ATI Med surg Endocrine Exam 2024 Questions and Detailed Answers with Rationale| A+ Grade
A nurse is monitoring the lab values of a client who has diabetes mellitus and is taking insulin. Which of the following results indicates a therapeutic outcome of insulin therapy?
- fasting blood glucose 96 mg/dL
- postprandial blood glucose 195 gm/dL
- random blood glucose 210 mg/dL
- preprandial blood glucose 60 mg/dL Correct Answer a.
fasting blood glucose 96 mg/dL
-this is within the expected reference range of 70 to 110 mg/dL for a fasting blood glucose level and indicates that insulin therapy is effective.
A nurse is caring for a client following a thyroidectomy. The nurse should assess for which of the following findings as an indication of hypocalcemia?
- Strong, bounding pulse
- decreased bowel sounds
- tingling and numbness of the hands and feet
- diminished deep-tendon reflexes Correct Answer c. tinging
and numbness of the hands and feet
-hypocalcemia causes paresthesia, which usually starts in the hands and feet
A nurse is caring for a client who has a pheochromocytoma.Which of the following actions should the nurse take?
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- elevate the head of the client's bed
- palpate the client's abdomen
- monitor the client for hypotension
- check the client's urine specific gravity Correct Answer a.
elevate the head of the client's bed
-the nurse should elevate the head of the client's bed to reduce blood pressure and abdominal pressure
A nurse is assessing a client who is taking propylthiouracil. The nurse should identify which of the following findings as an indication that the medication has been effective?
- increased ability to sweat
- increased bowel movements
- increased body weight
- increased libido Correct Answer c. increased body weight
-propylthiouracil suppresses the production of thyroid hormones and allows for weight gain. However, excessive weight gain should indicate that the dose of propylthiouracil is too high.
A nurse is assessing a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse report to the provider?
- Sodium 110 mEq/L
- 2+ deep-tendon reflexes
- potassium 3.7 mEq/L
- urine specific gravity 1.025 Correct Answer a. sodium 110
mEq/L
-a client who has SIADH retains fluids, which causes dilutional hyponatremia (low sodium level in the blood).
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