Title RECALLS 8 - NP4 - SC ✅

31. When teaching a client about taking oral glucocorticoids, how should the nurse instruct the client to take the medication? A. with a full glass of water B. on an empty stomach C. at bedtime to increase absorption D. with meals or with an antacid 32. Which indicator is best for determining whether a client with Addison’s disease is receiving the correct amount of glucocorticoid replacement? A. skin turgor B. temperature C. thirst D. daily weight 33. A client diagnosed with Cushing’s syndrome is admitted to the hospital and scheduled for a dexamethasone suppression test. What should the nurse do during this test? A. Collect a 24-hour urine specimen to measure serum cortisol levels. B. Administer 1 mg of dexamethasone orally at night and obtain serum cortisol levels the next morning. C. Draw blood samples before and after exercise to evaluate the effect of exercise on serum cortisol levels. D. Administer an injection of adrenocorticotropic hormone (ACTH) 30 minutes before drawing blood to measure serum cortisol levels. 34. Bone resorption is a possible complication of Cushing’s disease. To help the client prevent this complication, what should the nurse recommend to the client? A. Increase the amount of potassium in the diet. B. Maintain a regular program of weight-bearing exercise. C. Limit dietary vitamin D intake. D. Perform isometric exercises. 35. A client has an adrenal tumor and is scheduled for a bilateral adrenalectomy. During preoperative teaching, the nurse teaches the client how to do deep-breathing exercises after surgery. What should the nurse tell the client to do? A. “Sit in an upright position, and take a deep breath.” B. “Hold your abdomen firmly with a pillow, and take several deep breaths.” C. “Tighten your stomach muscles as you inhale, and breathe normally.” D. “Raise your shoulders to expand your chest.” 36. The client is admitted to the medical department with a diagnosis of rule-out (R/O) acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis? A. Creatinine and blood urea nitrogen (BUN) B. Troponin and creatine kinase-MB (CK-MB) C. Serum amylase and lipase D. Serum bilirubin and calcium 37. Which client problem has priority for the client diagnosed with acute pancreatitis? A. Risk for fluid volume deficit B. Alteration in comfort C. Imbalanced nutrition: less than body requirements D. Knowledge deficit 38. The nurse is preparing to administer morning medications to clients. Which medication should the nurse question before administering? A. Pancreatic enzymes to the client who has finished breakfast B. The pain medication, morphine, to the client who has a respiratory rate of 20 C. The loop diuretic to the client who has a serum potassium level of 3.9 mEq/L D. The beta blocker to the client who has an apical pulse of 68 bpm 39. The nurse is administering a pancreatic enzyme to the client diagnosed with chronic pancreatitis. Which statement best explains the rationale for administering this medication? A. It is an exogenous source of protease, amylase, and lipase B. This enzyme increases the number of bowel movements C. This medication breaks down in the stomach to help with digestion D. Pancreatic enzymes help break down fat in the small intestine 40. The nurse is completing discharge teaching to the client diagnosed with acute pancreatitis. Which instruction should the nurse discuss with the client? A. Instruct the client to decrease alcohol intake B. Explain the need to avoid all stress C. Discuss the importance of stopping smoking D. Teach the correct way to take pancreatic enzymes 41. Which laboratory value should be monitored by the nurse for the client diagnosed with diabetes insipidus? A. Serum sodium B. Serum calcium C. Urine glucose D. Urine white blood cells 42. The nurse is discharging a client diagnosed with diabetes insipidus. Which statement made by the client warrants further intervention? A. “I will keep a list of my medications in my wallet and wear a Medic Alert bracelet.” B. “I should take my medication in the morning and leave it refrigerated at home.” C. “I should weigh myself every morning and record any weight gain.” D. “If I develop a tightness in my chest, I will call my health-care provider.” 43. The client is admitted to the medical unit with a diagnosis of rule-out diabetes insipidus (DI). Which instructions should the nurse teach regarding a fluid deprivation test? A. The client will be asked to drink 100 mL of fluid as rapidly as possible and then will not be allowed fluid for 24 hours. B. The client will be administered an injection of antidiuretic hormone (ADH), and urine output will be measured for 4 to 6 hours. C. The client will have nothing by mouth (NPO), and vital signs and weights will be done hourly until the end of the test. D. An IV will be started with normal saline, and the client will be asked to try to hold the urine in the bladder until a sonogram can be done. 44. The nurse is caring for a client diagnosed with diabetes insipidus (DI). Which intervention should be implemented? A. Administer sliding-scale insulin as ordered B. Restrict caffeinated beverages C. Check urine ketones if blood glucose is >250 D. Assess tissue turgor every four (4) hours 45.A client with central diabetes insipidus is prescribed desmopressin (DDAVP) nasal spray. Which statement by the client indicates the need for further teaching? A. “I will weigh myself daily and report sudden weight gain.” B. “If I notice swelling in my hands or feet, I should contact my health-care provider.” C. “I should blow my nose just before taking the nasal spray.” D. “If I miss a dose, I can double the next one to make up for it.” 46. Which recommendation should the nurse suggest to an elderly client who lives alone when discussing normal developmental changes of the olfactory organs? A. Suggest installing multiple smoke alarms in the home B. Recommend using a night-light in the hallway and bathroom C. Discuss keeping a high-humidity atmosphere in the bedroom D. Encourage the client to smell food prior to eating it 47. The elderly male client tells the nurse, “My wife says her cooking hasn’t changed, but it is bland and tasteless.” Which response by the nurse is most appropriate? A. “Would you like me to talk to your wife about her cooking?” B. “Taste buds change with age, which may be why the food seems bland.” C. “This happens because the medications sometimes cause a change in taste.” D. “Why don’t you barbecue food on a grill if you don’t like your wife’s cooking?” 3 | Page