NCLEX Style questions: Metabolism
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NCLEX Questions: Metabolism
20 terms mary_g_mcdaniel Preview Endocr 121 term awe The nurse notes that a client with diabetes mellitus (DM) has a blood pressure of 184/92 mmHg. Which endocrine organ does the nurse identify as being responsible for the alteration in blood pressure?
- Anterior pituitary
- Thyroid gland
- Adrenal cortex
- Parathyroid glands
- Adrenal cortex
- Thyroid hormone
- Epinephrine
- Norepinephrine
- Leptin
- Insulin
- Thyroid hormone
- Leptin
- Insulin
- Intolerance of fatty foods
- Increase in fat absorption
- Increase in the production of lipase
- Decrease in absorption of water-soluble vitamins
- Intolerance of fatty foods
The nurse is preparing information about hormone imbalances associated with obesity. Which hormone should the nurse include in this presentation? (Select all that apply.)
The nurse performing a nutritional assessment on an older adult should understand that which pancreatic age-related change can affect the client's nutritional needs?
The nurse is reviewing the chart of a child diagnosed with precocious puberty. Which factor should be monitored throughout the client's childhood and adolescence?
- Musculoskeletal development
- Cognitive development
- Behavioral development
- Neurological development
- Musculoskeletal development
- Progesterone and estrogen support the growing fetus.
- Prolactin stimulates the transfer of maternal nutrients to the growing fetus.
- Human chorionic gonadotropin (hCG) is produced by the cells and facilitates intrauterine nutrition.
- Human placental lactogen helps provide maternal nutrition to the growing fetus.
- Human placental lactogen helps provide maternal nutrition to the growing fetus.
- Alanine aminotransferase (ALT)
- Thyroid stimulating hormone (TSH)
- Serum glutamic oxaloacetic transaminase (SGOT)
- Lactate dehydrogenase (LDH)
- Aspartate aminotransferase (AST)
- Alanine aminotransferase (ALT)
- Serum glutamic oxaloacetic transaminase (SGOT)
- Lactate dehydrogenase (LDH)
- Aspartate aminotransferase (AST)
- Nodular thyroid tissue
- Decreased deep tendon reflexes
- Presence of exophthalmos
- Lower extremity paresthesia
- Presence of exophthalmos
- Parathyroid hormone
- Serum albumin
A woman at 16-weeks' gestation asks the nurse, "How is my baby getting any nutrition to grow?" The nurse's response should be based on which understanding?
A client is admitted for treatment of possible cirrhosis. Which diagnostic test should the nurse expect to be prescribed for this client? (Select all that apply.)
At the conclusion of a health interview and physical assessment, the nurse suspects that an older adult client is experiencing hyperthyroidism.Which assessment finding supports the nurse's conclusion?
The nurse is caring for a client suspected of having Graves disease. Which serum laboratory test should the nurse anticipate will confirm the diagnosis?
C. T3, T4, TSH
- Serum calcium
C. T3, T4, TSH
Which should be the nurse's priority assessment for a client diagnosed with a tumor in the thymus gland?
- Neurological status
- Patent airway
- Cardiac output
- Renal output
- Patent airway
- Initiating a thyroid stimulating hormone
- Providing a synthetic growth hormone
- Lowering the production of growth hormone
- Increasing dietary calcium
- Lowering the production of growth hormone
- Potential for acupuncture to disrupt optimal body functioning
- Proper nutrition and exercise
- Complications that can result from the condition
- Use of monitoring devices, such as a glucometer
- Use and potential side effects of prescribed medications
- Proper nutrition and exercise
- Complications that can result from the condition
- Use of monitoring devices, such as a glucometer
- Use and potential side effects of prescribed medications
- Intake and output
- Renal calculi
- Muscle stiffness
- Edema
- Intake and output
- Muscle tetany
- Alteration in perfusion
- Abnormal circadian rhythms
- Symptoms of hypoglycemia
- Alteration in perfusion
- Sleeplessness
- Weight loss
- Hyperglycemia
- Low blood pressure
- Hyperglycemia
The nurse is reviewing the chart of a client diagnosed with acromegaly. Which collaborative treatment should the nurse expect?
The nurse is preparing instructions for a client newly diagnosed with a metabolic disorder. Which information should the nurse include during the teaching session with this client? (Select all that apply.)
The nurse is caring for a client with Addison disease. For which priority assessment will the nurse monitor the client?
Which nursing assessment should the nurse monitor for when caring for a client with an adrenal gland disorder?
The nurse is caring for a client with diabetes mellitus (DM). For which assessment finding will the nurse monitor the client?
The nurse is caring for a client diagnosed with hypoparathyroidism. Which assessment should the nurse integrate into the plan of care?
- Deep tendon reflexes
- Plantar response
- Sensory testing
- Trousseau sign
- Trousseau sign
- Remain upright for 30 minutes.
- Dilute the medication in water or orange juice.
- Take the medication on an empty stomach first thing in the morning with water.
- Do not eat or drink anything else for 30 minutes after taking.
- Take the medication 1 hour before meals or 2 hours after meals.
- Remain upright for 30 minutes.
- Take the medication on an empty stomach first thing in the morning with water.
- Do not eat or drink anything else for 30 minutes after taking.
- Obesity
- Diabetes
- Thyroid disease
- Cirrhosis
- Osteoporosis
- Obesity
- Diabetes
- Osteoporosis
- Scheduling the client to revisit the dietician
- Instructing the client to maintain a food log for 24 hours
- Instructing the client to engage in more exercise
- Obtaining a consult for behavioral therapy
- Obtaining a consult for behavioral therapy
- "I will ask the dietician to recommend vitamins that are safe for you to take during treatment."
- "I will get a referral to a healthcare practitioner with complementary health experience."
- "Many of the complementary health approaches are contraindicated in Addison disease."
- "I will contact an exercise physiologist, so you can integrate yoga into your treatment."
- "I will get a referral to a healthcare practitioner with complementary health experience."
Which instruction should the nurse include when teaching a client about a newly prescribed bisphosphonate drug? (Select all that apply.)
For which alteration in metabolism would the expertise of an exercise physiologist be applicable? (Select all that apply.)
A client with type 2 diabetes mellitus states, "I am so frustrated. I cannot stick to the diet that I am supposed to." Which intervention should the nurse consider most helpful in supporting the client?
A client with Addison disease would like to incorporate complementary health approaches into the treatment. Which statement by the nurse is most appropriate?