NCLEX Endocrine

8/16/2019 NCLEX Endocrine

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The nurse is collecting data regarding a client after a thyroidectomy and notes that the client has

developed hoarseness and a weak voice. Which nursing action is appropriate?

Reassure the client that this is usually a temporary condition.

The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus

regarding proper foot care. Which instruction should be included in the plan of care?

Apply a moisturizing lotion to dry feet, but not between the toes.

The nurse provides dietary instructions to a client with diabetes mellitus regarding the

prescribed diabetic diet. Which statement made by the client indicates the need for further

teaching?

"I need to buy special dietetic foods.”

A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily

insulin injections. Which teaching information should the nurse reinforce upon discharge?

Rotate the insulin injection sites systematically.

The nurse reinforces teaching with a client with diabetes mellitus regarding differentiating

between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the

teaching by stating that glucose will be taken if which symptom develops?

Shakiness

When the nurse is reinforcing instructions to a client who has been newly diagnosed with type 1

diabetes mellitus, which statement by the client would indicate that teaching has been effective?

"I will notify my health care provider if my blood glucose level is consistently greater than 250

mg/dL."

The nurse is monitoring a client who has been newly diagnosed with diabetes mellitus for signs

of complications. Which statement made by the client would indicate hyperglycemia and thus

warrant health care provider notification?

"I am urinating a lot.”



The nurse is reinforcing instructions with a client with diabetes mellitus who is recovering from

diabetic ketoacidosis (DKA) regarding measures to prevent a recurrence. Which instruction is

important for the nurse to emphasize?

Monitor blood glucose levels frequently.

The nurse is reinforcing discharge teaching with a client who has Cushing's syndrome. Which

statement by the client indicates that the instructions related to dietary management were

understood?

"I can eat foods that contain potassium.”

The nurse educator is asking the nursing student to recall the signs/symptoms ofhypothyroidism. The nurse educator determines that the student understands this disorder if

which are included in the student's response? Select all that apply.

Dry skin

Constipation

Cold intolerance

The nurse is caring for a postoperative parathyroidectomy client. Which would require the

nurse's immediate attention?

Laryngeal stridor

The nurse notes that a client with type 1 diabetes mellitus has lipodystrophy on both upper

thighs. Which further information should the nurse obtain from the client during data collection?

Plan for injection rotation

A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of

hypoglycemia. Which statement by the client indicates a correct understanding of Humulin N

insulin and exercise?

"I should not exercise in the late afternoon.”

The nursing instructor asks a student to describe the pathophysiology that occurs in Cushing's

disease. Which statement by the student indicates an accurate understanding of this disorder?



"Cushing's disease is characterized by an oversecretion of glucocorticoid hormones.”

A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is

reinforcing instructions to the client regarding the program. Which should the nurse include in

the instructions?

Take a blood glucose test before exercising.

The nurse should expect to note which interventions in the plan of care for a client with

hypothyroidism? Select all that apply.

Instruct the client about thyroid replacement therapy.

Encourage the client to consume fluids and high-fiber foods in the diet.

Instruct the client to contact the health care provider if episodes of chest pain occur.

Which client complaint should alert the nurse to a possible hypoglycemic reaction?

Tremors and double vision

Which nursing action would be appropriate to implement when a client has a diagnosis of

pheochromocytoma?

Monitor the client's blood pressure.

The nurse is caring for a client with pheochromocytoma. The client is scheduled for an

adrenalectomy. During the preoperative period, the priority nursing action should be to monitor

which criterion?

Vital signs

The nurse is caring for a client with pheochromocytoma. The client asks for a snack and

something warm to drink. Which is the appropriate choice for this client to meet nutritional

needs?

Graham crackers and warm milk

The nurse is caring for a client with pheochromocytoma. Which data are indicative of a potential

complication associated with this disorder?

Congestion heard on auscultation of the lungs



The nurse is caring for a client after a thyroidectomy and monitoring for signs of thyroid storm.

The nurse determines that which sign/symptom is indicative that a thyroid storm may be

occurring?

Blood pressure of 80/60 mmHg

When caring for a client who is having clear drainage from his nares after transsphenoidal

hypophysectomy, which action by the nurse is essential?

Test the drainage for glucose.

After several diagnostic tests, a client is diagnosed with diabetes insipidus. The nurse

understands that which signs/symptoms are indicative of this disorder?

Excessive thirst and urine output

Which signs/symptoms should the nurse expect to note when collecting data on a client with

Addison's disease?

Hypotension and vomiting

Which measure should the nurse anticipate being included in the plan of care for a client who

has been diagnosed with Graves' disease?

A restful environment

The nurse is preparing to reinforce instructions to a client with Addison's disease regarding diet

therapy. The nurse understands that which diet should be prescribed for this client?

High-sodium, high-carbohydrate diet

The nurse is caring for a client with a diagnosis of hypoparathyroidism. The nurse reviews the

client's laboratory results and notes that the calcium level is extremely low. The nurse should

expect to note which sign/symptom on data collection?

Positive Trousseau's sign



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 signs of this complication

should be included on the list?

Increased thirst

The nurse enters the room of a client with type 1 diabetes mellitus and finds the client difficult to

arouse. The client's skin is warm and flushed, and the pulse and respiratory rate are elevated

from the client's baseline. Which action should the nurse implement?

Check the client's capillary blood glucose.

A client with type 1 diabetes mellitus takes NPH insulin every morning and checks the blood

glucose level four times per day. The client tells the nurse that yesterday the late afternoon

blood glucose was 60 mg/dL and that she "felt funny." Which statement by the client indicatesan understanding of this occurrence?

"I forgot to take my usual mid-afternoon snack yesterday.”

The nurse is reinforcing instructions to a client with diabetes mellitus about blood glucose

monitoring and monitoring for signs of hypoglycemia. The nurse should teach the client that

which result is a sign of hypoglycemia?

Less than 50 mg/dL

The nurse caring for a client scheduled for a transsphenoidal hypophysectomy to remove a

tumor in the pituitary gland assists in developing a plan of care for the client. The nurse

suggests including which specific information in the preoperative teaching plan?

Toothbrushing will not be permitted for at least 2 weeks following surgery.

Following hypophysectomy, a client complains of being very thirsty and having to urinate

frequently. Which is the initial nursing action?

Check the urine specific gravity

The nurse is reviewing a health care provider's prescriptions for a client with newly diagnosed,

untreated hypothyroidism. Which medication prescribed for the client should the nurse question

and verify?



Morphine sulfate

A client is brought to the emergency department in an unresponsive state, and a diagnosis of

hyperglycemic hyperosmolar state (HHS) is made. The nurse who is assisting with care for the

client obtains which item in preparation for the treatment of this syndrome?

Intravenous (IV) infusion of normal saline

A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency

department. Which finding should the nurse expect to note as confirming this diagnosis?

Elevated blood glucose and low plasma bicarbonate

A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial

serum glucose level was 950 mg/dL. Intravenous (IV) insulin was started along with rehydrationwith IV normal saline. The serum glucose level is now 240 mg/dL. The nurse who is assisting in

caring for the client obtains which item, anticipating a health care provider's prescription?

IV infusion containing 5% dextrose

A client with diabetes mellitus is being discharged following treatment for hyperglycemic

hyperosmolar state (HHS) precipitated by acute illness. The client states to the nurse, "I will call

the doctor next time I can't eat for more than a day or so." The nurse plans care, understanding

that which statement accurately reflects this client's level of knowledge?

The client needs immediate education before discharge.

A health care provider has prescribed propylthiouracil (PTU) for a client with hyperthyroidism,

and the nurse assists in developing a plan of care for the client. Which nursing measure would

be included in the plan regarding this medication?

Signs and symptoms of hypothyroidism

The nurse is assisting in preparing a care plan for a client with diabetes mellitus who has

hyperglycemia. The nurse should focus on which potential problem for this client?

Dehydration

The nurse is assigned to care for a client at home who has a diagnosis of type 1 diabetes

mellitus. When the nurse arrives to care for the client, the client tells the nurse that she has



been vomiting and has diarrhea. Which additional statement by the client indicates a need for

further teaching?

"I need to stop my insulin.”

The nurse is assigned to assist in caring for a client admitted to the emergency department with

diabetic ketoacidosis (DKA). Which is the priority nursing action for this client who is in the acute

phase?

Administer intravenous (IV) regular insulin.

A client with type 2 diabetes mellitus has a blood glucose of more than 600 mg/dL and is

complaining of polydipsia, polyuria, weight loss, and weakness. The nurse reviews the health

care provider's documentation and would expect to note which diagnosis?

Hyperglycemic hyperosmolar state (HHS)

The nurse has collected data on a client with diabetes mellitus. Findings include a fasting blood

glucose of 130 mg/dL, temperature 101° F, pulse of 88 beats per minute, respirations of 22

breaths per minute, and a blood pressure of 118/78 mm Hg. Which finding would be of concern

to the nurse?

Temperature

The nurse is collecting data from a client newly diagnosed with diabetes mellitus regarding theclient's learning readiness. Which client behavior indicates to the nurse that the client is not

ready to learn?

The client complains of fatigue whenever the nurse plans a teaching session.

A client with diabetes mellitus visits the health care clinic. The client previously had been well

controlled with glyburide (DiaBeta), but recently, the fasting blood glucose has been running 180

to 200 mg/dL. Which medication, if added to the client's regimen, may be contributing to the

hyperglycemia?

Prednisone

The nurse in an outpatient diabetes clinic is assisting in caring for a client on insulin pump

therapy. Which statement by the client indicates that a need for teaching regarding insulin pump

therapy?



"Now that I have this pump, I don't have to worry about insulin reactions or ketoacidosis

occurring again.”

A client with Graves' disease has exophthalmos and is experiencing photophobia. Which

intervention would best assist the client with this problem?

Obtaining dark glasses for the client

The nurse caring for a client who has had a subtotal thyroidectomy reviews the plan of care and

determines which problem is the priority for this client in the immediate postoperative period?

Bleeding

A comatose client with an admitting diagnosis of diabetic ketoacidosis (DKA) has a blood

glucose value of 368 mg/dL, arterial pH of 7.2, arterial bicarbonate of 14 mEq/L, and is positive

for serum ketones. The diagnosis is supported by which noted data?

Fruity breath odor

The nurse is collecting data on a client admitted to the hospital with a diagnosis of myxedema.

Which data collection technique would provide data necessary to support the admitting

diagnosis?

Inspection of facial features

A client with Cushing's disease is being admitted to the hospital after a stab wound to the

abdomen. The nurse plans care and places highest priority on which potential problem?

Infection

The nurse has reinforced instructions about measuring blood glucose levels to a client newly

diagnosed with diabetes mellitus. The nurse determines that the client understands the

procedure when making which most accurate statement?

"I should check my blood glucose level before eating each meal, regardless of how much I eat."

The nurse is reinforcing dietary instructions to a client newly diagnosed with diabetes mellitus.

The nurse accurately instructs the client with which statement?



It is best to eat meals at approximately the same time each day.

A client with diabetes mellitus who takes insulin is seen in the health care clinic. The client tells

the nurse that after giving the injection, the insulin seems to leak through the skin. The nurse

can appropriately determine the problem by asking the client which?

"Are you rotating the injection site?”

The nurse is reinforcing instructions to a client newly diagnosed with diabetes mellitus regarding

insulin administration. The health care provider has prescribed a mixture of NPH and regular

insulin. The nurse should stress that which is the first step?

Inject air equal to the amount of NPH insulin prescribed into the vial of NPH insulin.

The nurse is reviewing the prescriptions of a client diagnosed with diabetes mellitus who was

admitted because of an infected foot ulcer. Which health care provider's prescription supportsthe treatment of this condition?

An increased amount of NPH daily insulin

The nurse is assisting in preparing a plan of care for the client with diabetes mellitus and plans

to reinforce the client's understanding regarding the signs/symptoms of hypoglycemia. Which

signs/symptoms should the nurse review?

Elevated pulse; shakiness; and cool, clammy skin

The nurse notes in the medical record that a client with Cushing's syndrome is experiencing fluid

overload. Which interventions should be included in the plan of care? Select all that apply.

Monitoring daily weight

Monitoring intake and output

Maintaining a low-sodium diet

Monitoring extremities for edema

A nursing student notes in the medical record that a client with Cushing's syndrome is

experiencing body image disturbances. The need for additional education regarding this

problem is identified when the nursing student suggests which nursing intervention?

Evaluating the client's understanding that the body changes need to be dealt with



The nurse is caring for a client following an adrenalectomy and is monitoring for signs of adrenal

insufficiency. Which are signs and symptoms related to adrenal insufficiency? Select all that

apply.

Fever

Weakness

Hypotension

Mental status changes

The nurse is reinforcing home care instructions to a client with a diagnosis of Cushing's

syndrome. Which client statement reflects a need for further teaching?

I need to read the labels on any over-the-counter medications I purchase.”

The nurse is reviewing a plan of care for a client with Addison's disease. The nurse notes thatthe client is at risk for dehydration and suggests nursing interventions that will prevent this

occurrence. Which nursing intervention is an appropriate component of the plan of care? Select

all that apply.

Monitoring intake and output

Monitoring for changes in mental status

Encouraging fluid intake of at least 3000 mL/day

The nurse is reviewing the postoperative prescriptions for a client who had a transsphenoidal

hypophysectomy. Which health care provider's prescription noted on the record indicates theneed for clarification?

Apply a loose dressing if any clear drainage is noted.

The nurse reviews a plan of care for a postoperative client following a thyroidectomy and notes

that the client is at risk for breathing difficulty. Which nursing intervention should the nurse

include in the plan of care?

Monitor neck circumference frequently.

The nurse is monitoring a client following a thyroidectomy for signs/symptoms of hypocalcemia.

Which sign/symptom noted in the client indicates the presence of hypocalcemia?

Tingling around the mouth



The nurse is caring for a client following a thyroidectomy. The client tells the nurse that she is

concerned because of voice hoarseness. The client asks the nurse whether the hoarseness will

subside. Which statement by the nurse regarding the hoarseness is accurate?

The hoarseness is normal and will gradually subside.

The nurse is monitoring a client with Graves' disease for signs of thyrotoxic crisis (thyroid storm).

Which signs and symptoms noted in the client should alert the nurse to the presence of this

crisis? Select all that apply.

Fever

Sweating

Agitation

Which client is at risk for developing thyrotoxicosis?

A client with Graves' disease who is having surgery

The nurse is caring for a client diagnosed with hyperparathyroidism who is prescribed

furosemide (Lasix). The nurse reinforces dietary instructions to the client. Which is an

appropriate instruction?

Drink at least 2 to 3 L of fluid daily.

The nurse has reinforced instructions to the client with hyperparathyroidism regarding homecare measures related to exercise. Which statement by the client indicates a need for further

teaching? Select all that apply.

"I need to limit playing football to only the weekends.”

I should exercise in the evening to encourage a good sleep pattern.”

The nurse has reinforced dietary instructions to a client with a diagnosis of hypoparathyroidism.

The nurse instructs the client to include which item in the diet?

Vegetables

The nurse has reinforced home care measures to a client diagnosed with diabetes mellitus

regarding exercise and insulin administration. Which statement by the client indicates a need for

further teaching?

"I should perform my exercise at peak insulin time.”



The nurse is caring for a client newly diagnosed with diabetes mellitus. The client asks the nurse

whether eating at a restaurant will affect the diabetic control and whether this is allowed. Which

nursing response is appropriate?

"You should order a half-portion meal and have fresh fruit for dessert.”

A client who is managing diabetes mellitus with insulin injections asks the nurse for information

about any necessary changes in her diet to avoid hyperinsulinism. Which diet would be

appropriate for the client?

Small frequent meals with protein, fat, and carbohydrates at each meal

A client has an endocrine system dysfunction of the pancreas. The nurse anticipates that the

client will exhibit impaired secretion of which substance?

Insulin

The nurse is reinforcing discharge instructions to a client who had a unilateral adrenalectomy.

Which information should be a component of the instructions?

Instructions about early signs of a wound infection

The nurse is caring for a client experiencing thyroid storm. Which should be a priority concern

for this client?

Potential for cardiac disturbances

The nurse is collecting data on a client with hyperparathyroidism. Which question would elicit

accurate information about this condition from the client?

"Are you experiencing pain in your joints?”

A client is in metabolic acidosis caused by diabetic ketoacidosis (DKA). The nurse prepares for

the administration of which medication as a primary treatment for this problem?

Regular insulin

The nurse is caring for a postoperative adrenalectomy client. Which finding does the nurse

specifically monitor for in this client?



Signs and symptoms of hypovolemia

The nurse is caring for a client with a diagnosis of myasthenia gravis. The health care provider

plans to perform an edrophonium (Enlon) test on the client to determine the presence of

cholinergic crisis. In addition to planning care for the client during this testing, which equipment

will the nurse ensure is at the bedside?

Oxygen equipment

A client with myxedema has changes in intellectual function such as impaired memory,

decreased attention span, and lethargy. The client's husband is upset and shares his concerns

with the nurse. Which statement by the nurse is helpful to the client's husband?

"It's seems that you are concerned about your wife's condition, but the symptoms may improve

with continued therapy.”

A client with hypoparathyroidism has hypocalcemia. The nurse avoids giving the client the

prescribed vitamin and calcium supplement with which liquid?

Milk

A client is diagnosed with hyperparathyroidism. The nurse teaching the client about dietary

alterations to manage the disorder tells the client to limit which food in the diet?

Ice cream

The nurse participating in a free health screening at the local mall obtains a random blood

glucose level of 200 mg/dL on an otherwise healthy client. The nurse tells the client to do which

as a next step?

Call the health care provider to have the value rechecked as soon as possible.

The nurse is instructing a client with Addison's disease about a newly prescribed medication,

fludrocortisone acetate (Florinef). Which statement by the client indicates a need for further

teaching?

"I will be glad to gain weight.”

The nurse reviews the nursing care plan of an older client with diabetic neuropathy of the lower

extremities as a result of type 2 diabetes mellitus. The nurse plans care, knowing that which

problem has the highest priority for this client?



The possibility of injury as a result of decreased sensation in the legs and feet

An older client with a history of hyperparathyroidism and severe osteoporosis is hospitalized.

The nurse caring for the client plans to address which problem first?

The possibility of injury

A client has been diagnosed with hypoparathyroidism. Which food groups should be included in

the diet?

Low in phosphorus and high in calcium

A hospitalized client is newly diagnosed with diabetes mellitus. The client must take both NPHand Regular insulin for glucose control. The nurse develops a teaching plan to help the client

meet which outcome as a first step in managing the disease?

Adjust insulin according to capillary blood glucose levels.

A client newly diagnosed with diabetes mellitus takes NPH insulin every day at 7:00 am. The

nurse has taught the client how to recognize the signs of hypoglycemia. The nurse determines

that the client understands the information presented if the client watches for which signs and

symptoms in the late afternoon?

Hunger; shakiness; and cool, clammy skin

A client newly diagnosed with diabetes mellitus is having difficulty learning the technique of

blood glucose measurement. The nurse should teach the client to do which action to perform

the procedure properly?

Let the arm hang dependently and milk the digit.

The nurse is planning to instruct a client with diabetes mellitus who has hypertension about "sick

day management." Which beverage does the nurse avoid putting on a list of easily consumed

carbohydrate-containing beverages for use when the client cannot tolerate food orally?

Mineral water



The nurse is monitoring the results of periodic serum laboratory studies drawn on a client with

diabetic ketoacidosis (DKA) receiving an insulin infusion. The nurse determines that which value

needs to be reported?

Potassium 3.1 mEq/L

The wife of a client with diabetes mellitus who takes insulin calls the nurse in a health care

provider's office about her husband. She states that her husband is sleepy and that his skin is

warm and flushed. She adds that his breathing is faster than normal and his pulse rate seems

fast. Which action should the nurse tell the wife to do first?

Check his blood glucose level.

A client recently diagnosed with diabetes mellitus requiring insulin tells the clinic nurse that he is

traveling by air throughout the next week. The client asks the nurse for any suggestions aboutmanaging the disorder while traveling. Which action should the nurse tell the client to do?

Keep snacks in carry-on luggage to prevent hypoglycemia during the flight.

A client scheduled for a thyroidectomy says to the nurse, "I am so scared to get cut in my neck."

Based on the client's statement, the nurse determines that the client is experiencing which

problem?

Fear about impending surgery

The nurse is caring for a client with Addison's disease. The nurse checks the client's vital signs

and determines that the client has orthostatic hypotension. The nurse determines that this

finding relates to which factor?

A decreased secretion of aldosterone

Which nursing measure would be effective in preventing complications in a client with Addison's

disease?

Monitoring the blood glucose

The nurse is collecting data on a client with a diagnosis of hypothyroidism. Which of these

behaviors, if present in the client's history, should the nurse determine as being likely related to

the symptoms of this disorder?

Depression



While collecting data on a client being prepared for an adrenalectomy, the nurse obtains a

temperature reading of 100.8° F. The nurse analyzes this temperature reading as which?

A finding that needs to be reported immediately

The anticipated intended effect of fludrocortisone acetate (Florinef) for the treatment of

Addison's disease is which?

Promote electrolyte balance.

The nurse is caring for a client with hypothyroidism who is overweight. Which food items should

the nurse suggest to include in the plan?

Skim milk, apples, whole-grain bread, and cereal

A client has a blood glucose level drawn for suspected hyperglycemia. After interviewing the

client, the nurse determines that the client ate lunch approximately 2 hours before the blood

specimen was drawn. The laboratory reports the blood glucose to be 180 mg/dL, and the nurse

analyzes this result as indicative of which interpretation?

Elevated from the normal value

In planning nutrition for the client with hypoparathyroidism, which diet would be appropriate?

High in calcium and low phosphorous

The nurse is caring for a client with type 1 diabetes mellitus who is hyperglycemic. Which

problem should the nurse consider first, when planning care for this client?

Signs of dehydration

A preoperative client is scheduled for adrenalectomy to remove a pheochromocytoma. The

nurse should most closely monitor which assessment in the preoperative period?

Vital signs



The nurse working on an endocrine nursing unit understands that which correct concept is used

in planning care?

Clients who have hyperparathyroidism should be protected against falls.

Glucagon hydrochloride injection would most likely be prescribed for which disorder?

Type 1 diabetes mellitus

The nurse is caring for a child with a diagnosis of diabetes insipidus. The nurse anticipates that

the health care provider will prescribe which medications?

Desmopressin acetate (DDAVP)

When caring for a client diagnosed with pheochromocytoma, which information should the nurseknow when assisting with planning care?

Excessive catecholamines are released.

A client with pheochromocytoma is scheduled for surgery and says to the nurse, "I'm not sure

that surgery is the best thing to do." Which response by the nurse is appropriate?

"You have concerns about the surgical treatment for your condition?”

A client with Cushing's syndrome verbalizes concern to the nurse regarding the appearance ofthe buffalo hump that has developed. Which response by the nurse is appropriate?

"Usually, these physical changes slowly improve following treatment.”

A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the

treatment of hyperglycemia. Which intervention would be appropriate to decrease the client's

anxiety?

Convey empathy, trust, and respect toward the client.

The nurse is collecting data from a client with type 2 diabetes mellitus. Which statement by the

client indicates an understanding of the medication regimen?

"The medication that I am taking helps release the insulin I already make.”



The nurse is collecting data from a client who is being admitted to the hospital for a diagnostic

workup for primary hyperparathyroidism. The nurse understands that which client complaint

would be characteristic of this disorder?

Polyuria

The nurse is preparing to discharge a client who has had a parathyroidectomy. When reinforcing

instructions to the client about the prescribed oral calcium supplement, which information should

the nurse include?

Take the calcium 30 to 60 minutes following a meal.

A client is brought to the emergency department with suspected diabetic ketoacidosis (DKA).

Which finding should the nurse note as being consistent with this diagnosis?

High serum glucose level and low serum bicarbonate level

A client is admitted with a diagnosis of pheochromocytoma. The nurse should monitor which

parameter to detect the most common sign of pheochromocytoma?

Blood pressure elevation

During data collection on a postoperative client who has undergone hypophysectomy, the client

complains of thirst and frequent urination. Knowing the expected complication of this surgery,

the nurse should check which parameter next?

Urine specific gravity

A client with diabetes mellitus is scheduled to have a fasting blood glucose level determined in

the morning. The nurse tells the client not to eat or drink after midnight. When the client asks for

further information, the nurse clarifies by stating that which should be acceptable to take before

the test?

Water

A client with a pituitary tumor will undergo transsphenoidal hypophysectomy. The nurse

reinforces which information in the preoperative teaching plan for the client?

Blowing the nose following surgery is prohibited.



A client who returned to the nursing unit 8 hours ago after hypophysectomy has clear drainage

saturating the nasal dressing. The nurse should take which action?

Test the drainage for glucose.

A client with newly diagnosed Cushing's syndrome expresses concern about personal

appearance, specifically about the "buffalo hump" that has developed at the base of the neck.

When counseling the client about this symptom, the nurse should incorporate which knowledge?

It may slowly improve with treatment of the disorder.

A client has just been admitted with a diagnosis of myxedema coma. If all of the following

interventions were prescribed, the nurse should place highest priority on completing which

action first?

Administering oxygen

The nurse has just supervised a newly diagnosed diabetes mellitus client self-inject NPH insulin

at 7:30 . The nurse reviews the time frames for peak insulin action with the client, telling theᴀᴍ

client to be especially watchful for a hypoglycemic reaction between which time frame?

1:30 and 7:30ᴘᴍ ᴘᴍ

The nurse is discussing foot care with a diabetic client and the spouse. The nurse includeswhich instruction during this informational session?

The toenails should be cut straight across.

The nurse has provided diabetic teaching with the family of a client newly diagnosed with

diabetes. The nurse determines that the family understands the reason for having glucagon on

hand for emergency home use if the family indicates that the purpose of the medication is to

treat which condition?

Hypoglycemia from insulin overdose

After receiving furosemide (Lasix) 40 mg slow intravenous push for chest pain related to

shortness of breath and generalized edema, the client responds poorly. The client has no relief

of the chest pain, shortness of breath, or edema and only minimal urine output (less than 40 mL

of urine). The health care provider is notified, and after reviewing the chart, suspects the client



has syndrome of inappropriate antidiuretic hormone (SIADH). Which findings would lead to this

specific diagnosis? Refer to chart.

Minimal responsiveness to furosemide (Lasix) and small cell lung cancer

NCLEX Endocrine

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