Nokea
The nurse is assessing a client with hyperparathyroidism. Which of the following findings would support a diagnosis of hyperparathyroidism?
- A. nephrolithiasis
- B. hyperphosphatemia
- C. diarrhea
- D. halitosis
Correct Answer: A
Rationale: Hyperparathyroidism increases calcium levels, leading to kidney stones (nephrolithiasis). Phosphorus levels drop, not rise, and diarrhea and halitosis are unrelated to this condition.
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The nurse is caring for a client receiving a continuous infusion of regular insulin. The nurse should plan to monitor which clinical data?
- A. Hourly blood glucose
- B. Potassium
- C. BUN and creatinine
- D. Gastric pH
- E. Fasting blood glucose
Correct Answer: A, B
Rationale: Insulin lowers glucose and shifts potassium into cells, risking hypokalemia. Hourly glucose and potassium monitoring are critical to adjust therapy and prevent complications.
The nurse is caring for a client with the syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding requires immediate follow-up?
- A. Disorientation
- B. High urine specific gravity
- C. Oliguria
- D. Increased thirst
Correct Answer: A
Rationale: SIADH causes water retention and hyponatremia, which can lead to disorientation—a neurological symptom requiring urgent follow-up to prevent seizures or coma. Other findings are expected.
The following scenario applies to the next 1 items
The nurse in the physician's office is providing education to a client with diabetes mellitus (type one)
Item 1 of 1
Nurses' Note
1655: Client reports to the clinic with an interest in a prescription for an insulin pump. The client reports that he has been inconvenienced by injecting himself with insulin over the past year, considering he is traveling more for work. The client indicates that he heard about insulin pumps and thinks it would be a good fit for his lifestyle.
Orders
1730:
Continuous subcutaneous insulin infusion (insulin pump)
The nurse evaluates the client's understanding following a teaching session regarding the newly prescribed continuous subcutaneous insulin infusion (insulin pump). Click to specify if the client statement indicates effective understanding or requires follow-up
- A. I will load my aspart insulin into my pump.
- B. I will change the infusion set every 5-7 days.
- C. By having this pump, I will be able to check my glucose level less often.
- D. I will keep an extra vial of insulin in my car.
- E. If I remove my pump, it could cause me to develop hypoglycemia.
- F. Using this pump will lower my risk for diabetic ketoacidosis.
- G. I should roll my vial of insulin prior to putting it into the pump.
Correct Answer: A
Rationale: Aspart is fast-acting, ideal for pumps, and rotating sites prevents complications. Pumps don't check glucose, car storage risks temperature damage, removal risks hyperglycemia, and DKA risk remains. Rolling insulin is unnecessary for pumps.
The nurse is preparing a presentation on Cushing's disease. It would be correct if the nurse states that Cushing's disease is caused by
- A. destruction to pancreatic beta cells.
- B. excessive discharge of thyroid-stimulating hormone (TSH).
- C. decrease in the secretion of androgens and glucocorticoids.
- D. increase in the secretion of adrenocorticotropin hormone (ACTH).
Correct Answer: D
Rationale: Cushing's disease results from excess ACTH from the pituitary, overstimulating cortisol production. Beta cell destruction, TSH, and decreased androgens/glucocorticoids are unrelated.
The nurse is caring for a client immediately following transsphenoidal hypophysectomy. It would be essential for the nurse to obtain a prescription for which medication?
- A. Ondansetron
- B. Methimazole
- C. Omeprazole
- D. Methylphenidate
Correct Answer: A
Rationale: Transsphenoidal hypophysectomy often causes nausea from surgical manipulation near the pituitary. Ondansetron controls postoperative nausea. Methimazole is for hyperthyroidism, omeprazole for gastric issues, and methylphenidate for attention disorders.