Nokea
The nurse discusses the long-term effects of diabetes mellitus with the client and realizes that the client needs further teaching when the client identifies which occurrence as a complication of this disease?
- A. Blindness
- B. Stroke
- C. Renal failure
- D. Liver failure
Correct Answer: D
Rationale: Liver failure is not a common complication of diabetes, unlike blindness, stroke, and renal failure.
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Which nursing interventions are most appropriate for nursing in the health of a client with Cushing's syndrome? Select all that apply.
- A. Have the client sleep on a convoluted (egg-crate) foam mattress.
- B. Ambulate the client at frequent intervals.
- C. Advise the client to ask for assistance when getting up.
- D. Offer high-carbohydrate nourishment.
- E. Check the client frequently for suicidal ideation.
- F. Instruct the client to wear loose-fitting clothing.
Correct Answer: A,C,E,F
Rationale: These interventions address skin breakdown, fall risk, mood changes, and comfort in Cushing's syndrome.
Which client history is most significant in the development of symptoms for a client who has iatrogenic Cushing's disease?
- A. Long-term use of anabolic steroids.
- B. Extended use of inhaled steroids for asthma.
- C. History of long-term glucocorticoid use.
- D. Family history of increased cortisol production.
Correct Answer: C
Rationale: Long-term glucocorticoid use causes iatrogenic Cushing’s by mimicking hypercortisolism. Anabolic/inhabited steroids and family history are less causative.
The client with an acute exacerbation of chronic pancreatitis has a nasogastric (N/G) tube. Which interventions should the nurse implement? Select all that apply.
- A. Monitor the client's bowel sounds.
- B. Monitor the client's food intake.
- C. Assess the client's intravenous site.
- D. Provide oral and nasal care.
- E. Monitor the client's blood glucose.
Correct Answer: A,C,D,E
Rationale: Monitoring bowel sounds, IV site, oral/nasal care, and glucose manage NG tube complications and pancreatitis-related risks (e.g., hyperglycemia). Food intake is irrelevant with NPO status.
The nurse is collecting information about the client who underwent a transsphenoidal removal of a pituitary tumor. Which findings should indicate to the nurse that the client is experiencing DI? Select all that apply.
- A. Serum osmolality 310 mOsm/kg
- B. Weight increased 2 kg in 24 hours
- C. Experiencing an extreme thirst
- D. Urine output 4200 mL in 24 hours
- E. BP averaging 164/92 mm Hg or higher
Correct Answer: A,C,D
Rationale: Elevated serum osmolality, extreme thirst, and high urine output indicate DI due to fluid loss and ADH deficiency.
A client develops hypoparathyroidism after a total thyroidectomy. What treatment should the nurse anticipate?
- A. Emergency tracheostomy
- B. Administration of calcium
- C. Oxygen administration
- D. Administration of potassium
Correct Answer: B
Rationale: Hypoparathyroidism causes hypocalcemia, requiring calcium administration to prevent tetany and other complications.