Endocrine Emergencies
A client with Addison’s disease is experiencing vomiting and diarrhea. What nutrient should they increase?
What is sodium?
A fasting plasma glucose level greater than this number indicates diabetes.
What is 126 mg/dL (7.0 mmol/L)?
A client with cirrhosis and hepatic encephalopathy is prescribed lactulose to achieve what desired outcome?
What is two to three soft bowel movements daily?
A nurse notes a client has an increased thoracic curvature of the spine. This condition is called?
What is kyphosis?
A client with hypermagnesemia will likely exhibit what reflex change?
What is diminished deep tendon reflexes?
A nurse is assessing a client for Chvostek's sign. A positive sign indicates which electrolyte imbalance?
What is hypocalcemia?
A nurse should teach a newly diagnosed Type 1 diabetic to rotate injection sites to prevent this complication.
What is lipodystrophy?
A client with cholecystitis is most likely to undergo what surgical intervention?
What is laparoscopic cholecystectomy?
A client with hip replacement surgery should avoid what leg position to prevent dislocation?
What is bringing the knees close together?
A nurse assessing a client with a positive Trousseau’s sign should suspect what electrolyte disorder?
What is hypocalcemia?
A client with hyperthyroidism is being treated with radioactive iodine therapy. The nurse should monitor for what complication?
What is hypothyroidism?
A client newly diagnosed with Type 2 diabetes asks if they need to give up alcohol. What is the best nurse response?
What is you do not need to give up alcohol entirely, but there are potential side effects to consider?
A nurse should prioritize what dietary change for a client with liver disease and ascites?
What is reducing sodium intake?
A client reports thumb and finger pain that worsens at work as a mechanic. What condition might they have?
What is carpal tunnel syndrome?
A nurse is assessing for Chvostek’s sign. This sign indicates what electrolyte imbalance?
What is hypocalcemia?
A nurse is teaching high school students about diabetes risk factors. What action can reduce a person's risk of developing diabetes?
What is losing weight if obese?
A client taking corticosteroids for months is experiencing muscle wasting. What dietary change should they make?
What is increasing protein intake?
A client presents to the ER with jaundice and abdominal swelling. What assessment question best determines the cause?
What is how many alcoholic drinks do you typically consume in a week?
A 91-year-old is scheduled for orthopedic surgery. What intervention is most justified in their care plan?
What is prophylactic antibiotic administration?
A nurse notes a patient with hyperthyroidism has received radioactive iodine therapy. What condition should they monitor for?
What is hypothyroidism?
A nurse notes a carpopedal spasm after inflating a blood pressure cuff in a post-thyroidectomy client. What does this indicate?
What is Trousseau's sign and overt tetany (hypocalcemia)?
A client with Type 1 diabetes and poor glycemic control is at risk for what neurological complication?
What is peripheral neuropathy?
A client with end-stage liver disease has hypervolemia. What are the best nursing interventions?
What are administering diuretics, implementing fluid restrictions, and enhancing client positioning?
A nurse is assessing a post-op hip replacement client who reports new-onset calf tenderness. What should the nurse do?
What is notify the healthcare provider (possible DVT)?
A client with metabolic acidosis is likely experiencing what respiratory pattern?
What is Kussmaul respirations?