SOLVED -ATI RN-Adult Medical Surgical Nursing Detailed Answer Key ATI Complex Endocrine Practice Latest-
SOLVED -ATI RN-Adult Medical Surgical Nursing Detailed Answer Key ATI Complex Endocrine Practice Latest-corticosteroid use. Which of the following actions should the nurse involve in the plan...
1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic
corticosteroid use. Which of the following actions should the nurse involve in the plan of
care?
a. Check the client’s urine specific gravity.
i. Rationale: to assess for fluid volume overload.
ii.
2. A nurse is providing teaching to a client who has Addison's disease about healthy snack
foods. Which of the following food choices by the client indicates an understanding of
the teaching?
a. Turkey and cheese sandwich
i. Rationale: high in protein, carbohydrates, and sodium. A client who has
Addison’s requires a diet low in potassium, and high in protein, carbs, and
sodium.
3. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The
nurse should understand that which of the following laboratory values is consistent with
diabetic ketoacidosis?
a. Bicarbonate level 12 mEq/L
i. Rationale: DKA patients have bicarbonate levels less than 15
ii.
4. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying
manifestations of hyperglycemia. Which of the following findings should indicate to the
nurse that the client has hyperglycemia?
a. Increased urination
i. Rationale: increased urination/polyuria, is a manifestation of
hyperglycemia due to a deficiency of insulin, which can lead to osmotic
diuresis.
5. A nurse is assessing a client who has Addison's disease. Which of the following skin
manifestations should the nurse expect to find?
a. Bronze pigmentation of skin
i. Rationale: hormone deficiency caused by damage to the outer layer of the
adrenal gland.
6. A nurse is caring for a client who has diabetes insidious. For which of the following
findings should the nurse monitor?
a. Polyuria
i. Rationale: DI is characterized by increased thirst and increased urination.
7. A nurse is monitoring a client who has Graves' disease for the development of thyroid
storm. the nurse should report which of the following findings to the provider?
a. Hypertension
i. Rationale: Thyroid storm patients will have an exaggerated condition of
hyperthyroidism, associated with the development of a fever,
hypertension, abdominal pain, and tachycardia
8. A nurse is preparing a 24-hour urine specimen for a client who is suspected to have
pheochromocytoma. Which of the following laboratory tests from the 24-hour urine
specimen should the nurse use to determine the client's condition?
a. Vanillylmandelic acid (VMA)
9. A nurse is caring for a client who is postoperative following a bilateral adrenalectomy.
the nurse should expect to administer glucocorticoids following the procedure to enhance
, which of the following therapeutic effects?
a. Compensate for decrease in cortisol levels
i. Rationale: glucocorticoids are used to prevent an adrenal crisis caused by
a sudden drop in cortisol levels.
10. A nurse is assessing a client who has Graves' disease. Which of the following findings
should the nurse expect the client to display?
a. Difficulty sleeping
i. Rationale: a client who has graves’ disease has difficulty sleeping and
anxiety due to the overproduction of thyroid hormone.
11. A nurse is providing teaching to a client who has type 1 diabetes mellitus about
hypoglycemia. Which of the following manifestations should the nurse include in the
teaching?
a. Shakiness
i. Rationale: an early manifestation of hypoglycemia is shakiness.
12. A nurse is assessing a client who has manifestations of acromegaly. Which of the
following findings should the nurse expect?
a. Increased head size
i. Rationale: enlarged head size due to excessive production of growth
hormones after the closing of the epiphyses.
13. A nurse is providing teaching to a client who has type 2 diabetes mellitus about
pathophysiology of the disease. Which of the following statements by the client indicates
an understanding of the teaching?
a. "My cells are resistant to effects of insulin."
i. Rationale: the client who has type 2 diabetes mellitus will have a
resistance to insulin and a decrease in the secretion of insulin by the
pancreatic beta cells.
14. A nurse is planning a community health screening for a group of clients who are at risk
for type 2 diabetes mellitus. Which of the following clients should the nurse include in
the screening?
a. Men and women who are obese
i. Rationale: There is a high correlation between obesity and type 2 DM.
15. A nurse is monitoring a client who has syndrome of inappropriate antidiuretic secretion
(SIADH). Which of the following findings should the nurse expect?
a. Hyponatremia
i. Rationale: the client who has SIADH will have hyponatremia caused by
the excessive release of ADH. As a result of the excessive secretion the
client retains water.
16. A nurse is providing teaching to a client who has type 1 diabetes mellitus about exercise.
Which of the following statements should the nurse include in the teaching?
a. "Wear a medical alert identification tag when you exercise."
i. Rationale: a client should wear a medical alert ID tag in the event of
hypoglycemic response, because exercise can potentiate the effects of
insulin and cause the blood glucose levels to decrease.
17. A nurse caring for a client who is postoperative following a parathyroidectomy to treat
hyperparathyroidism. Which of the following laboratory values should the nurse expect
to decrease as a therapeutic effect of the procedure?
, a. Calcium
i. Rationale: parathyroid hormone regulates calcium, phosphorous,
magnesium balance in the blood and bone.
18. A nurse is checking laboratory values to determine if a client who has diabetes is
adhering to the treatment plan. Which of the following tests should the nurse use to make
this determination?
a. Glycosylated hemoglobin levels (HbA1c)
19. A nurse is planning care for a client who is experiencing the Somogyi effect and takes
intermittent-acting insulin. Which of the following actions should the nurse include in the
plan?
a. Monitor the client's nighttime blood glucose levels
i. Rationale: the Somogyi effect is a swing of high blood glucose levels in
the morning after an extremely low blood glucose level during the night.
The swing is caused by a release of stress hormones to counter low
glucose levels.
20. A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism caused by
an adenoma. Which of the following findings should the nurse report to the provider?
(select all that apply)
a. Tachycardia and hypertension
b. Laryngeal stridor and hoarseness
c. A positive Trousseau's sign
21. A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should
monitor the client for which of the following adverse effects?
a. Peritonitis
i. Rationale: Peritonitis is an adverse effect of peritoneal dialysis.
Prevention requires sterile technique.
22. A nurse is reinforcing teaching with a client who has chronic kidney disease (CKD).
Which of the following instructions should the nurse include?
a. Limit fluid intake
i. Rationale: a client who has CKD should limit fluid intake to prevent
hypervolemia, or excessive fluid overload.
23. A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that
dialysate output is less than input, and the client's abdomen is distended. Which of the
following actions should the nurse take?
a. Change the client's position
i. Rationale: the client is retaining the dialysate solution after the dwell
time. The nurse should ensure the clamp is open and the tubing is not
kinked and reposition the client to facilitate the drainage of the solution
from the peritoneal cavity.
24. A nurse is reinforcing teaching about urinary tract infections (UTIs) with a client. Which
of the following manifestations should the nurse include?
a. Back pain
i. Rationale: back pain and flank pain are manifestations of a UTI. Other
manifestations include frequency, urgency, and cloudy, foul-smelling
urine.
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