(STELLA) Which term refers to the progressive increase in blood glucose from bedtime to morning?

JESS & SAM Q. A client with diabetic ketoacidosis was admitted to the intensive care unit 4 hours ago and has these laboratory results: blood glucose level 450 mg/dl, serum potassium level 2.5 mEq?L, serum sodium level 140 mEq/L, and urine specific gravity 1.025. The client has twoI.V. lines in place with normal saline solution infusing through both. Over the past 4 hours, his total urine output has been 50 ml. Which physician order should the nurse question?

A client sustained a head injury when falling off of a ladder. While in the hospital, the client begins voiding large amounts of clear urine and states he is very thirsty. The client states that he feels weak, and he has had an 8-lb weight loss since admission. What should the client be tested for?

JESSQ. "A client is admitted to the hospital with signs and symptoms of diabetes mellitus. Which findings is the nurse most likely to observe in this client? Select all that apply:”

JESS& SAM Q. Which instruction should a nurse give to a client with diabetes mellitus when teaching about "sick day rules"?

JESS & SAM Q. A nurse is performing a physical examination on client suspected of having an endocrine disorder. Which assessment finding might be indicative of a problem with the thyroid gland?

JESS & SAM Q. A client has been admitted to the post surgical unit following a thyroidectomy. To promote comfort and safety, how should the nurse best position the client?

JESS& SAM Q. The nurse caring for a patient with Cushing syndrome is describing the dexamethasone suppression test scheduled for tomorrow. What does the nurse explain that this test will involve?

JESS & SAM Q. A patient with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH) is being cared for on the critical care unit. The priority nursing diagnosis for a patient with this condition is what?

A client is admitted for treatment of the syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?

The nurse is reviewing the laboratory and diagnostic test findings of a client diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following would the nurse expect to find?

A nurse is caring for a client who has SIADH. Which of the following findings should the nurse expect? Select all that apply:

JESS& SAM Q. A patient has returned to the floor after having a thyroidectomy for thyroid cancer. The nurse knows that sometimes during thyroid surgery the parathyroid glands can be injured or removed. What laboratory finding may be an early indication of parathyroid gland injury or removal?

JESS& SAM Q. A patient presents at the walk-in clinic complaining of diarrhea and vomiting. The patient has a documented history of adrenal insufficiency.Considering the patient's history and current symptoms, the nurse should anticipate that the patient will be instructed to do which of the following?

JESS& SAM Q. The nurse is caring for a patient with Addison’s disease who is scheduled for discharge. When teaching the patient about hormone replacement therapy, the nurse should address what topic?

JESS & SAM Q. A patient has just been diagnosed with type 2diabetes. The physician has prescribed an oral antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the control of blood glucose. What type of oral antidiabetic agent did the physician prescribe for this patient?

SAM Q. Which category of oral antidiabetic agents exerts the primary action by directly stimulating the pancreas to secrete insulin?

JESS Q. A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules. What guideline applies to periods of illness in a diabetic patient?

(STELLA) JESS & SAM Q. A client with type 1 diabetes has been on a regimen of multiple daily injection therapy. The client is being converted to continuous subcutaneous insulin therapy. While teaching continuous subcutaneous insulin therapy, the nurse should tell the client that the regimen includes the use of:

JESS& SAM Q. When reviewing laboratory results for a patient with a possible diagnosis of hypoparathyroidism, the nurse knows that this condition is characterized by which of the following?

JESS& SAM Q. On assessment of a patient with early-stage hypothyroidism, the nurse practitioner assesses for a vague yet significant sign which is:

JESS& SAM Q. Which statement about fluid replacement is accurate for a client with hyperosmolar hyperglycemic nonketotic syndrome (HHNS)?

SAM Q. A 52 year-old woman with a long history of poorly controlled diabetes mellitus and diabetic peripheral neuropathy(numbness in her feet) and retinopathy (partial blindness) presents with a 4week history of a draining wound on the bottom of her right foot. What diagnostic study would be most helpful in identifying the responsible organism(s) for osteomyelitis?

A49-year-old man with a history of poorly controlled type 1 diabetes has developed osteomyelitis adjacent to a chronic diabetic ulcer on his great toe. The patient has been informed that medical treatment for osteomyelitis requires a longer course of antibiotics than most other infections because:

JESS Q. The nurse is reviewing the laboratory values of a patient with bone pain for the last 4 days. Which abnormal finding would support osteomyelitis? Select all that apply.

JESS Q: A patient who experienced an open fracture of the humerus 2 weeks ago is having increased pain at the fracture site. To identify a possible causative agent of osteomyelitis at the site, what should the nurse expect testing to include?

Which assessment finding would the nurse expect to find in a patient diagnosed with acute osteomyelitis?

JESS& SAM Q. The home care nurse is planning the order of clients for the day. Which client should the nurse prioritize as needing to be seen first?

Immediate hypoglycemia treatment

If you have hypoglycemia symptoms, do the following:

JESS Q. A nurse is preparing the daily care plan for a client with newly diagnosed diabetes mellitus. The priority nursing concern for this client should be:

JESS Q. A nurse hasbeen caring for a client newly diagnosed with diabetes mellitus. The client is overwhelmed by what he's facing and not sure he can handle giving himself insulin. This client has been discharged and the charge nurse is insisting the nurse hurry because she needs the space for clients being admitted. How should the nurse handle the situation?

JESS Q: A nurse is caring for a client newly diagnosed with type 1 diabetes. The nurse is educating the client about self-administration of insulin in the home setting.The nurse should teach the client to do what action?

JESS Q: Which statements made by the nurse to a patient newly diagnosed with type 1 diabetes would be included in a teaching plan? Select all that apply

JESS Q: Which reason best explains why diabetics are prone to infection?

JESSQ. A diabetes nurse educator is presenting current recommendations for levels of caloric intake. What are the current recommendations that the nurse would describe?

JESSQ: A nurse is providing dietary instructions to a client with diabetes. What is most important for the nurse to include in teaching for prevention of hypoglycemia?

SAM Q. Which condition may contribute to hyperparathyroidism?

The nurse knows to advise the patient with hyperparathyroidism that he or she should be aware of signs of the common complication of:

Jess Q. When reviewing laboratory results for a patient with a possible diagnosis of hypoparathyroidism, the nurse knows that this condition is characterized by which of the following?

SAM Q. A client is admitted with diabetic keto acidosis (DKA). Which order from the physician should the nurse implement first?

SAM Q. A child is brought into the emergency department with vomiting, drowsiness, and blowing respirations. The child's parent reports that the symptoms have been progressing throughout the day. The nurse suspects diabetic keto acidosis (DKA). Which action should the nurse take first in the management of DKA?

SAM Q. A 67-year-old male client 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, nurse Richard would suspect which of the following disorders?

SAM Q. A client is transferred to a rehabilitation center after being treated in the hospital for a stroke. Because the client has a history of Cushing's syndrome (hypercortisolism) and chronic obstructive pulmonary disease, the nurse formulates a nursing diagnosis of:

The hallmark manifestations of Cushing syndrome are a moon face, a"buffalo hump" between the shoulder blades, and a protruding abdomen.What other manifestations of Cushing syndrome occur?

(STELLA) A patient has been diagnosed with Cushing’s syndrome. The nurse would expect which of the following features to be present upon physical examination? Select all that apply.

SAM Q. A client with a serum glucose level of 618 mg/dl is admitted to the facility. He's awake and oriented, has hot dry skin, and has the following vital signs: temperature of 100.6° F (38.1° C), heart rate of 116 beats/minute, and blood pressure of 108/70 mmHg. Based on these assessment findings, which nursing diagnosis takes highest priority?

Which condition may contribute to hyperparathyroidism?

One of the most frequently occurring complications (55% occurrence) of primary hyperparathyroidism is:

JESS Q. Which condition may contribute to hyperparathyroidism?

SAM Q. The nurse is beginning the assessment of a patient with an endocrine disorder. What should the nurse include in this assessment? Select all that apply.

(STELLA) A medical nurse is aware of the need to screen specific clients for their risk of hyperglycemichyperosmolar syndrome (HHS). In what client population does this syndrome most often occur?

SAM Q. An older adult patient is in the hospital being treated for sepsis related to a urinary tract infection. The patient has started to have an altered sense of awareness, profound dehydration, and hypotension. What does the nurse suspect the patient is experiencing?

A client with diabetic ketoacidosis was admitted to the intensive care unit 4 hours ago and has these laboratory results: blood glucose level 450mg/dl, serum potassium level 2.5 mEq/L, serum sodium level 140 mEq/L, and urine specific gravity 1.025. The client has two IV lines in place with normal saline solution infusing through both. Over the past 4 hours, his total urine output has been 50 ml. Which physician order should the nurse question?

A client is brought to the emergency department by the paramedics. The client is a type 2 diabetic and is experiencing hyperglycemic hyperosmolar syndrome (HHS). The nurse should identify what components of HHS? Select all that apply.

(STELLA) A diabetes educator is teaching a client about type 2 diabetes. The educator recognizes that the client understands the primary treatment for type 2 diabetes when the client states what?

(STELLA) A client with type 2diabetes normally achieves adequate glycemic control through diet and exercise.Upon being admitted to the hospital for a cholecystectomy, however, the client has required insulin injections on two occasions. The nurse would identify what factor most likely caused this short-term change in treatment?

A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes?

A client with type 1 diabetes has told the nurse that the client’s most recent urine test for ketones was positive. What is the nurse's most plausible conclusion based on this assessment finding?

Which of the following agents suppress release of thyroid hormones? Select all that apply.

Which medication blocks synthesis of thyroid hormone?

The nurse is caring for a patient at risk for an addisonian crisis. For what associated signs and symptoms should the nurse monitor the patient? Select all that apply.

A nurse on a medical unit is providing care for a 37-year-old female patient who has a diagnosis of Graves' disease. Which of the following treatments would the nurse most likely anticipate providing for the client?

What pharmacologic therapy does the nurse anticipate administering when the patient is experiencing thyroid storm? (Select all that apply.)

A nurse is providing care to a client with primary hyperparathyroidism.Which interventions would be included in the client's care plan? Select all that apply.

A client is suspected of having acromegaly. What definitive diagnostic testing is the most reliable method of confirming acromegaly?

A nurse manager prepares teaching for staff nurses who care for clientswith diabetes. Which statements will the nurse manager include when discussingthe differences between the endocrine and exocrine functions of the pancreas?Select all that apply:

An incoherent client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and non-pitting edema of the face and periorbital area. Knowing that these findings suggest severe hypothyroidism, the nurse prepares to take emergency action to prevent the potential complication of:

Which is a complication of hyperthyroidism?

Health teaching for a patient with diabetes who is prescribed Humulin N, an intermediate NPH insulin, would include which of the following advice?