Title Care of Clients with Problems in Metabolism and Endocrine.pdf ✅

NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 14. Following the intravenous infusion of calcium, Nurse Allan should: A. Instruct the client to not to get out of bed without assistance B. Monitor the client for muscle spasms C. Place the client on an ECG monitor D. Administer oral etidronate disodium 15. Normally the antidiuretic hormone (ADH) influences kidney function by stimulating the: A. Nephron tubules to reabsorb water B. Glomerulus to withhold the proteins from the urine C. Nephron tubules to reabsorb glucose D. Glomerulus to control the quantity of fluid passing through it 16. A client is admitted for a series of tests to verify the diagnosis of Cushing’s syndrome. Which of the following assessment findings, if observed by the nurse, would support this diagnosis? A. Buffalo hump, hyperglycemia, and hypernatremia. B. Lethargy, weight gain, and intolerance to cold. C. Nervousness, tachycardia, and intolerance to heat. D. Irritability, moon face, and dry skin. 17. The PRIORITY nursing diagnosis for a client with Addison’s disease is: A. Fluid volume deficit B. Fluid volume excess C. Impaired skin integrity D. Impaired activity tolerance 18. The nurse is teaching diet restrictions for a client with Addison's disease. The client would indicate an understanding of the diet by stating: A. "I will increase sodium and fluids and restrict potassium." B. "I will increase potassium and sodium and restrict fluids." C. "I will increase sodium, potassium and fluids." D. "I will increase fluids and restrict sodium and potassium." 19. The following are signs and symptoms seen in a client with syndrome of inappropriate diuretic hormone (SIADH) secretion, EXCEPT: A. Dilute urine C. Weakness B. Confusion D. Muscle cramps 20. Nursing management for a client with SIADH include all of the following, EXCEPT: A. Close monitoring of daily weight B. Close monitoring of intake and output C. Increasing fluid intake D. Monitoring neurologic status 21. After several diagnostic tests, a client is diagnosed with diabetes insipidus. A nurse performs an assessment on the client, knowing that which symptom is MOST indicative of this order? A. Fatigue C. Polydipsia B. Diarrhea D. Weight gain 22. The nurse is caring for a patient admitted two days ago with a diagnosis of closed head injury. If the patient develops diabetes insipidus, the nurse would observe which of the following symptoms? A. Decerebrate posturing, BP 160/100, pulse 56. B. Cracked lips, urinary output of 4 L/24 h with a specific gravity of 1.004. C. Glucosuria, osmotic diuresis, loss of water and electrolytes. D. Weight gain of 5 lb, pulse 116, serum sodium 110 mEq/L. 23. At a senior citizens’ meeting a nurse talks with a client who has diabetes mellitus Type 1. Which statement by the client during the conversation is MOST predictive of a potential for impaired skin integrity? A. "I give my insulin to myself in my thighs." B. "Sometimes when I put my shoes on I don't know where my toes are." C. "Here are my up and down glucose readings that I wrote on my calendar." D. "If I bathe more than once a week my skin feels too dry." 24. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in an emergency room. Which finding would a nurse EXPECT to note as confirming this diagnosis? A. Comatose state B. Increased respirations and an increased in pH C. Decreased urine output D. Elevated blood glucose level and low plasma bicarbonate level. 25. During a visit, a client with a diagnosis of type 1 diabetes mellitus consults a nurse. The client relates a history of vomiting and diarrhea and tells the nurse that no food has been consumed for 36 hours. Which additional statement by the client indicates a need for further teaching? A. “I need to stop my insulin.” B. “I need to monitor my blood glucose every 3 to 4 hours.” C. “I need to increase my fluid intake.” D. “I need to call the physician because of these symptoms.” 26. The visiting nurse evaluates the progress of a client recently diagnosed with insulin-dependent diabetes mellitus (IDDM). As part of the treatment plan, the client receives Humulin N 32 units and Humulin R 8 units each morning. Which of the following actions, if performed by the client while preparing the morning insulin injection, would require an intervention by the nurse? A. After the client draws up 8 units of Humulin R, she adds Humulin N to the syringe for a total of 40 units. B. The client draws up 32 units of the cloudy insulin followed by 8 units of clear insulin for a total of 40 units. C. Initially, the client injects air into the Humulin N vial without drawing up any insulin. D. The client injects air into each bottle of insulin equal to the amount of insulin to be withdrawn. 27. Which of the following would be the BEST strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes? A. Give written pre and post tests B. Allow another diabetic to assist C. Ask questions during practice D. Observe a return demonstration