reverses diabetes type 2

ūüĒ•+ reverses diabetes type 2 31 May 2020 Diabetes mellitus is a chronic metabolic disease that is defined by persistent increased blood glucose levels (fasting blood glucose ‚Č• 126 mg/dl, ...

reverses diabetes type 2 Does anybody know why it's so difficult to lose weight being a type 1 diabetic? Something to ... I gained weight on lantus & than lost weight when I went off it & on the pump. Thougj I'm not ... I'm a type 2 on insulin and I have the same problem!

can baby be born with diabetes

for 1 last update 31 May 2020

  1. Home
  2. Flashcards
  3. Preview

The flashcards below were created by user nursedaisy98 on FreezingBlue Flashcards.

reverses diabetes type 2 immune system (ūüĎć natural home remedies for) | reverses diabetes type 2 glucose rangehow to reverses diabetes type 2 for

  1. A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar state (HHS) is made. The nurse would immediately prepare to initiate which anticipated health care provider''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s anxiety? 
    1. Administer a sedative. 
    2. Convey empathy, trust, and respect toward the client. 
    3. Ignore the signs and symptoms of anxiety so that they will soon disappear. 
    4. Make sure that the client knows all the correct medical terms to understand what is happening.
    2. Convey empathy, trust, and respect toward the client.
  2. The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus. The nurse recognizes accurate understanding of measures to prevent diabetic ketoacidosis when the client makes which statement? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    4. ""
  3. A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level was 950 mg/dL. A continuous intravenous infusion of short-acting insulin is initiated, along with intravenous rehydration with normal saline. The serum glucose level is now 240 mg/dL. The nurse would next prepare to administer which item? 
    1. Ampule of 50% dextrose 
    2. NPH insulin subcutaneously 
    3. Intravenous fluids containing dextrose 
    4. Phenytoin (Dilantin) for the prevention of seizures
    3. Intravenous fluids containing dextrose
  4. The nurse is monitoring a client newly diagnosed with diabetes mellitus for signs of complications. Which sign, if exhibited in the client, would indicate hyperglycemia? 
    1. Polyuria 
    2. Diaphoresis 
    3. Hypertension 
    4. Increased pulse rate
    1. Polyuria
  5. The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places highest priority on which client problem? 
    1. Lack of knowledge 
    2. Inadequate fluid volume 
    3. Compromised family coping 
    4. Inadequate consumption of nutrients
    2. Inadequate fluid volume
  6. The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    1. ""
  7. The nurse is caring for a client after hypophysectomy and notes clear nasal drainage from the client''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s disease. Which statement by the student indicates an accurate understanding of this disorder? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    4. ""
  8. The nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include a fasting blood glucose level of 120 mg/dL, temperature of 101¬į F, pulse of 88 beats/minute, respirations of 22 breaths/minute, and blood pressure of 100/72 mm Hg. Which assessment would be of¬†most concern to the nurse?¬†
    1. Pulse 
    2. Respiration 
    3. Temperature 
    4. Blood pressure
    3. Temperature
  9. The nurse is interviewing a client with type 2 diabetes mellitus. Which statement by the client indicates an understanding of the treatment for this disorder? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    4. ""
  10. The nurse is providing discharge instructions to a client who has Cushing''answer''card''question''s room, the nurse finds the client to be confused and diaphoretic. Which action is most appropriate at this time? 
    1. Call a code to obtain needed assistance immediately. 
    2. Obtain a capillary blood glucose level and perform a focused assessment. 
    3. Ask the unlicensed assistive personnel (UAP) to stay with the client while obtaining 15 to 30 g of a carbohydrate snack for the client to eat. 
    4. Stay with the client and ask the UAP to call the health care provider (HCP) for a prescription for intravenous 50% dextrose.
    2. Obtain a capillary blood glucose level and perform a focused assessment.
  11. The nurse is caring for a client with pheochromocytoma who is scheduled for adrenalectomy. In the preoperative period, what should the nurse monitor as the priority? 
    1. Vital signs 
    2. Intake and output 
    3. Blood urea nitrogen results 
    4. Urine for glucose and ketones
    1. Vital signs
  12. The nurse is preparing a client with a new diagnosis of hypothyroidism for discharge. The nurse determines that the client understands discharge instructions if the client states that which symptoms are associated with this diagnosis? Select all that apply. 
    1. Tremors 
    2. Weight loss 
    3. Feeling cold 
    4. Loss of body hair 
    5. Persistent lethargy 
    6. Puffiness of the face
    • 3. Feeling cold¬†
    • 4. Loss of body hair¬†
    • 5. Persistent lethargy¬†
    • 6. Puffiness of the face
  13. A client has just been admitted to the nursing unit following thyroidectomy. Which assessment is the priority for this client? 
    1. Hypoglycemia 
    2. Level of hoarseness 
    3. Respiratory distress 
    4. Edema at the surgical site
    3. Respiratory distress
  14. A client has been diagnosed with hyperthyroidism. Which signs and symptoms may indicate thyroid storm, a complication of this disorder? Select all that apply. 
    1. Fever 
    2. Nausea 
    3. Lethargy 
    4. Tremors 
    5. Confusion 
    6. Bradycardia
    • 1. Fever¬†
    • 2. Nausea¬†
    • 4. Tremors¬†
    • 5. Confusion
  15. The nurse is caring for a client scheduled for a transsphenoidal hypophysectomy. The preoperative teaching instructions should include which most important statement? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    4. ""
  16. The nurse should include which interventions in the plan of care for a client with hypothyroidism? Select all that apply. 
    1. Provide a cool environment for the client.
    2. Instruct the client to consume a high-fat diet.
    3. Instruct the client about thyroid replacement therapy. 
    4. Encourage the client to consume fluids and high-fiber foods in the diet. 
    5. Inform the client that iodine preparations will be prescribed to treat the disorder. 
    6. Instruct the client to contact the health care provider (HCP) if episodes of chest pain occur.
    • 2. Instruct the client to consume a high-fat diet.¬†
    • 3. Instruct the client about thyroid replacement therapy.¬†
    • 6. Instruct the client to contact the health care provider (HCP) if episodes of chest pain occur.
  17. A client with Cushing''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s level of knowledge? 
    1. The client needs immediate education before discharge. 
    2. The client requires follow-up teaching regarding the administration of oral antidiabetics. 
    3. The client''s statement is inaccurate, and he or she should be scheduled for educational home health visits.
    1. The client needs immediate education before discharge.
  18. A client with type 1 diabetes mellitus is having trouble remembering the types, duration, and onset of the action of insulin. The client tells the nurse that the family members have not been supportive. Which response by the nurse is best? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    4. ""
  19. A client arrives in the hospital emergency department in an unconscious state. As reported by the spouse, the client has diabetes mellitus and began to show symptoms of hypoglycemia. A blood glucose level is obtained for the client, and the result is 40 mg/dL. Which medication should the nurse anticipate to be prescribed for the client? 
    1. Glucagon 
    2. Humulin N insulin 
    3. Humulin R insulin 
    4. Glyburide (DiaBeta)
    1. Glucagon
  20. A client arrives in the hospital emergency department complaining of severe thirst and polyuria. The client tells the nurse that she has a history of diabetes mellitus. A blood glucose level is drawn, and the result is 685 mg/dL. Which intervention should the nurse anticipate to be initially prescribed for the client? 
    1. Glucagon via the subcutaneous route
    2. Glyburide (DiaBeta) via the oral route 
    3. Humulin N insulin via the subcutaneous route 
    4. Humulin R insulin via the intravenous (IV) route
    4. Humulin R insulin via the intravenous (IV) route
  21. The nurse is reviewing the laboratory test results for a client with a diagnosis of Cushing''answer''card''question''s sign 
    3. Negative Chvostek''answer''s sign
  22. The nurse is providing instructions to a client newly diagnosed with diabetes mellitus. The nurse gives the client a list of the signs of hyperglycemia. Which specific sign of this complication should be included on the list? 
    1. Shakiness 
    2. Increased thirst 
    3. Profuse sweating 
    4. Decreased urine output
    2. Increased thirst
  23. The emergency department nurse is preparing a plan for initial care of a client with a diagnosis of hyperglycemic hyperosmolar state (HHS). The nurse understands that the hyperglycemia associated with this disorder results from which occurrence? 
    1. Increased use of glucose 
    2. Overproduction of insulin 
    3. Increased production of glucose 
    4. Increased osmotic movement of water
    3. Increased production of glucose
  24. The nurse is caring for a client with a diagnosis of Addison''answer''card''question''answer''card''question''answer''card''question''s syndrome. Which should the nurse expect to note on assessment of the client? 
    1. Skin atrophy 
    2. The presence of sunken eyes 
    3. Drooping on one side of the face 
    4. A rounded "" appearance to the face
    4. A rounded "" appearance to the face
  25. The nurse is performing an assessment on a client with a diagnosis of myxedema (hypothyroidism). Which assessment finding should the nurse expect to note in this client? 
    1. Dry skin 
    2. Thin, silky hair 
    3. Bulging eyeballs 
    4. Fine muscle tremors
    1. Dry skin
  26. The nurse is performing an assessment on a client with a diagnosis of hyperthyroidism. Which assessment finding should the nurse expect to note in this client? 
    1. Dry skin 
    2. Bulging eyeballs 
    3. Periorbital edema 
    4. Coarse facial features
    2. Bulging eyeballs
  27. The nurse has provided instructions for measuring blood glucose levels to a client newly diagnosed with diabetes mellitus who will be taking insulin. The client demonstrates understanding of the instructions by identifying which method as the best method for monitoring blood glucose levels? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    4. ""
  28. The nurse is providing dietary instructions to help with diabetes control for a client newly diagnosed with diabetes mellitus who will be taking insulin. The nurse should provide the client with which best instruction? 
    1. Eat meals at approximately the same time each day. 
    2. Adjust meal times depending on blood glucose levels. 
    3. Vary meal times if insulin is not administered at the same time every day. 
    4. Avoid being concerned about the time of meals so long as snacks are taken on time.
    1. Eat meals at approximately the same time each day.
  29. A client with diabetes mellitus who takes insulin is seen in the health care clinic. The client tells the clinic nurse that after the insulin injection, the insulin seems to leak through the skin. The nurse would appropriately determine the problem by asking the client which question? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    1. ""
  30. The nurse is providing instructions regarding insulin administration for a client newly diagnosed with diabetes mellitus. The health care provider has prescribed a mixture of Humulin N and Humulin R insulin. The nurse should instruct the client that which is thefirst step in this procedure? 
    1. Draw up the correct dosage of Humulin N insulin into the syringe. 
    2. Draw up the correct dosage of Humulin R insulin into the syringe.
    3. Inject air equal to the amount of Humulin N prescribed into the vial of Humulin N insulin. 
    4. Inject air equal to the amount of Humulin R prescribed into the vial of Humulin R insulin.
    3. Inject air equal to the amount of Humulin N prescribed into the vial of Humulin N insulin.
  31. The nurse is reviewing the health care provider (HCP) prescriptions for a client with a diagnosis of diabetes mellitus who has been hospitalized for treatment of an infected foot ulcer. The nurse expects to note which finding in the HCP prescriptions? 
    1. A decreased-calorie diet 
    2. An increased-calorie diet 
    3. A decreased amount of NPH daily insulin
    4. An increased amount of NPH daily insulin
    4. An increased amount of NPH daily insulin
  32. The nurse is monitoring a client with diabetes mellitus for signs of hypoglycemia. Which manifestations are associated with this complication? 
    1. Slow pulse; lethargy; warm, dry skin 
    2. Elevated pulse; lethargy; warm, dry skin 
    3. Elevated pulse; shakiness; cool, clammy skin 
    4. Slow pulse, confusion, increased urine output
    3. Elevated pulse; shakiness; cool, clammy skin
  33. The home care nurse is visiting a client newly diagnosed with diabetes mellitus. The client tells the nurse that he is planning to eat a dinner meal at a local restaurant this week. He asks the nurse if eating at a restaurant will affect diabetic control and if this is allowed. Which nursing response is most appropriate? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    2. ""
  34. The nurse is developing a plan of care for a client with Cushing''answer''card''question''s syndrome. The nurse identifies nursing interventions related to this problem and includes these interventions in the plan of care. Which nursing intervention is inappropriate? 
    1. Encourage client''s understanding of the disease process. 
    3. Encourage family members to share their feelings about the disease process. 
    4. Encourage the client to recognize that the body changes need to be dealt with.
    4. Encourage the client to recognize that the body changes need to be dealt with.
  35. The nurse is caring for a client who has had an adrenalectomy and is monitoring the client for signs of adrenal insufficiency. Which signs and symptoms indicate adrenal insufficiency in this client? 
    1. Hypotension and fever 
    2. Mental status changes and hypertension 
    3. Subnormal temperature and hypotension 
    4. Complaints of weakness and hypertension
    1. Hypotension and fever
  36. The nurse is providing home care instructions to the client with a diagnosis of Cushing''answer''card''question''s disease. The nurse has identified a problem of risk for deficient fluid volume and identifies nursing interventions that will prevent this occurrence. Which nursing interventions should the nurse include in the plan of care? Select all that apply. 
    1. Monitor for changes in mentation. 
    2. Encourage an intake of low-protein foods. 
    3. Encourage an intake of low-sodium foods. 
    4. Encourage fluid intake of at least 3000 mL per day. 
    5. Monitor vital signs, skin turgor, and intake and output.
    • 1. Monitor for changes in mentation.¬†
    • 4. Encourage fluid intake of at least 3000 mL per day.¬†
    • 5. Monitor vital signs, skin turgor, and intake and output.
  37. The nurse is reviewing the postoperative prescriptions for a client who had a transsphenoidal hypophysectomy. Which health care provider''answer''card''question''answer''card''question''s sign
    3. Tingling around the mouth
  38. The nurse is caring for a client after thyroidectomy. The client expresses concern about the postoperative voice hoarseness she is experiencing and asks if the hoarseness will subside. The nurse should provide the client with which information? 
    1. The hoarseness is permanent. 
    2. It indicates nerve damage. 
    3. It is normal during this time and will subside. 
    4. It will worsen before it subsides, which may take 6 months.
    3. It is normal during this time and will subside.
  39. The nurse is monitoring a client with Graves''answer''card''question'' disease who is having surgery 
    3. A client with diabetes mellitus scheduled for a diagnostic test 
    4. A client with diabetes mellitus scheduled for débridement of a foot ulcer
    2. A client with Graves''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s syndrome. A nursing student is working with the RN for the day. Which statement by the student indicates understanding of Cushing''answer''card''question''s disease. Which statement by the client indicates a need for further instruction? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    3. ""
  40. A nurse is reviewing the assessment findings and laboratory data for a client with the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). The nurse understands that which symptoms are associated characteristics of this disorder? Select all that apply. 
    1. Hypernatremia 
    2. Signs of water deficit 
    3. High urine osmolality 
    4. Low serum osmolality 
    5. Hypotonicity of body fluids 
    6. Continued release of antidiuretic hormone
    • 3. High urine osmolality¬†
    • 4. Low serum osmolality¬†
    • 5. Hypotonicity of body fluids¬†
    • 6. Continued release of antidiuretic hormone
  41. A nurse is reviewing the assessment findings for a client who was admitted to the hospital with a diagnosis of diabetes insipidus. The nurse understands that which manifestations are associated with this disorder? Select all that apply. 
    1. Polyuria 
    2. Polydipsia 
    3. Concentrated urine 
    4. Complaints of excessive thirst 
    5. Specific gravity lower than 1.005
    • 1. Polyuria¬†
    • 2. Polydipsia¬†
    • 4. Complaints of excessive thirst¬†
    • 5. Specific gravity lower than 1.005
  42. A client with suspected Cushing''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s serum calcium level is high. The nurse plans care knowing that which hormones are directly responsible for maintaining the free or unbound portion of the serum calcium within normal limits? 
    1. Thyroid hormone 
    2. Parathyroid hormone 
    3. Follicle-stimulating hormone 
    4. Adrenocorticotropic hormone
    2. Parathyroid hormone
  43. A nurse is assigned to the care of a client who has an altered production of cortisol. The nurse anticipates that the client is experiencing difficulty with synthesis of which type of substance? 
    1. Androgens 
    2. Catecholamines 
    3. Glucocorticoids 
    4. Mineralocorticoids
    3. Glucocorticoids
  44. A client with an endocrine disorder has experienced recent weight loss and exhibits tachycardia. The nurse plans care, knowing that which gland is most likely to be responsible for these findings? 
    1. Thyroid 
    2. Pituitary 
    3. Parathyroid 
    4. Adrenal cortex
    1. Thyroid
  45. A client has abnormal amounts of circulating thyronine (T3) and thyroxine (T4). The nurse plans care for the client, anticipating that he or she may have a deficiency of which dietary elements? 
    1. Iodine 
    2. Calcium 
    3. Phosphorus 
    4. Magnesium
    1. Iodine
  46. A client with medullary carcinoma of the thyroid has an excess function of the C cells of the thyroid gland. The nurse plans care, knowing that this client is primarily at risk for abnormalities of which electrolytes? 
    1. Sodium 
    2. Calcium 
    3. Potassium 
    4. Magnesium
    2. Calcium
  47. A client with hypovolemia experiences activation of the renin-angiotensin system to maintain blood pressure. The nurse plans care, understanding that, as part of this response, the endocrine system will increase production and secretion of which mineralocorticoid? 
    1. Cortisol 
    2. Glucagon 
    3. Aldosterone 
    4. Adrenocorticotropic hormone
    3. Aldosterone
  48. A client has overactivity of the thyroid gland. The nurse plans care, knowing that the client will experience which effects from this hormonal excess? 
    1. Weight gain 
    2. Nutritional deficiencies 
    3. Low blood glucose levels 
    4. Increased body fat stores
    2. Nutritional deficiencies
  49. A client has been diagnosed with pheochromocytoma. The nurse plans care, knowing that the client will exhibit which effect based on the pathophysiology of this disorder? 
    1. Water loss 
    2. Bradycardia 
    3. Hypertension 
    4. Decreased cardiac output
    3. Hypertension
  50. A client is diagnosed with Cushing''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s prescriptions for a client diagnosed with hypothyroidism. Which medication prescription should the nurse question and verify? 
    1. Morphine sulfate 
    2. Docusate sodium (Colace) 
    3. Acetaminophen (Tylenol) 
    4. Levothyroxine sodium (Synthroid)
    1. Morphine sulfate
  51. The emergency department nurse is reviewing the laboratory test results for a client suspected of having diabetic ketoacidosis (DKA). Which laboratory result should the nurse expect to note in this disorder? 
    1. Serum pH of 9.0 
    2. Absent ketones in the urine 
    3. Serum bicarbonate of 22 mEq/L 
    4. Blood glucose level of 500 mg/dL
    4. Blood glucose level of 500 mg/dL
  52. The nurse is providing instructions regarding home care measures to a client with diabetes mellitus and instructs the client about the causes of hypoglycemia. The nurse determines that additional instruction is needed if the client identifies which as a cause of hypoglycemia? 
    1. Omitted meals 
    2. Increased intensity of activity 
    3. Decreased daily insulin dosage 
    4. Inadequate amount of fluid intake
    3. Decreased daily insulin dosage
  53. The clinic nurse is providing instructions to a client with diabetes mellitus about the signs and symptoms of hypoglycemia. The nurse should tell the client that which would be noted in a hypoglycemic reaction? 
    1. Thirst 
    2. Hunger 
    3. Polydipsia 
    4. Increased urine output
    2. Hunger
  54. A client with type 2 diabetes mellitus has a blood glucose level greater than 600 mg/dL and is complaining of polydipsia, polyuria, weight loss, and weakness. The nurse reviews the health care provider''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s disease. The nurse would assess for which problem as a manifestation of this disorder? 
    1. Edema 
    2. Obesity 
    3. Hirsutism 
    4. Hypotension
    4. Hypotension
  55. A client has begun medication therapy with propylthiouracil (PTU). The nurse should assess the client for which condition as an adverse effect of this medication? 
    1. Joint pain 
    2. Renal toxicity 
    3. Hyperglycemia 
    4. Hypothyroidism
    4. Hypothyroidism
  56. A nurse is assessing the glycemic status of a client with diabetes mellitus. Which sign or symptom would indicate that the client is developing hyperglycemia? 
    1. Polyuria 
    2. Diaphoresis 
    3. Hypertension 
    4. Increased pulse rate
    1. Polyuria
  57. A client with a history of diabetes mellitus has a fingerstick blood glucose level of 460 mg/dL. The home care nurse anticipates that which additional finding would be present with further testing if the client is experiencing diabetic ketoacidosis (DKA)? 
    1. Hyponatremia 
    2. Rise in serum pH 
    3. Presence of ketone bodies 
    4. Elevated serum bicarbonate level
    3. Presence of ketone bodies
  58. A client with suspected primary hyperparathyroidism is undergoing diagnostic testing. The nurse would assess for which as a manifestation of this disorder? 
    1. Polyuria 
    2. Diarrhea 
    3. Polyphagia 
    4. Weight gain
    1. Polyuria
  59. A nurse is assessing the status of a client who returned to the surgical nursing unit after a parathyroidectomy procedure. The nurse would place highest priority on which assessment finding? 
    1. Laryngeal stridor 
    2. Difficulty voiding 
    3. Mild incisional pain 
    4. Absence of bowel sounds
    1. Laryngeal stridor
  60. A nurse is assigned to care for a client with type 1 diabetes mellitus. During the shift, the nurse should monitor for which manifestation as a sign of hypoglycemia? 
    1. Tremors 
    2. Anorexia 
    3. Hot, dry skin 
    4. Muscle cramps
    1. Tremors
  61. A client is admitted to the hospital with a diagnosis of pheochromocytoma. The nurse would check which item to detect the primary manifestation of this disorder? 
    1. Weight 
    2. Urine ketones 
    3. Blood pressure 
    4. Skin temperature
    3. Blood pressure
  62. A nurse is caring for a client with a thyrotoxicosis who is at risk for the development of thyroid storm. To detect this complication, the nurse should assess for which sign or symptom? 
    1. Bradycardia 
    2. Constipation 
    3. Hypertension 
    4. Low-grade temperature
    3. Hypertension
  63. During routine nursing assessment after hypophysectomy, a client complains of thirst and frequent urination. Knowing the expected complications of this surgery, what should the nurse assess next? 
    1. Serum glucose 
    2. Blood pressure 
    3. Respiratory rate 
    4. Urine specific gravity
    4. Urine specific gravity
  64. A client has been diagnosed with Cushing''answer''card''question''answer''card''question''s office for a routine physical examination and reports a new onset of intolerance to cold. Since hypothyroidism is suspected, which additional information would be noted during the client''answer''card''question''answer''card''question''s postoperative return to the unit after a parathyroidectomy procedure. The nurse should ensure that which piece of medical equipment is at the client''answer''card''question'' disease. Which symptom related to the menstrual cycle would the client be most likely to report during the initial assessment? 
    1. Amenorrhea 
    2. Menorrhagia 
    3. Metrorrhagia 
    4. Dysmenorrhea
    1. Amenorrhea
  65. The nurse is preparing to care for a client after parathyroidectomy. The nurse should plan for which action for this client? 
    1. Maintain an endotracheal tube for 24 hours. 
    2. Administer a continuous mist of room air or oxygen. 
    3. Place in a flat position with the head and neck immobilized. 
    4. Use only a rectal thermometer for temperature measurement.
    3. Place in a flat position with the head and neck immobilized.
  66. The nurse is taking a health history for a client with hyperparathyroidism. Which question would elicit information about this client''answer''card''question''s syndrome on follow-up care. Which of these client statements would indicate a need for further instruction? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    3. ""
  67. The nurse is caring for a postoperative client who has had an adrenalectomy. What should the nurse check for in the client''answer''card''question'' disease has exophthalmos and is experiencing photophobia. Which nursing action would best assist the client with these manifestations? 
    1. Obtain dark glasses for the client. 
    2. Lubricate the eyes with tap water every 2 to 4 hours. 
    3. Administer methimazole (Tapazole) every 8 hours around the clock. 
    4. Instruct the client to avoid straining or heavy lifting because this effort can increase eye pressure.
    1. Obtain dark glasses for the client.
  68. The nurse is caring for a client who is scheduled to have a thyroidectomy and provides instructions to the client about the surgical procedure. Which client statement indicates an understanding of the nurse''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s disease should the nurse expect to note? 
    1. Edema 
    2. Obesity 
    3. Hirsutism 
    4. Hypotension
    4. Hypotension
  69. The nurse is assessing a client who has a diagnosis of goiter. Which should the nurse expect to note during the assessment of the client? 
    1. An enlarged thyroid gland 
    2. The presence of heart damage 
    3. Client complaints of chronic fatigue 
    4. Client complaints of slow wound healing
    1. An enlarged thyroid gland
  70. The nurse is assessing the learning readiness of a client newly diagnosed with diabetes mellitus. Which behavior indicates to the nurse that the client is not ready to learn? 
    1. The client asks if the spouse may attend the teaching session. 
    2. The client asks appropriate questions about what will be taught. 
    3. The client asks for written materials about diabetes mellitus before class. 
    4. The client complains of fatigue whenever the nurse plans a teaching session.
    4. The client complains of fatigue whenever the nurse plans a teaching session.
  71. A young man with type 1 diabetes mellitus tells the nurse that he might lose his job because he has been having frequent hypoglycemic reactions. His boss thinks that he is drunk during these episodes and that he has been drinking on the job. Which action by the nurse would best assist this client to meet his needs? 
    1. Ask the client if he indeed has been drinking at work. 
    2. Ask the client what he does to treat his hypoglycemia. 
    3. Contact the local employment office to help him find another job. 
    4. Examine factors with the client that may be causing frequent hypoglycemic episodes.
    4. Examine factors with the client that may be causing frequent hypoglycemic episodes.
  72. The health care provider prescribes a 24-hour urine collection for vanillylmandelic acid (VMA). The community health nurse visits the client at home and instructs the client in the procedure for the collection of the urine. Which statement, if made by the client, would indicate a need for further instruction? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    1. ""
  73. The client with pheochromocytoma is scheduled for surgery and says to the nurse, "" Which statement is the appropriate response by the nurse? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    2. ""
  74. A client with diabetes mellitus has been instructed in the dietary exchange system. The client asks the nurse if bacon is allowed in the diet. Which nursing response is most appropriate? 
    1. "" 
    2. "" 
    3. "" 
    4. ""
    4. ""
  75. A nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper thighs. The nurse should ask the client if which measure is taken? 
    1. Rotating sites for injection 
    2. Administering the insulin at a 45-degree angle 
    3. Cleaning the skin with alcohol before each injection 
    4. Aspirating for blood before injection into the subcutaneous tissue
    1. Rotating sites for injection
  76. A nurse is performing an admission assessment on a client with a diagnosis of pheochromocytoma. The nurse should assess for the major sign associated with pheochromocytoma by performing which action? 
    1. Obtaining the client''s blood pressure 
    3. Testing the client''answer''s blood pressure
  77. A client with type 1 diabetes mellitus is admitted to the hospital with diabetic ketoacidosis and a serum glucose level of 789 mg/dL. The health care provider (HCP) prescribes 10 units of regular insulin by intravenous (IV) bolus, followed by a continuous insulin infusion at a rate of 5 units/hr. The pharmacy sends 500 mL of normal saline solution containing 50 units of regular insulin. After administering the IV bolus of 10 units of regular insulin, the nurse sets the infusion pump flow rate of the normal saline solution containing 50 units of regular insulin to infuse at how many milliliters per hour to deliver 5 units/hr?
    50 mL per hour
  78. A nurse is preparing to provide instructions to a client with Addison''answer''card''question''answer''card''question''answer''card''question''answer''card''question''s documentation and should expect to note which diagnosis? 
    1. Hypoglycemia 
    2. Pheochromocytoma
    3. Diabetic ketoacidosis (DKA) 
    4. Hyperglycemic hyperosmolar nonketotic syndrome (HHNS)
    4. Hyperglycemic hyperosmolar nonketotic syndrome (HHNS)
  79. A nurse is preparing a teaching plan for a client with diabetes mellitus regarding proper foot care. Which instruction should be included in the plan? 
    1. Soak the feet in hot water. 
    2. Avoid using a mild soap on the feet. 
    3. Always have a podiatrist cut the toenails. 
    4. Apply a moisturizing lotion to dry feet but not between the toes.
    4. Apply a moisturizing lotion to dry feet but not between the toes.
  80. A client newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections. A nurse prepares a discharge teaching plan regarding the insulin and plans to reinforce which concept? 
    1. Always keep insulin vials refrigerated. 
    2. Ketones in the urine signify a need for less insulin. 
    3. Increase the amount of insulin before excessive exercise. 
    4. Systematically rotate insulin injections within one anatomical site.
    4. Systematically rotate insulin injections within one anatomical site.
  81. A health care provider has prescribed propylthiouracil (PTU) for a client with hyperthyroidism, and the nurse develops a plan of care for the client. The nurse should assess for which condition as a priority? 
    1. Relief of pain 
    2. Signs of renal toxicity 
    3. Signs of hyperglycemia 
    4. Signs of hypothyroidism
    4. Signs of hypothyroidism
  82. A nurse is assisting a client with diabetes mellitus who is recovering from diabetic ketoacidosis (DKA) to develop a plan to prevent a recurrence. Which is most important to include in the plan of care? 
    1. Test urine for ketone levels. 
    2. Eat six small meals per day. 
    3. Monitor blood glucose levels frequently. 
    4. Receive appropriate follow-up health care.
    3. Monitor blood glucose levels frequently.
  83. A nurse is performing an assessment on a client after a thyroidectomy and notes that the client has developed hoarseness and a weak voice. Which nursing action is appropriate? 
    1. Check for signs of bleeding. 
    2. Administer calcium gluconate. 
    3. Notify the health care provider (HCP) immediately. 
    4. Reassure the client that this is usually a temporary condition.
    4. Reassure the client that this is usually a temporary condition.
  84. After hypophysectomy, a client complains of being thirsty and having to urinate frequently. What is the initial nursing action? 
    1. Increase fluid intake. 
    2. Document the complaints. 
    3. Assess for urinary glucose. 
    4. Assess urine specific gravity.
    4. Assess urine specific gravity.
  85. A client with type 1 diabetes mellitus is admitted to the emergency department with suspected diabetic ketoacidosis (DKA). Which laboratory result would be expected with this diagnosis? 
    1. Urine is negative for ketones. 
    2. Serum potassium is 6.8 mEq/L. 
    3. Serum osmolality is 260 mOsm/L. 
    4. Arterial blood gas values are: pH 7.52, Pco2 44 mm Hg, HCO3 30 mEq/L.
    2. Serum potassium is 6.8 mEq/L.
  86. A client with diabetes mellitus has a blood glucose level of 50 mg/dL and reports feeling hungry and shaky. Which should the nurse provide the client? 
    1. 3 oz of 2% milk 
    2. 4 oz of apple juice 
    3. 2 oz of orange juice 
    4. A teaspoon of granulated sugar
    2. 4 oz of apple juice
  87. Which findings should raise suspicion to the nurse that a head-injured client may be experiencing diabetes insipidus? Select all that apply. 
    1. Ketones are present in the urine. 
    2. Urine specific gravity is 1.001. 
    3. Jugular venous distention is observed. 
    4. Serum osmolality is 320 mOsm/kg of water. 
    5. Blood glucose levels are greater than 200 mg/dL. 
    6. Urine output has increased from 1000 mL in 24 hours to 4000 mL in 24 hours.
    • 2. Urine specific gravity is 1.001.¬†
    • 4. Serum osmolality is 320 mOsm/kg of water.
    • 6. Urine output has increased from 1000 mL in 24 hours to 4000 mL in 24 hours.
  88. During physical examination of a client, which finding is characteristic of hypothyroidism? 
    1. Periorbital edema 
    2. Flushed warm skin 
    3. Hyperactive bowel sounds 
    4. Heart rate of 120 beats/min
    1. Periorbital edema
  89. A client''answer''card''question''s serum blood glucose level is 389 mg/dL. The nurse would expect to note which as an additional finding when assessing this client? 
    1. Unsteady gait 
    2. Slurred speech 
    3. Increased thirst 
    4. Cold, clammy skin
    3. Increased thirst
  90. The nurse is caring for a client with a diagnosis of diabetic ketoacidosis (DKA). Which assessment findings are consistent with this diagnosis? Select all that apply. 
    1. Polyuria 
    2. Polydipsia 
    3. Polyphagia 
    4. Dry mouth 
    5. Flushed, dry skin 
    6. Moist mucous membranes
    • 1. Polyuria¬†
    • 2. Polydipsia¬†
    • 3. Polyphagia¬†
    • 4. Dry mouth¬†
    • 5. Flushed, dry skin
  91. A newly diagnosed client with diabetes mellitus is started on a two-dose insulin protocol combination of short- and intermediate-acting insulin injected twice daily. What portion of the total dose is given before breakfast and what portion before the evening meal? 
    1. Half before breakfast and half before the evening meal 
    2. Two thirds before breakfast and one third before the evening meal 
    3. One third before breakfast and two thirds before the evening meal 
    4. Three fourths before breakfast and one fourth before the evening meal
    2. Two thirds before breakfast and one third before the evening meal
  92. A nurse understands that which hormone is directly responsible for maintaining the free or unbound portion of serum calcium within normal limits? 
    1. Thyroid hormone 
    2. Parathyroid hormone 
    3. Follicle-stimulating hormone 
    4. Adrenocorticotropic hormone
    2. Parathyroid hormone
  93. A client with an endocrine disorder complains of weight loss and diarrhea, and says that he can "" The nurse interprets that which gland is most likely responsible for these symptoms? 
    1. Thyroid 
    2. Pituitary 
    3. Parathyroid 
    4. Adrenal cortex
    1. Thyroid
  94. A client is experiencing an episode of hypoglycemia. The nurse understands that the physiological mechanism that should take place to combat this decrease in the blood glucose level is which mechanism? 
    1. Decreased cortisol release 
    2. Increased insulin secretion 
    3. Decreased epinephrine release 
    4. Increased glucagon secretion
    4. Increased glucagon secretion
  95. A client with diabetes mellitus experiences breakdown of fats for conversion to glucose. The nurse determines that this response is occurring if the client has elevated levels of which substance? 
    1. Glucose 
    2. Ketones 
    3. Glucagon 
    4. Lactic dehydrogenase
    2. Ketones
  96. A client with diabetes mellitus is being tested to determine long-term diabetic control. Which result should the nurse expect to see if the client''answer''card''question''answer''card''question''s results are compatible with diabetes mellitus if the glucose level is at which value after 120 minutes (2 hours)? 
    1. 80 mg/dL 
    2. 110 mg/dL 
    3. 130 mg/dL 
    4. 160 mg/dL
    4. 160 mg/dL
  97. A client who visits the health care provider''answer''card''question''answer''card''question''s disease. The nurse would monitor for which problems associated with this disease? Select all that apply. 
    1. Obesity 
    2. Syncope 
    3. Hirsutism 
    4. Hypotension 
    5. Muscle weakness
    • 2. Syncope¬†
    • 4. Hypotension¬†
    • 5. Muscle weakness
  98. The nurse is caring for a client with a diagnosis of Cushing''answer''card''question''answer''card''question''s blood glucose. 
    4. Obtain the client''answer''s blood glucose.
Author:
nursedaisy98
ID:
256678
Card Set:
Adult Health - Endocrine
Updated:
2014-04-20 14:58:06
Tags:
NCLEX RN
Folders:
Adult Health
Description:
Endocrine
Show Answers:

  1. Home
  2. Flashcards
  3. Preview