RN TARGETED ENDOCRINE NEWEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADY GRADED A+)

RN TARGETED ENDOCRINE NEWEST 2024
WITH UPDATED QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (ALREADY GRADED A+)
A nurse has administered propranolol by IV bolus to a client who
is having a thyroid storm. Which of the following findings indicates
that the client is having a therapeutic response? - ANSWERReduction of the effects of thyroid hormone on the heart
Propranolol is a beta2-adrenergic blocking agent that decreases
the rapid heart rate that excessive thyroid stimulation causes.
A nurse is monitoring a client's status 24 hours after a total
thyroidectomy. Which of the following findings should the nurse
report to the provider? - ANSWER-Laryngeal stridor
Laryngeal stridor is a harsh, high-pitched sound with inspiration
that indicates respiratory obstruction. The nurse should take
immediate action to preserve the client's airway.
A nurse is teaching a client who has an autoimmune disease
about the adverse effects of long-term corticosteroid therapy.
Which of the following effects should the nurse include? (select all
that apply) - ANSWER-Osteoporosis is correct. Osteoporosis is
an adverse effect of long-term corticosteroid therapy due to the
suppression of bone formation and the acceleration of bone
resorption that corticosteroid therapy can cause.
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Moon-shaped face is correct. Long-term corticosteroid therapy
causes characteristics of iatrogenic Cushing's syndrome,
including a moon-shaped face, a potbelly, and a buffalo hump.
Increased risk of infection is correct. Increased risk of infection is
an adverse effect of long-term corticosteroid therapy due to
suppression of the immune system. It reduces the phagocytic
actions of macrophages and neutrophils, thus increasing the risk
of infection.
Hearing loss is incorrect. Long-term corticosteroid therapy can
cause cataracts and glaucoma, but it does not cause hearing
loss.
Weight loss is incorrect. Long-term corticosteroid therapy is more
likely to cause weight gain due to the fluid and sodium retention
these medications cause.
A nurse is caring for a client who has type 2 diabetes melliltus and
has hyperglycemic-hyperosmolar state (HHS). Which of the
following laboratory findings should the nurse expect? -
ANSWER-Serum pH of 7.45
A client who has HHS produces enough insulin to prevent ketosis,
but not enough to prevent hyperglycemia. Therefore, the serum
pH is within the expected reference range. Glucose levels will be
above 600 mg/dL.
A nurse is teaching a client who has diabetes mellitus about
insulin injections. The client's prescription includes evening doses
of insulin glargine and regular insulin. Which of the following
instructions should the nurse include? - ANSWER-Draw up the
insulins into separate syringes.
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The nurse should instruct the client to draw up the insulins into
separate syringes because insulin glargine is not compatible with
other insulins.
A nurse is planning teaching for a client who has type 1 diabetes
mellitus. Which of the following instructions should the nurse
include? - ANSWER-Ingest alcohol with food to reduce alcoholinduced hypoglycemia.
Alcohol inhibits the liver from producing glucose. Consuming
carbohydrates while drinking alcoholic beverages helps prevent
hypoglycemia.