DI/SIADH
The nurse is caring for a client who is diagnosed with diabetes insipidus (DI). For what common complication will the nurse monitor?
a. Dehydration
b. Hypertension
c. Pulmonary
d. Bradycardia
The nurse is reviewing medications for a patient with hypopituitarism. Which medications are indicated for the treatment of this disorder?
a. Diuretics
b. Antibiotics
c. Antihypertensives
d. Electrolyte supplements
A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which lab findings would alert the nurse to intervene immediately?
a. Serum calcium level of 8.8 mm/dL
b. Serum potassium level of 2.5 mEq/L
c. Serum sodium level of 138 mEq
d. Sodium chloride level of 98 mEq
A patient being treated for adrenal insufficiency has a serum potassium level of 5.9 mEq/L. The nurse correlates the action of which medication is indicated in this situation?
a. Kayexalate
b. Hydrocortisone
c. Dexamethasone
d. Dextrose 5% and 0.45% normal saline
A patient is prescribed to have cortisol blood level drawn. At which time should this sample be drawn?
a. Midnight
b. 0700
c. 1220
d. 2200
A client is being treated for diabetes insipidus (DI) with synthetic vasopressin (desmopressin). What is the priority health teaching that the nurse provides regarding drug therapy?
a. The need to weigh every day and report weight gain.
b. The need to check the client’s urinary specific gravity.
c. The need to take blood pressure at least twice a day.
d. The need to monitor blood glucose every day.
The nurse is caring for a client who has acromegaly? What physical change would the nurse expect to observe?
a. Large hands and face
b. Short height
c. Truncal obesity
d. Thin, dry skin
The nurse in the emergency department is caring for a client with diabetic ketoacidosis. After obtaining the client's blood glucose level, which prescription should the nurse implement first?
a. Administer 0.9% sodium chloride 1000 mL IV bolus
b. Administer long-acting insulin subcutaneously
c. Initiate continuous regular insulin IV infusion
d. Obtain serum potassium level
A patient has received doses of prednisone for treatment of rheumatoid arthritis for the past 3 months. If this medication is suddenly discontinued, the nurse assesses for which complication?
a. Hypovolemia
b. Hypokalemia
c. Hypernatremia
d. Hyperglycemia
The nurse monitors for which clinical manifestation in the patient diagnosed with Conn Syndrome?
a. Muscle wasting
b. Elevated blood glucose
c. Abnormal fat distribution
d. Tachyarrhythmias (cardiac irregularities)
A patient with SIADH is experiencing a headache and confusion. The nurse correlates which laboratory result to this clinical presentation of SIADH?
a. Sodium 125 mEq/L
b. Calcium 8.7 mEq/L
c. Potassium 5.5 mEq/L
d. Hematocrit 50%
A patient undergoes an adrenalectomy? What risk should the nurse monitor for postoperatively?
a. Hemorrhage
b. Renal failure
c. Dysthymias
d. Cerebral edema
The nurse correlates which assessment findings to a patient experiencing diabetic ketoacidosis?
a. Slow heart rate
b. Deep rapid respirations
c. Decreased urine output
d. Increased blood pressure
A patient recovery from emergency surgery after a motor vehicle crash is demonstrating clinical manifestations of adrenal insufficiency. What treatment is indicated for this patient?
a. Regular insulin 10 units
b. Potassium chloride 20 mEq
c. Intravenous infusion 0.9% normal saline
d. Hydrocortisone sodium succinate (Solu-Cortef)
The nurse correlates which clinical manifestations in the patient diagnosed with hyperaldosteronism?
a. Elevated blood pressure
b. Thin, friable skin
c. Dependent edema
d. Fat maldistribution
A nurse is assessing a client who had a craniotomy and has developed SIADH. Which of the following manifestations should the nurse anticipate?
a. Oliguria
b. Hypernatremia
c. Weight loss
d. Increased thirst
What is the rationale for frequent mouth care in a patient after undergoing a transsphenoidal hypophysectomy for removal of a pituitary tumor?
a. Dry mucous membranes secondary to increased vasopressin (Pitressin) levels
b. Maintenance of nothing by mouth status
c. Mouth breathing because of nasal packing
d. Stomatitis caused by the hormone imbalance
The nurse is preparing to deliver 8 units of insulin to the patient with a blood glucose of 198 mg/dL. Which syringe should be used?
a. U-30
b. U-50
c. U-100
d. 1 mL syringe
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?
a. Hyperpigmentation
b. Intension tremors
c. Hirsutism
d. Purple striations
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? Select all that apply.
a. Assess blood glucose level
b. Assess for neck vein distention
c. Monitor for an irregular heart rate
d. Weigh the client daily
e. Monitor for postural hypotension
The nurse is assessing a client with a brain tumor who has developed diabetes insipidus. Which of the following findings would the nurse expect? Select all that apply.
a. Dark amber urine with sediment
b. High serum osmolality
c. Low urine specific gravity
d. Recent weight gain
e. Reports of excessive thirst
A patient is demonstrating signs of hypopituitarism. The nurse monitors results from which diagnostic test for this disorder?
a. Magnetic resonance imaging (MRI)
b. Lumbar puncture
c. Cerebral angiogram
d. Carotid doppler studies
The nurse is caring for a newly admitted client who is diagnosed with hyperglycemic-hyperosmolar state (HHS) and has a blood glucose of 700 mg/dL. What is the nurse’s priority action at this time?
a. Establish intravenous access to provide fluids
b. Give regular insulin SQ per agency policy
c. Assess the client's blood glucose level
d. Monitor the client's urinary output every hour
The nurse in an outpatient clinic is caring for a client with Addison disease who has been taking hydrocortisone 20 mg daily for the last 8 years. Which client data is most important to report to the health care provider?
a. Blood pressure of 140/90 mm Hg
b. Low-grade fever of 100.4 F (38 C)
c. Mild increase in fasting blood glucose
d. Weight gain of 6 lb. (2.7 kg) in 3 months
The nurse cares for a patient being started on exogenous corticosteroids. What prophylaxis medication should be a part of their care?
a. Antibiotics
b. Antihypertensive
c. Gastric acid reducers
d. Calcium supplements