ATI ENDOCRINE PRACTICE QUIZ

 ATI ENDOCRINE PRACTICE QUIZ

1.      A nurse is providing teaching to a client who has Addison’s disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching?

Turkey and cheese sandwich

✓    A turkey sandwich is high in protein, carbohydrates, and sodium. The

client who has Addison’s disease requires a diet low in potassium and high in sodium, carbohydrates, and protein. Addison’s disease is a hormone deficiency caused by damage to the outer layer of the adrenal gland (adrenal cortex). Addison’s disease occurs when the adrenal glands do not produce enough of the hormone cortisol and, in some cases, aldosterone.

    Slices bananas, plain yogurt with peaches, baked potato

would be incorrect because they are high in potassium and client requires diet low in potassium because condition causes HYPERKALEMIA.

2.      A nurse is monitoring a client who has Grave’s disease for the development of thyroid storm. The nurse should report which of the following findings to the provider?

Hypertension

✓      The client experiencing thyroid storm will have an exaggerated condition of hyperthyroidism associated with the development of fever,

hypertension, abdominal pain, and tachycardia. Grave’s disease is a common cause of hyperthyroidism, which is an imbalance of metabolism caused by overproduction of the thyroid hormone.

   The client who is experiencing a thyroid storm will have

restlessness, confusion, diarrhea, abdominal pain, nausea,

vomiting and possible seizures in response to the overproduction of the thyroid hormone.

3.      A nurse is planning a community health screening for a group of clients who are at risk for type 2 diabetes mellitus. Which of the following clients should the nurse include in the screening?

Men and women who are obese

✓    There is a high correlation between obesity and type 2 diabetes. Obesity plays major role in the development of type 2 diabetes mellitus by decreasing the number of available insulin receptors in the skeletal muscles and fat cells (peripheral insulin resistance). A reduced-calorie diet for obese clients tends to reverse the phenomenon of peripheral insulin resistance.

    Smoking can produce cardiovascular & pulmonary

complications but no correlation to type 2 diabetes.

    Women with hepatitis are at risk for developing cirrhosis but not type 2 DM.

    No correlation between high protein & low carbohydrate

diet and type 2 DM.