Endocrine

Which complication is of greatest concern for the patient with nephrotic syndrome?

The nurse is providing education to the parents of a child with nephrotic syndrome. Which statement indicates an understanding of the teaching?

The patient’s thyroid stimulating hormone (TSH) is 9.3 mIU/L and serum free thyroxine (T4) is 0.2 ng/dL. Which findings are consistent with these lab results? Select all that apply.

The patient complains of cold intolerance, weight gain, and hair loss. The nurse notes periorbital and generalized, non-pitting edema. The patient’s blood pressure is 98/64 mmHg and heart rate is 48 bpm. The nurse anticipates which lab result?

Which patient is at highest risk for thyroid disease?

The nurse is assisting with the development of a tool in the electronic medical record to prompt providers to screen appropriate individuals for hypothyroidism. The nurse provides which characteristics to the informatics team to include in the tool? Select all that apply.

The patient receiving thyroid supplementation for hypothyroidism reports insomnia, fatigue, tachycardia, and headache. Which statement by the nurse is appropriate?

The patient receiving levothyroxine for hypothyroidism reports treatment failure after the third dose increase. The nurse anticipates the provider to order which test for this patient?

The patient with type I diabetes mellitus has contracted influenza A. Which lab must be most closely monitored in this patient to prevent a life-threatening complication?

The nurse delegates a pre-prandial blood sugar check to the unlicensed assistive personnel who fails to perform it before the patient’s food tray arrives and the patient eats breakfast. Who is most at fault?

The nurse is assigned to care for a diabetic patient with a non-healing leg wound. Which task does the nurse delegate to an unlicensed assistive personnel?

The nurse is supervising the care of a diabetic patient with stomach cancer. After surgery, the patient is placed on total parenteral nutrition (TPN). Which information does the nurse provide the nursing student about the TPN?

The nurse is admitting a patient who is being transferred from a nursing home who has been bedridden for the past two months. The nurse anticipates the patient will have which electrolyte disturbances?

A patient comes into the ER with HR 122 bpm, BP 110/72 mm Hg, Temp 99.4 F, and RR 22. They report a racing feeling in their heart and have also been experiencing diarrhea for the last several months. Which lab result does the nurse anticipate?

Which statement by a patient newly diagnosed with type 1 diabetes mellitus indicates understanding of the nurse’s discharge teaching?

Which lab value is most concerning for a patient who is being treated for hyperosmolar hyperglycemic nonketotic syndrome (HHNS)?

Which of the following conditions can cause exophthalmos? Select all that apply.

The nurse is caring for a 50-year-old female patient who is diagnosed with diabetes insipidus. The patient complains of frequent voiding. Which of the following diet types could be helpful in reducing urination?

The nurse is counseling the parents of a 7-year-old child who are concerned because of a strong family history of type 2 diabetes mellitus. The nurse instructs the parents that the initial screening for type 2 diabetes mellitus will occur at which time? 

The patient with cholestasis complains of significant pruritus. The nurse bases the explanation on which understanding of the pathophysiology behind the patient's pruritus?

The 5-day-old infant presents to the pediatrician's office for a well-baby visit. The parents report being happy that their child is a "good baby" who sleeps a lot and rarely cries. They also report the baby eats 4 times per day, sleeping for 8 hours at night. The nurse notes the baby is at the 70th percentile for weight. Upon assessment, the baby is minimally responsive. The nurse is most concerned about which condition? 

The 38-year-old gravida 1 para 1 patient presents to the clinic in the 8th week of gestation.The patient’s fasting blood sugar test result is 130 mg/dL. The nurse anticipates which diagnosis? 

The 34-year-old G1P1 patient who just delivered a healthy baby via cesarean section four hours ago. The patient sits on the bed watching her newborn lying in the bed but does not touch or hold the baby. Which response by the nurse is most appropriate? 

A new mother is discussing alcohol consumption while breastfeeding her baby. Which statement indicates a need for further teaching? 

The nurse is assigned to a 38-year-old patient who presents with polydipsia and polyuria. Past medical history is significant for bipolar disorder diagnosed two months ago, for which the patient was prescribed lithium. The nurse anticipates further testing will reveal which condition? 

The nurse is assigned to care for a 31-year-old male with a past medical history significant for long-standing diabetes mellitus and hypertension. Current medications are metformin, furosemide, and captopril. Laboratory tests reveal serum potassium of 3.2 mEq/L, so the patient is started on spironolactone. The nurse provides education about which side effect of therapy?

The nurse is assigned to a 55-year-old patient admitted for diabetic ketoacidosis. The provider writes the patient’s insulin regimen on the admission orders as follows, - “insulin NPH 25 IU.” Which action by the nurse is most appropriate? 

The nurse is providing disease management education to the parents of a 10-year-old patient newly diagnosed with type 1 diabetes mellitus. Which instruction is appropriate to give the family? 

The 23-year-old G1P0 patient who is 14 weeks pregnant presents to the emergency department with weakness and lethargy due to intractable nausea and vomiting. The patient has lost approximately 7% of pre-pregnancy weight. The nurse is aware the patient's symptoms are due to excess production of which hormone(s)? Select all that apply.

Which statement by the patient with type 2 diabetes mellitus who has received education about foot care indicates a need for further teaching?

The nurse is planning care for the patient with severe liver disease who has substantial ascites and peripheral edema. Which interventions are included in the care plan? 

The nurse instructs the patient with diabetes mellitus to store prefilled insulin syringes in which location?

The nurse receives report on the patient experiencing thyroid storm. Which symptom does the nurse expect to observe?

The nurse receives a call from the patient with type 2 diabetes who has nausea, vomiting, and is eating less. Which statement by the patient indicates that further education is needed?

The nurse is performing an assessment of an infant born 8 hours ago. The infant’s POC blood glucose level is 25 mg/dL. Which action does the nurse take first?

The nurse is caring for the patient with intestinal obstruction who is receiving total parenteral nutrition (TPN). The nurse reviews which lab results to ensure the patient is tolerating the infusion? Select all that apply. 

The patient with diabetes is brought to the emergency department with severe confusion and is unable to follow commands. A point-of-care (POC) glucose measurement reveals a blood sugar of 44 g/dL. The nurse begins a 50 mL infusion of D50W. Which action does the nurse take next?

The elderly patient is brought to the ER by ambulance for confusion, slurred speech, and right-sided weakness. Vital signs, including body temperature and blood pressure, are normal. As the patient is waiting for an urgent head CT, the nurse performs which test first?

The nurse is helping the nursing student to relate patient findings to pathophysiological concepts. Which findings, if selected by the nursing student as characteristics that prompt the kidneys to release renin, indicates a need for further teaching?

Which statement describes the role of luteinizing hormone in the female body?

The nurse has provided discharge instructions to the patient with type II diabetes. How does the nurse assess the patient’s understanding of the teaching?

The nurse is teaching the patient who has been prescribed propranolol. Which statement by the patient indicates an understanding of the teaching?

Which urinalysis findings support the diagnosis of shock in the hypotensive patient? Select all that apply.

While individual labs vary, which is the normal range of thyroid-stimulating hormone (TSH) levels in healthy individuals?

Which medication is a hypoglycemic agent?

There are four patients with hyperglycemia in the emergency department triage. One treatment room has become available. The patient with which additional symptom is moved into the available room first?

The 35-year-old woman is interested in starting hormonal birth control. Which characteristic, if found in the patient's medical record, indicates the patient requires an alternative form of contraceptive?

Prior to initiating routine hemodialysis for the patient with end stage renal disease (ESRD), which assessments does the nurse perform? Select all that apply.

The nurse is providing preprocedure education to the family of the child with type 1 diabetes mellitus who must undergo a tonsillectomy. Which information does the nurse include?

The patient presents to the emergency department with abdominal pain, dehydration, a blood glucose level of 425 mg/dL. Blood testing reveals metabolic acidosis, hypokalemia, and ketones. The patient is alert and conversant, but in moderate distress. The nurse anticipates administering which medication?