RN TARGETED ENDOCRINE NEWEST 2024
A nurse in an outpatient clinic is teaching a client who has a
diabetic foot ulcer about foot care. Which of the following
statements should the nurse identify as an indication that the
client understands the teaching? – ANSWER- “I will apply
lotion to the dry areas of my feet, but not between my toes.”
Rationale: Lotion can be used for dry areas of the feet, but
the client should avoid applying lotion between the toes, as
this area is prone to bacterial growth.
A nurse is teaching a client who has diabetes mellitus. Which of
the following should the nurse include as an expected finding of
diabetic ketoacidosis (DKA)? – ANSWER- Blood glucose levels
above 300 mg/dL
Rationale: Blood glucose levels above 300 mg/dL are an
expected finding with DKA. Levels above 600 mg/dL are an
expected finding with hyperglycemic-hyperosmolar state.
A nurse is admitting a client who has hyperthyroidism. When
assessing the client, the nurse should expect which of the
following findings? – ANSWER- Tremors
Rationale: Findings of hyperthyroidism include tremors,
diaphoresis, and insomnia.
A nurse is developing a teaching plan for a client who had a
thyroidectomy and takes a thyroid hormone replacement. Which
of the following instructions should the nurse plan to include? –
ANSWER- “Take this medication on an empty stomach.”
Rationale: To promote proper absorption, the client should
take the medication on an empty stomach and not eat or
drink anything for 30 to 60 min after taking it.
A nurse is caring for a client who is taking propylthiouracil. The
nurse should identify that the client has met the treatment goals
when she reports an increase in which of the following
manifestations? – ANSWER- Weight
Rationale: Propylthiouracil suppresses the production of
thyroid hormones and, therefore, allows for weight gain.
However, excessive weight gain could indicate that the dose
of propylthiouracil is too high
A nurse is caring for a client following a thyroidectomy. The
nurse should assess for which of the following findings as an
indication of hypocalcemia? – ANSWER- Tingling and
numbness of the hands and feet
Rationale: Hypocalcemia causes paresthesias, which usually
starts in the hands and feet.
A nurse is preparing a teaching plan for a client who has
diabetes insipidus and requires intranasal desmopressin. Which
of the following information should the nurse include in the
teaching plan? – ANSWER- Report nocturia because it requires
a dosage adjustment.
Rationale: The client should receive the initial dose of
desmopressin in the evening; the provider will increase the
dosage until the client no longer has nocturia.
A nurse is caring for a client undergoing screening for primary
Cushing’s disease. The nurse should expect an elevation in
which of the following laboratory findings? – ANSWER Glucose
Rationale: Blood glucose is elevated in a client who has
Cushing’s disease.
A nurse is caring for a client who has diabetes mellitus and has
developed peripheral neuropathy. Which of the following
measures should the nurse recommend to prevent injuries to the
client’s feet? – ANSWER- Monitor the temperature of bath water
with a thermometer.
Rationale: Peripheral neuropathy makes it difficult to
determine if bath water is too hot. Therefore, to prevent
injury, the client should use a bath thermometer to ensure a
water temperature below 43.3° C (110° F).
A nurse is assessing a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). Which of the following findings
should the nurse report to the provider? – ANSWER- Sodium
110 mEq/L
Rationale: A client who has SIADH retains fluids, which
causes dilutional hyponatremia.
A nurse is reviewing laboratory values for a client who has
diabetic ketoacidosis (DKA). Which of the following results
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