Title RECALLS 8 - NP4 - SC ✅

14. The client is admitted to the intensive care department and diagnosed with myxedema coma. Which assessment data warrant immediate intervention by the nurse? A. Serum blood glucose level of 74 mg/dL. B. Pulse oximeter reading of 90%. C. Telemetry reading showing sinus bradycardia. D. The client is lethargic and sleeps all the time. 15. Propylthiouracil (PTU) is prescribed for a client diagnosed with hyperthyroidism. The client asks the nurse, “Why do I have to take this medication if I am going to get the atomic cocktail? ” The nurse explains that the medication is being prescribed because it decreases the: A. vascularity of the thyroid gland. B. production of thyroid hormones. C. need for thyroid iodine supplements. D. amount of already formed thyroid hormones. 16. A 21-year-old patient with hyperthyroidism complains of her “ugly” appearance and ask, “Will I always look so terrible?” What is the nurse best response? A. Makeup can help your protruding eyes seem less noticeable. B. “Your appearance doesn’t matter. It’s what’s inside that counts.” C. “With treatment, the fluid buildup behind your eyes will decrease.” D. “If you cut back the fluids, the swelling behind your eyes will go down.” 17. The patient with hyperparathyroidism should have extremities handled gently because: A. Decreased calcium bone deposits can lead to pathologic fractures. B. Edema causes stretched tissues to tear easily. C. hypertension can lead to stroke with residual paralysis D. Polyuria leads to dry skin and mucous membranes that can break down 18. Which medication should be available to provide emergency treatment if a client develops tetany after a subtotal thyroidectomy? A. sodium phosphate B. calcium gluconate C. echothiophate iodide D. sodium bicarbonate 19. A client with hyperthyroidism is to take saturated solution of potassium iodide (SSKI). What should the nurse do when administering this drug? A. Pour the solution over ice chips, popsicle, or ice cream. B. Mix the solution with an antacid after the patient’s last meal. C. Dilute the solution with carbonated drink and have the client drink it with a straw. D. Disguise the solution in a pureed fruit or vegetable and let the patient enjoy their meal. 20. A nurse is caring for a patient diagnosed with hypoparathyroidism. Laboratory tests reveal hypocalcemia. Which statement best describes the role of calcitonin in this patient’s condition? A. Calcitonin increases serum calcium levels by stimulating osteoclast activity. B. Calcitonin decreases serum calcium levels by inhibiting bone resorption. C. C. Calcitonin has no effect on calcium regulation in hypoparathyroidism. D. D. Calcitonin increases parathyroid hormone secretion to maintain calcium balance. Situation: A 56-year-old patient has been diagnose to have type 2 Diabetes Mellitus and has been admitted due to headache and blurring of vision. She had been on insulin therapy for almost 10 years now. 21. Which of the following diagnostic test do you expect to be ordered by the diabetologist as an indicator that the patient is compliant to her prescribed diet? A. Oral glucose tolerance test B. Glycosated hemoglobin level C. Fasting blood glucose level D. Finger glucose findings for one day 22. Before supper, an adult client who has type 2 diabetes and requires insulin tells the nurse about having tremors and being weak and anxious. What should the nurse do next? A. Tell the client to lie down for 30 minutes. B. Have the client drink a glass of milk or orange juice. C. Administer IM glucagon D. Administer the next dose of insulin. 23. Which nursing intervention should be done first when managing a pediatric client admitted to the emergency department with severe diabetic ketoacidosis (DKA)? A. Begin an insulin drip to lower the client’s blood glucose level. B. Correct any fluid deficit using an isotonic saline solution. C. Draw a blood glucose level and serum electrolyte panel. D. Secure the client’s airway to ensure adequate ventilation. 24. A client with type 1 diabetes mellitus has diabetic ketoacidosis. Which finding has the greatest effect on fluid loss? A. hypotension B. decreased serum potassium level C. rapid, deep respirations D. warm, dry skin 25. A nurse enters the comfort room and finds a client with Diabetes Mellitus sitting on the floor, appearing confused and disoriented. Which action should the nurse take first? A. Obtain a capillary blood glucose reading B. Administer a prescribed insulin dose C. Administer intramuscular glucagon D. Inform the attending physician immediately 26. The nurse is performing discharge teaching for a client diagnosed with Cushing’s disease. Which statement by the client demonstrates an understanding of the instructions? A. “I will be sure to notify my health-care provider if I start to run a fever.” B. “Before I stop taking the prednisone, I will be taught how to taper it off.” C. “If I get weak and shaky, I need to eat some hard candy or drink some juice.” D. “It is fine if I continue to participate in weekend games of tackle football.” 27. The client diagnosed with Addison’s disease is admitted to the emergency department after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should the nurse implement? A. Start an IV with an 18-gauge needle and infuse NS rapidly. B. Have the client stay in the waiting room until a bed is available. C. Obtain a permit for the client to receive a blood transfusion. D. Collect urinalysis and blood samples for a CBC and calcium level. 28. The nurse is instructing a college student with Addison’s disease how to adjust the dose of glucocorticoids. The nurse should explain that the patient may need an increased dosage of glucocorticoids in which situation? A. completing course work. B. gaining 4 lb (1.8 kg) C. becoming engaged D. having wisdom teeth extracted 29. Which goal is the priority for a client in addisonian crisis? A. controlling hypertension B. preventing irreversible shock C. preventing infection D. relieving anxiety 30. Which of the following patient statements would indicate that no further teaching is needed for a client newly diagnosed with Addison’s disease who will be taking corticosteroids? A. "I know I need to watch for signs of high blood sugar while I’m on this medication." B. "I will adjust my steroid dose depending on how much I eat or how much exercise I do." C. "If my blood pressure suddenly gets very high, I will notify my health care provider right away." D. "If I’m under a lot of stress, I should lower my corticosteroid dose to avoid side effects." 2 | Page