NCLEX Flashcard – Unit 4: Metabolism & Sensory

Front

A nurse is caring for a patient with Type 1 diabetes who is sweating, irritable, and shaky. Which of the following is the most appropriate initial action? Options: Administer a long-acting insulin, Begin an insulin drip, Notify the healthcare provider.

Back

Offer 15g of fast-acting carbohydrates

Front

Which condition is a life-threatening complication of hypothyroidism?

Back

Myxedema coma

Front

Which hormone facilitates the movement of glucose across cell membranes into cells?

Back

Insulin

Front

The nurse is assessing a client with suspected peripheral neuropathy. Which of the following findings is expected? A. Hyperreflexia, B. Bradycardia, C. Numbness and tingling in extremities, D. Decreased urine output

Back

Numbness and tingling in extremities

Front

A client is experiencing a thyroid storm. What is the priority nursing intervention?

Back

Provide cooling measures

Front

Which patient statement indicates correct understanding of "sick day" management in diabetes? A. “I should stop taking insulin until I feel better.” B. “I only need to test my glucose once a day.” C. “I’ll continue taking insulin and check my blood sugar 4 times daily.” D. “I should avoid all fluids if I’m vomiting.”

Back

C. “I’ll continue taking insulin and check my blood sugar 4 times daily.”

Front

Which of the following is a complication of long-standing, untreated hyperglycemia? Tachycardia, Hypotension, Muscle fasciculations

Back

Diabetic nephropathy

Front

What is the most likely cause of peripheral neuropathy in a client with diabetes?

Back

Decreased blood flow to nerve endings

Front

A nurse is educating a client with hypothyroidism. Which symptom would the nurse expect to teach about? Options: Weight loss, Tremors, Constipation, Exophthalmos

Back

Constipation

Front

Acanthosis nigricans is most commonly associated with which condition? Hyperthyroidism, Peripheral neuropathy, Hypothyroidism

Back

Type 2 diabetes