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WorksheetsEndo exam
Total questions: 13
Worksheet time: 15mins
The nurse who is caring for a client with kidney failure notes that the client is dyspneic, and crackles are heard when listening to breath sounds in the lungs. Which additional sign/symptom would the nurse expect to note in this client?
An increase in blood pressure
Flat hand and neck veins
Rapid weight loss
A weak and thready pulse
The nurse is caring for a client with a diagnosis of hyperparathyroidism. Laboratory studies are performed, and the serum calcium level is 12.0 mg/dL (3.0 mmol/L). Based on this laboratory value, the nurse would take which action?
Document the value in the client's record.
Inform the registered nurse of the laboratory value.
Place the laboratory result form in the client's record.
Reassure the client that the laboratory result is normal.
client is admitted to the emergency department, and a diagnosis of myxedema coma is made. Which action would the nurse prepare to carry out initially?
Warm the client.
Maintain a patent airway.
Monitor intravenous fluids.
Administer thyroid hormone.
The nurse educator is asking the nursing student to recall the signs/symptoms of hypothyroidism. The nurse educator determines that the student understands this disorder if which are included in the student's response? Select all that apply.
Dry skin
Irritability
Constipation
Weight loss
Cold intolerance
The nurse is monitoring a client receiving levothyroxine sodium for hypothyroidism. Which findings indicate the presence of a side effect associated with this medication? Select all that apply.
Insomnia
Weight
Bradycardia
Constipation
Mild heat intolerance
A postcardiac surgery client with a blood urea nitrogen (BUN) level of 45 mg/dL (16.2 mmol/L) and a serum creatinine level of 2.2 mg/dL (193.6 mcmol/L) has a total 2-hour urine output of 25 mL. The nurse understands that the client is at risk for which condition?
Hypovolemia
Acute kidney injury
Glomerulonephritis
Urinary tract infection
The nurse is reviewing the client's record and notes that the primary health care provider (PHCP) has documented that the client has a renal disorder. Which laboratory results would indicate a decrease in renal function? Select all that apply.
Elevated serum creatinine level
Elevated thrombocyte cell count
Decreased red blood cell (RBC) count
Decreased white blood cell (WBC) count
Elevated blood urea nitrogen (BUN) level
The nurse is monitoring an older client suspected of having a urinary tract infection (UTI) for signs of infection. Which sign/symptom is likely to present first?
Fever
Urgency
Confusion
Frequency
The nursing instructor asks a student to describe the pathophysiology that occurs in Cushing's syndrome. Which statement by the student indicates an accurate understanding of this disorder?
"Cushing's syndrome is characterized by an oversecretion of insulin."
"Cushing's syndrome is characterized by an oversecretion of glucocorticoid hormones.
"Cushing's syndrome is characterized by an undersecretion of corticotropic hormones."
"Cushing's syndrome is characterized by an undersecretion of glucocorticoid hormones."
The nurse is caring for a client after a thyroidectomy and monitoring for signs of thyroid storm. The nurse determines that which sign/symptom is indicative that a thyroid storm may be occurring?
Constipation
Temperature of 96.6° F
Blood pressure of 80/60 mm Hg
Heart rate of 44 beats per minute
Which signs/symptoms would the nurse expect to note when collecting data on a client with Addison's disease?
Edema and weight gain
Hypotension and vomiting
Obesity and muscle hypertrophy
Hirsutism and excessive hunger
A client is diagnosed with polycystic kidney disease, and the nurse provides information to the client about the treatment plan. The nurse determines that the client needs further teaching if the client states that which component is part of the treatment plan?
Sodium restriction
Genetic counseling
Increased water intake
Antihypertensive medications
A client with Graves' disease has exophthalmos and is experiencing photophobia. Which intervention would best assist the client with this problem
Obtaining dark glasses for the client
Administering methimazole every 8 hours
Administering methimazole every 8 hours
Lubricating the eyes with tap water every 2 to 4 hours
