21 days
What nursing instruction is significant for a patient scheduled for a thyroid scan?
Do not consume iodine for one week before the test
What has most likely occurred in a patient who has been diagnosed with endogenous hypoglycemia?
Excessive secretion of insulin or an increase in glucose metabolism
What is the main symptom of syndrome of inappropriate antidiuretic hormone?
Water retention
What is the primary nursing concern for a patient with hyperparathyroidism?
Potential urinary obstruction
How long does it take for Humulin R 20 units to peak?
2 hours
A nurse is caring for a client who has acromegaly. Which assessment finding should the nurse expect?
Visual disturbances
What are the classic symptoms of diabetes insipidus?
Diuresis, dehydration and thirst
What nursing intervention is essential for monitoring the client with diabetes insipidus?
Measuring intake and output
Which instruction should a nurse provide when a patient starts taking a saturated solution of iodide?
Sip medication through a straw to prevent tooth staining.
The nurse is reviewing potential complications of type 2 diabetes. What is a consequence of neuropathy in men?
Impotence
A type 1 diabetic is experiencing headache on awakening and enuresis. What should the nurse suspect?
Somogyi phenomenon
A nurse identifies an altered body image in a 10 year-old boy with hyperpituitarism. What did the nurse relate this nursing diagnosis to?
Excessive height
A diabetic patient who takes insulin is exhibiting irritability, anxiety, confusion, and dizziness. What might be occurring in this patient?
Hypoglycemia
What should the nurse state when describing the difference between nephrogenic DI and neurogenic DI?
Nephrogenic DI does not respond to ADH
What findings are expected when assessing a patient with Cushing's syndrome?
Excessive adipose tissue in the trunk, slender extremities, and moon face.
Which signs and symptoms should lead the nurse to suspect an adrenal crisis (Addisonian crisis)?
Confusion and tachycardia
What are two microvascular complications of diabetes?
Macular degeneration, end stage renal disease
The results of a thyroid-releasing hormone stimulation test shows a high level of thyroid stimulating hormone and a low level of T4. What is the most accurate explanation for these results?
The TSH is stimulating the thyroid gland to increase production, but the thyroid gland isn't producing enough hormone.
What might cause carpopedal spasm in the thyroidectomy patient and what is this called?
Hypocalcemia, Trousseau sign
A patient is prescribed octreotide (Sandostatin) for acromegaly. What should the nurse explain regarding what this medication does?
It suppresses growth hormone
What vital signs should the nurse anticipate that the patient diagnosed with diabetic ketoacidosis (DKA) will exhibit?
Elevated pulse rate, respiratory rate elevated and respirations deep
One day after thyroidectomy a patient has fever, pallor, rapid respirations, and anxiety. What is occurring in this patient?
Thyroid storm
Why is the client with hyperparathyroidism at risk for falls and injury?
Pathologic bone fractures may occur
What sign is most suggestive to the nurse that a client with type 2 diabetes is developing hyperosmoler hyperglycemic nonketotic syndrome (HHNS)?
The client's serum glucose level is 650
The nursing diagnosis "Disturbed Body Image" is added to the care plan of a female client who has Cushing's syndrome. The best rationale for adding this nursing diagnosis is because the clients typically experience what physiologic effect?
Masculine characteristics