MED SURG 120 RN Targeted Medical
Surgical Endocrine Online Practice
2019- West Coast University
• A nurse is monitoring the laboratory values of a client who has diabetes mellitus
and is taking insulin. Which of the following results indicates a therapeutic outcome of
insulintherapy?
Fasting blood glucose 96 mg/dL
Postprandial blood glucose 195
mg/dLCasual blood glucose 210
mg/dL Preprandial blood glucose 60
mg/dL Fasting blood glucose 96
mg/dL
This is within the expected reference range for a fasting blood glucose level and
indicates that insulin therapy is effective.
• A nurse is caring for a client following a thyroidectomy. The nurse should assess for which
ofthe following findings as an indication of hypocalcemia?
Strong, bounding
pulse Decreased
bowel sounds
Tingling and numbness of the hands and feet
Diminished deep-tendon reflexes
• A nurse is caring for a client who has pheochromocytoma. Which of the
followingactions should the nurse take?
Elevate the head of the client's
bed.Palpate the client abdomen
Monitor the client for hypotension
Check the client urine specific gravity
• A nurse is assessing a client who is taking propylthiouracil. The nurse should
identifywhich of the following findings as an indication that the medication has been
effective?
, Increased the ability to
sweatIncreased bowel
movementsIncreased body
Weight Increased libido
• A nurse is performing an assessment on a client who has syndrome of inappropriate
antidiuretic hormone (SIADH). Which of the following assessment data should the nurse
report?
Serum sodium 110 mEq/L (A client who has SIADH retains fluids, which causes dilutional
hyponatremia.)
2+ deep-tendon reflexes
Serum potassium 3.7
mEq/L
Urine specific gravity 1.025
• A nurse is assessing a client who has diabetes insipidus. The nurse should expect which
ofthe following findings?
Decreased heart rate
Increased hematocrit (An increased hematocrit level is an expected finding related to
dehydration.)
High urine specific
gravityDecreased BUN
• A nurse is caring for a client who has diabetes mellitus and developed peripheral
neuropathy. Which of the following measures should the nurse recommend to prevent
injuries to his feet? Examine the skin and feet weekly for alterations in skin integrity.
Monitor the temperature of bath water with a thermometer. (Peripheral neuropathy makes
it difficult to determine if bath water is too hot. Therefore, to prevent injury, the client should
usea bath thermometer to ensure the water temperature is less than 43.3° C (110° F).)
Shop for shoes early in the day.
Round the edges of toenails when trimming.
• A nurse is planning teaching for a client who has type 1 diabetes mellitus. Which of
thefollowing instructions should the nurse plan to include?
Consume no more than three serving of alcohol per day
Ingest alcohol with meals to reduce alcohol-induced hypoglycemia. (Alcohol prevents
liver production of glucose. Consuming carbohydrates while drinking alcoholic beverages
helps prevent hypoglycemia.)
Increase insulin dosage before planned exercise
Rest for 3 days between periods of vigorous exercise.
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