept of satiety?Answer →
  546. 546A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?Answer →
  547. 547For each assessment finding, click to specify if the assessment finding is consistent with diabetic ketoacidosis (DKA) or hyperglycemic-hyperosmolar state (HHS). Each finding may support more than 1 disease process.Answer →
  548. 548A client screened for diabetes has fasting plasma glucose 120 mg/dL. Best education focus?Answer →
  549. 549A nurse is preparing to administer 30 units of NPH and 10 units of regular insulin to a client. Which of the following actions should the nurse take?Answer →
  550. 550Select the 3 findings that require immediate follow-up.Answer →
  551. 551The nurse instructs a client with type 2 diabetes mellitus (DM) to avoid refined sugar and carbohydrates. Choosing which food indicates that the client understands the diet teaching?Answer →
  552. 552A client with Addison's disease is admitted to the emergency department with hypotension, tachycardia, and hyperkalemia. The nurse has initiated an IV of 0.9% Normal Saline. Which provider order should the nurse implement next?Answer →
  553. 553Which hormones are responsible for maintaining blood glucose level?Answer →
  554. 554A nurse is teaching a client, who is newly diagnosed with type 1 diabetes mellitus, about insulin safety. Which of the following statements by the nurse is appropriate?Answer →
  555. 555When screening for diabetes, the nurse would associate which finding as potentially present in both type 1 and type 2 diabetes?Answer →
  556. 556What is the nurse's first action when the patient returns to the floor after a thyroidectomy and becomes restless and develops stridor?Answer →
  557. 557A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?Answer →
  558. 558A nurse is teaching a client who is taking metformin XR for type II diabetes mellitus. Which of the following instructions should the nurse include in the teaching?Answer →
  559. 559A nurse is teaching a client with a new diagnosis of diabetes mellitus about blood glucose testing. Which statement is correct?Answer →
  560. 560A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?Answer →
  561. 561Magnesium oxide 2 grams daily is prescribed for a client. The medication is available in 400 mg capsules. How many capsules should the nurse administer? (Enter numeric value only.)Answer →
  562. 562A nurse assists in planning care for a client with Graves' Disease. Which of the following would the nurse include in the plan of care?Answer →
  563. 56335-year-old female presents to the clinic with symptoms of weight loss, anxiety, tremors, and a noticeable swelling in her neck. Her medical history demonstrates that she has a family history of thyroid disorders. Physical examination and laboratory tests confirm the diagnosis of Graves' disease. Which mechanism below best explains the pathophysiology of Graves' disease, a type II hypersensitivity reaction?Answer →
  564. 564How should a nurse differentiate "preclinical" vs "clinical" obesity (2025 definitions)?Answer →
  565. 565A nurse is providing health education to an adolescent newly diagnosed with Type I DM. The nurse teaches the patient and family about which non-pharmacologic measure that may decrease the body's need for insulin?Answer →
  566. 566A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?Answer →
  567. 567What distinguishes semaglutide from other GLP-1 receptor agonists?Answer →
  568. 568A nurse emphasizes the importance of managing stress levels. Which rationale supports this teaching?Answer →
  569. 569A patient with a history of chronic hyperparathyroidism admits to being noncompliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of "Risk for injury." To complete the nursing diagnosis statement for this patient, which "related to" phrase should the nurse add?Answer →
  570. 570Mr. Brown, a 50-year-old patient with Type 1 diabetes, is prescribed 10 units of regular insulin (clear) and 20 units of NPH insulin (cloudy) to be administered subcutaneously before breakfast. Describe the correct procedure for mixing these insulins.Answer →
  571. 571A client admitted with Diabetes Mellitus takes 12 units NPH insulin (intermediate acting) with bolus dosing of Regular insulin (short acting) before breakfast and 7 units of NPH with bolus dosing of Regular insulin before dinner. The client is preparing to eat dinner and the blood glucose level is 272 mg/dL. How much insulin will the RN administer? (See sliding scale below) Blood glucose 0 - 125 mg/dL = no regular insulin Blood glucose 126 - 225 mg/dL = 4 units regular insulin Blood glucose 226 - 325 mg/dL = 8 units regular insulin Blood glucose 326 mg/dL = call the physicianAnswer →
  572. 572A nurse is performing a monofilament sensory assessment of a client who has diabetes mellitus. When performing this assessment, for which of the following complications is the nurse monitoring?Answer →
  573. 573The nurse is assessing a patient following a thyroidectomy. What is the best method of monitoring laryngeal nerve damage?Answer →
  574. 574A patient with syndrome of inappropriate antidiuretic hormone secretion (SIADH) is presenting with confusion and seizures. What is the most appropriate initial nursing action?Answer →
  575. 575Which assessment finding would the nurse expect to assess in a patient with hyperparathyroidism?Answer →
  576. 576The nurse is caring for a client with type 1 diabetes. Which statement to the nurse indicates a need for further instruction in administering insulin?Answer →
  577. 577A nurse is assessing a client who has thyrotoxicosis after taking too high of a level of levothyroxine. Which of the following manifestations should the nurse expect?Answer →
  578. 578All cells will convert glucose or fatty acids into which energy molecule within the cell?Answer →
  579. 579The nurse is preparing to receive a patient from the post anesthesia care unit (PACU) who is recovering from a thyroidectomy. The nurse should ensure which of the following items are available at the bedside? (Select all that apply.)Answer →
  580. 580A nurse is reinforcing teaching about manifestations of hypoglycemia with an adolescent who has type 1 diabetes mellitus. Which of the following manifestations should the nurse include in the teaching?Answer →
  581. 581Which of the following comorbidities represent the greatest risk for the development of foot ulcers in a diabetic client? Choose 3.Answer →
  582. 582A nurse is teaching a client with type 2 diabetes how to use NPH insulin as part of their daily regimen. Which statement by the client indicates a correct understanding of how NPH insulin works?Answer →
  583. 583What are the first three stages of the human life cycle? Select all that apply.Answer →
  584. 584A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due its effect on blood glucose levels?Answer →
  585. 585A nurse is providing care for a client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following is a clinical manifestation of HHS?Answer →
  586. 586A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instructions should the nurse include in the teaching?Answer →
  587. 587The nurse is teaching a group of student nurses about diseases associated with obesity. Which of the following would the nurse include in her teaching? (Select All that Apply.)Answer →
  588. 588A nurse is assessing a school-age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect?Answer →
  589. 589The nurse is caring for a client who has a casual blood glucose of 52 mg/dL. The client is lethargic but arousable. Which of the following actions should the nurse perform first?Answer →
  590. 590A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?Answer →
  591. 591Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  592. 592What is a symptom of type 2 diabetes mellitus?Answer →
  593. 593A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?Answer →
  594. 594A nurse is reinforcing dietary teaching with a client about low-fat food choices. Which of the following foods should the nurse recommend as the best choice when including potatoes in her diet?Answer →
  595. 595A nurse is reviewing laboratory results and notes that a client has an elevated thyroid-stimulating hormone (TSH) level. Which of the following assessment findings would the nurse expect?Answer →
  596. 596Where in the body are the majority of triglycerides stored for future energy needs?Answer →
  597. 597A nurse is assessing four female clients for obesity. Which of the following clients have manifestations of obesity?Answer →
  598. 598A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching?Answer →
  599. 599A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)Answer →
  600. 600A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?Answer →
  601. 601A patient with a history of hypothyroidism is brought to the Emergency Department via ambulance. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and hypoglycemia. The nurse prepares to take emergency action to prevent which potential complication?Answer →
  602. 602The nurse is educating a patient newly diagnosed with hypothyroidism. Which of the following statements should be included in the teaching?Answer →
  603. 603The nurse calculates a client's body mass index (BMI). The client's height is 6 feet and 6 inches (198 cm) and the BMI is 30 (kg/m²). How should the nurse document the client's BMI? Reference Range: Body mass index [Normal: 18.0 to 24.9 kg/m²]Answer →
  604. 604Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.Answer →
  605. 605The nurse is caring for a client with metabolic alkalosis. Which collaborative intervention should the nurse anticipate to help correct this acid-base imbalance?Answer →
  606. 606What is the best description of the Somogyi effect?Answer →
  607. 607A nurse is teaching a client who has type 1 diabetes mellitus about treating a hypoglycemic episode. Which of the following statements should the nurse include in the teaching?Answer →
  608. 608A client diagnosed with Cushing's syndrome is complaining of muscle weakness, weight gain, and bruising. Which clinical finding should the nurse prioritize for follow-up?Answer →
  609. 609A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?Answer →
  610. 610A patient taking orlistat (Xenical) reports that he is losing weight slowly but says that he wants to discontinue taking the drug because of the adverse effects. What instruction should the nurse include in patient teaching to make it easier for the patient to continue taking the drug?Answer →
  611. 611A school nurse is assessing an adolescent who reports feeling shaky and is having difficulty speaking and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identifies a value of 55 mg/dL. Which of the following findings should the nurse expect?Answer →
  612. 612What manifestation indicates a person with type 2 diabetes mellitus may be experiencing hypoglycemia?Answer →
  613. 613A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?Answer →
  614. 614A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?Answer →
  615. 615A patient is having diagnostic testing for suspected primary Graves' disease. Which of the following lab values correlate with this endocrine disorder? (Select all that apply)Answer →
  616. 616A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?Answer →
  617. 617A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?Answer →
  618. 618A nurse is caring for a client who is diabetic and reports a headache, restlessness, fatigue, and hunger. The nurse should identify that the client is likely experiencing which of the following conditions?Answer →
  619. 619A nurse is teaching a client who is taking metformin XR for type II diabetes mellitus. Which of the following instructions should the nurse include in the teaching?Answer →
  620. 620A client has been diagnosed with Cushing's syndrome. The nurse should assess the client for which expected manifestation of this disorder?Answer →
  621. 621A nurse is caring for a client following a motor vehicle accident. The client develops a fever of 40.6°C (105°F), has a heart rate of 155/min, and a blood pressure of 70/30 mm Hg. Which of the following alterations does the nurse suspect?Answer →
  622. 622Which clinical finding is most concerning for a patient with SIADH and requires immediate intervention?Answer →
  623. 623A nurse is preparing a medication for a client and is converting grams to milligrams. Which of the following actions should the nurse take?Answer →
  624. 624A nurse is caring for a client who has gestational diabetes and reports feeling shaky, sweaty, and having blurred vision. The client's blood glucose level is 44 mg/dL. Which of the following foods should the nurse give to the client? (Select all that apply).Answer →
  625. 625A nurse is conducting a class on how to self-manage insulin regimens. A client asks how long a vial of insulin can be stored at room temperature before it "goes bad". What would be the nurse's best answer?Answer →
  626. 626The nurse is caring for a client newly diagnosed with hypothyroidism. Which assessment findings would support the medical diagnosis?Answer →
  627. 627A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?Answer →
  628. 628A nurse reviews long-term complication monitoring with a client who has type 2 diabetes mellitus. The nurse recognizes that sustained hyperglycemia places the client at increased risk for [blank1] and [blank2]Answer →
  629. 629A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?Answer →
  630. 630While providing education at a community event, the nurse educator should include which of the following manifestations associated with hypothyroidism?Answer →
  631. 631A nurse is teaching a patient with type 1 diabetes. Which statement shows correct understanding?Answer →
  632. 632What is the first priority intervention for a patient with a thyroid storm presenting with severe tachycardia and hypertension?Answer →
  633. 633A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?Answer →
  634. 634A nurse is evaluating teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following statements by the client indicates a need for further teaching?Answer →
  635. 635A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?Answer →
  636. 636Primary care nursing is transitioning toward a team-based model. What is an expanded, defined role for the RN in this setting?Answer →
  637. 637Complete the following sentence by using the lists of options. The nurse should administer a total of [blank1] 0.9% sodium chloride in the first hour, and then [blank2] each subsequent hour.Answer →
  638. 638A nurse is teaching a patient newly prescribed metformin for type 2 diabetes mellitus. Which patient statement indicates the need for further teaching?Answer →
  639. 639A nurse is evaluating teaching with a client who is receiving continuous subcutaneous insulin via an external insulin pump. Which of the following statements by the client indicates a need for further teaching?Answer →
  640. 640The nurse is caring for a patient in thyroid storm. Which assessment finding would indicate the need to call the health care provider?Answer →
  641. 641A nurse prepares regular insulin for a hospitalized client with type 1 diabetes. Lunch is delayed 45 minutes. Which action is best?Answer →
  642. 642A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15ml. How many ml should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)Answer →
  643. 643A patient with type 1 diabetes is hospitalized for an infection and develops glucose 450 mg/dL, pH 7.15, and Kussmaul respirations. Which manifestations should the nurse anticipate?Answer →
  644. 644What does the term "enrichment" mean?Answer →
  645. 645Review H and P and laboratory results. For the nutrition education portion of the visit, the nurse focuses on [blank1] and [blank2].Answer →
  646. 646A nurse is conducting an intake assessment for a client during a routine physical examination. Match the Prevention Strategy to the Level of Prevention.Answer →
  647. 647A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes investigation into which of the following laboratory values indicates a therapeutic effect of the medication?Answer →
  648. 648A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?Answer →
  649. 649What is a good strategy to help toddlers develop healthy eating habits?Answer →
  650. 650A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?Answer →
  651. 651A patient with a history of Addison's disease is admitted for a severe urinary tract infection and reports worsening lower back pain. Given the physiological stress of the infection, the nurse monitors for an acute adrenal crisis. What assessment data would alert the nurse that the patient is experiencing a crisis?Answer →
  652. 652As part of the community health department, a nurse is educating a group of diabetic clients about prevention of blindness. Which of the following topics should be covered during this class? Choose 3.Answer →
  653. 653A nurse is assessing a client who reports unintentional weight loss despite increased appetite, along with palpitations and heat intolerance. Which of the following conditions should the nurse suspect?Answer →
  654. 654A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?Answer →
  655. 655A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect?Answer →
  656. 656A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?Answer →
  657. 657A patient is being treated for Primary Hypothyroidism. Which set of lab values would the nurse expect to see if the condition is poorly controlled?Answer →
  658. 658A nurse in a provider's office is collecting data from a client who has hypothyroidism. Which of the findings should the nurse expect?Answer →
  659. 659A client receives aspart insulin at 8:00 AM. At which time would the nurse anticipate the highest risk for hypoglycemia?Answer →
  660. 660A patient with a body mass index (BMI) of 30 is being screened for diabetes mellitus at a clinic has a fasting plasma glucose level of 123 mg/dL. Which of these is most appropriate for the nurse to teach the patient about?Answer →
  661. 661A nurse is assessing a client with a history of Addison's disease who presents with hypotension, generalized muscle weakness, and diffuse hyperpigmentation of the skin. Which of the following pathophysiological mechanisms best explains these findings?Answer →
  662. 662A client who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The client reports feeling lightheaded and sweaty. Which action would the nurse take first?Answer →