Week 16

A nurse assesses a client’s laboratory values before surgery. Which of the following results should the nurse report to the provider?

• Potassium of 3.5

• Creatinine of 2.8

• Blood glucose of 100

• WBC of 11,000

A nurse is caring for a client who has diabetes insipidus. For which of the following findings should the nurse monitor?

• proteinuria

• oliguria

• polyuria

• glycosuria

A nurse is teaching a client with Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching?

• Sliced bananas

• Baked potato

• Turkey and cheese sandiwiches

• Plain yogurt with peaches

Answer explanation

Addisons requires a diet low in potassium and high in sodium, carbs, and protein.

A nurse in the ER is assessing a client who has pancreatitis. In which of the following lab results should the nurse expect to see an elevation?

• Amylase

• Potassium

• Calcium

• Hematoctit

Answer explanation

With pancreatitis, lab results typically show elevated amylase within 12-24 hours. The level remains elevated for 2-3 days.

A nurse is teaching a client with type 1 diabetes mellitus about hypoglycemia. Which of the following manifestation should the nurse include in the teaching?

• Shakiness

• Urinary frequency

• Dry mucous membranes

• Excess thirst

Answer explanation

All other manifestations of hyperglycemia.

A nurse is assessing a client with Addison's disease. Which of the following findings should the nurse expect?

• Hypotension

• Weight gain

• Sugar craving

• Pale skin tone

Answer explanation

If addisionian crisis occurs, clients' hypotension can become severe due to blood volume depletion caused by loss of aldosterone.

A nurse in the ER is caring for a client who has Addison's disease and reports nausea, vomiting, diarrhea, and abdominal pain. To prevent an Addisonian crisis, the nurse should prepare to administer which of the following medications?

• Calcium

• Potassium

• Iodine

• Hydrocortisone

Answer explanation

addisons can casue adrenal gnd hypofnction and inadequest production of glucocorticoids. Acute adrenal insufficiency is life threatening and without treatment, sodium levels fall and potassium levels increase.

A nurse is planning care for a client who has type 2 diabetes mellitus. Which of the following interventions should the nurse include in the plan?

• Encourage client to control weight

• Inspect the clients feets once a week

• Restrict the clients activity

• Apply moisturizer between the clients toes

A nurse is preparing a client for a thoracentesis. In which of the following positions should the nurse place the client?

• Lying flat on the affected side

• Prone with arms raised over the head

• Supine with the head of the bed elevated

• Sitting while learning forward over the bedside table.

A nurse is caring for a client who is NPO and has an NG tube to suction. When the client reports nausea, which of the following actions should the nurse take?

• Irrigate the tube with normal saline solution

• Provide oral hygiene

• Clamp the tube for 30 minutes

• Increase the amount of suction