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what is a major nursing concern when caring for a client diagnosed with hyperthyroidism?
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a client with cushing syndrome asks why a low-sodium, high-potassium diet has been prescribed. what isthe best response by the nurse?
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in anticipation of a client returning to their room following a subtotal thyroidectomy, what interventionwould be highest priority for the nurse to perform?
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the nurse is educating the client newly diagnosed with type 2 diabetes on oral antidiabetic medications.what should the nurse include in the teaching plan?
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-the teaching plan should include sick day rulesa nurse is caring for an adult client with acromegaly. what clinical manifestation does the nurse expectthe client to exhibit?
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a nurse is caring for a client admitted to the hospital with a diagnosis of Addison disease.
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when assessing a client with graves disease [hyperthyroidism], what should the nurse expect to find inthe client’s history?
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a client who is taking an oral hypoglycemic daily for type 2 diabetes develops the flu and is concernedabout the need for special care at home.-take the oral hypoglycemic pill, drink warm fluids, and check blood sugar before meals and at bedtimea nurse is caring for a client who has a 20-year history of type 2 diabetes.-blurry, spotty, or hazy visionwhich clinical findings should the nurse assess when caring for a client with hyperthyroidism?
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the nurse is assessing a client experiencing diabetic ketoacidosis [DKA]. which unique responseassociated with DKA that is not exhibited with hyperglycemic hyperosmolar nonketotic syndrome [HHNS]should the nurse identify when assessing this client?
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a nurse is caring for a client with hypothyroidism. which clinical manifestations should the nurseanticipate when assessing this client?
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Detailed Answer Key
Endocrine 3
1.A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I will carry a complex carbohydrate snack with me when I exercise."
Rationale:The nurse should reinforce that the client should carry a simple carbohydrate such as hard
candy or glucose tablets for use during exercise if the client becomes hypoglycemic.
B. "I should exercise first thing in the morning before eating breakfast."
Rationale:The nurse should reinforce that exercise should follow a meal. Exercising first thing in the
morning on an empty stomach places the client at risk for hypoglycemia.
C. "I should avoid injecting insulin into my thigh if I am going to go running."
Rationale:The nurse should reinforce that the client should avoid injecting insulin into an area that will soon
be exercised to avoid increasing the absorption rate of the insulin.
D. "I will increase the intensity of my exercise routine if my urine is positive for ketones."
Rationale:The nurse should reinforce that exercise should be avoided if ketones are present in the urine as
this indicates an elevated blood glucose level or ketoacidosis.
2.A 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.]
A. Buffalo hump
B. Purple striations
C. Moon face
D. Tremors
E. Obese extremities
Rationale:Buffalo hump is correct. Cushing's syndrome is a disease caused by an increased production of
cortisol or by excessive use of corticosteroids. Buffalo hump, a collection of fat between the
shoulders, is a common manifestation of Cushing's syndrome.
Purple striations is correct. Purple striations on the skin of the abdomen, thighs, and breasts are
a common manifestation of Cushing's syndrome. This is due to the collection of body fat in these
areas.
Moon face is correct. Moon face is a common manifestation of Cushing's syndrome. Clients who
have this manifestation present with a round, red, full face.
Tremors is incorrect. Tremors are not a common finding of Cushing's syndrome.
Obese extremities is incorrect. Clients who have Cushing's syndrome have truncal obesity, a
protuberant abdomen, with thin extremities, which is due to an alteration in protein metabolism.
Created on:03/31/2021Page 1