Nokea
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.
Correct Answer: B
Rationale: Tapering prednisone prevents adrenal crisis, indicating understanding. Fever notification is general, hypoglycemia is unrelated, and tackle football is unsafe.
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The nurse is caring for the client newly diagnosed with hypothyroidism. Which problem should the nurse include in the plan of care?
- A. Diarrhea due to gastrointestinal (GI) hypermotility
- B. Imbalanced nutrition due to insufficient calorie intake
- C. Activity intolerance due to increased metabolic rate
- D. Anxiety due to forgetfulness and slowed speech
Correct Answer: D
Rationale: Forgetfulness and slowed speech that occur with hypothyroidism can cause the client to be anxious.
Which client statement indicates the need for further teaching about thyroidectomy postoperative care?
- A. I should support my neck when sitting up.
- B. I may need calcium supplements.
- C. I can resume normal activities immediately.
- D. I should report any voice changes.
Correct Answer: C
Rationale: Resuming normal activities immediately post-thyroidectomy is incorrect due to the risk of complications like bleeding or hypocalcemia.
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.
Correct Answer: D
Rationale: Assessing tissue turgor monitors dehydration in DI due to excessive urine output. Insulin, ketones, and caffeine restriction are diabetes mellitus-related, not DI.
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.
Correct Answer: B
Rationale: Desmopressin (DI medication) requires consistent dosing, not morning-only, and storage instructions are vague; this needs clarification. Other statements are appropriate.
The nurse identifies the client problem 'risk for imbalanced body temperature' for the client diagnosed with hypothyroidism. Which intervention should be included in the plan of care?
- A. Discourage the use of an electric blanket.
- B. Assess the client's temperature every two (2) hours.
- C. Keep the room temperature cool.
- D. Space activities to promote rest.
Correct Answer: A
Rationale: Hypothyroidism causes cold intolerance; discouraging electric blankets prevents burns due to reduced sensation. Frequent temperature checks, cool rooms, and rest are less relevant.