RN Targeted Medical Surgical Endocrine Questions and Answers with Rationale

RN Targeted Medical Surgical Endocrine Questions and Answers with Rationale

A nurse is teaching a client who has type one diabetes Molite us about how to prevent complications during illness. Which of the following statements by the client indicates an understanding of the teaching:

- "I should stop taking my insulin if I feel nauseous."

- " I will test my urine for protein when I start to feel ill."

- "I should check my blood sugar level every eight hours."

- " I will call my doctor if my blood sugar is more than 250."

[Correct Ans:- I will call my doctor if my blood sugar is more than 250.

Rationale: The client should call the provider if their blood glucose levels exceed 250 mg/dL during illness.

The client should check their urine for ketones when the blood glucose levels are greater than 240 mg/dL. The client should continue taking the usual dose of insulin even when not feeling well. The client should check their blood glucose level every four hours during illness.

A nurse is teaching a client about glycosylated hemoglobin parentheses (HbA1c) testing. Which of the following client statement indicates an understanding of the teaching?

[Correct Ans:- This test's result is a good indicator of my average blood glucose levels.

Rationale: HB A1 C reflects the clients glucose levels over 120 day., Which is the lifespan of RBCs.

A nurse in an outpatient clinic is teaching a client who has a diabetic foot ulcer about foot care. Which of the following statements by the client indicates an understanding of the teaching?

[Correct Ans:- I will apply lotion to the dry areas of my feet but not in between my toes.

Rationale: lotion can be used for the dry areas of the feet, but the client should avoid applying lotion between the toes, as this area is prone to bacterial growth.

A nurse is preparing a teaching plan for a client who has diabetes insipidus and requires intranasal desmopressin. Which of the following information should the nurse include?

[Correct Ans:- Report nocturia because it requires a dosage adjustment.

Rationale: the client should make the initial dose of desmopressin in the evening. The provider will increase the dosage until the client no longer has nocturia.

A nurse is teaching a client who is scheduled for a Vanillylmandelic acid test to screen for pheochromocytoma. Which of the following statements should the nurse include in the teaching?

[Correct Ans:- Restrict coffee and take 2 to 3 days prior to the test.

Rationale: the client should avoid coffee and tea, even if they are decaffeinated, bananas, chocolate, and vanilla for 2 to 3 days prior to the test.

A nurse is caring for a client who has diabetes mellitus and has developed peripheral neuropathy. Which of the following measures should the nurse recommend to prevent injuries to the clients feet?

[Correct Ans:- Monitor the temperature of bathwater with a thermometer.

Rationale: peripheral neuropathy makes it difficult to determine if the bathwater is too hot. Therefore, to prevent injury, the client should use a bath thermometer to ensure a Water temperature below 110°F.

A nurse has administered propranolol By IV bolus to a client who has having a thyroid storm. Which of the following findings indicates that the client is having a therapeutic response?

[Correct Ans:- Reduction of the effects of thyroid hormone on the heart.

Rationale: propranolol is a beta2-androgenic blocking agent that this creases the rapid heart rate caused by excessive thyroid stimulation.