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Targeted Medical-Surgical: Endocrine Exam latest 2023
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Targeted Medical-Surgical: Endocrine Exam latest 2023
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Targeted Medical-Surgical: Endocrine Exam latest 2023 A nurse is teaching a client who has diabetes mellitus about insulin injections. The client's prescription includes evening doses of insulin glargine and regular insulin. Which of the following instructions should the nurse include? - ANSWER Draw up the insulins into separate syringes.The nurse should instruct the client to draw up the insulins into separate syringes because insulin glargine is not compatible with other insulins.
A nurse is planning teaching for a client who has type 1 diabetes mellitus.
Which of the following instructions should the nurse include? - ANSWER
Ingest alcohol with food to reduce alcohol-induced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming carbohydrates while drinking alcoholic beverages helps prevent hypoglycemia.
A nurse is caring for a client who has a pheochromocytoma. Which of the following actions should the nurse take? - ANSWER Elevate the head of the client's bed.
The nurse should elevate the head of the client's bed to reduce blood pressure and abdominal pressure.
A nurse has administered propranolol by IV bolus to a client who is having a thyroid storm. Which of the following findings indicates that the client is having a therapeutic response? - ANSWER Reduction of the effects of thyroid
hormone on the heart
Propranolol is a beta2-adrenergic blocking agent that decreases the rapid heart rate that excessive thyroid stimulation causes.
A nurse is monitoring a client's status 24 hours after a total thyroidectomy. Which of the following findings should the nurse report to the provider? - ANSWER Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration that indicates respiratory obstruction. The nurse should take immediate action to
preserve the client's airway.
A nurse is teaching a client who has an autoimmune disease about the adverse effects of long-term corticosteroid therapy. Which of the following effects should the nurse include? (select all that apply) - ANSWER Osteoporosis is correct. Osteoporosis is an adverse effect of long-term corticosteroid therapy due to the suppression of bone formation and the acceleration of bone resorption that corticosteroid therapy can cause.
Moon-shaped face is correct. Long-term corticosteroid therapy causes characteristics of iatrogenic Cushing's syndrome, including a moon-shaped
face, a potbelly, and a buffalo hump.
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