AHEXAM4EVOLVE.docx - The nurse is reviewing the laboratory test results for a client with a possible pituitary disorder Which information requires

AHEXAM4EVOLVE.docx - The nurse is reviewing the laboratory...

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The nurse is reviewing the laboratory test results for a client with a possible pituitary disorder. Which information requires immediate intervention by the nurse? Serum sodium 110 mEq/L (110 mmol/L) The charge nurse on the medical-surgical unit is making client assignments for the shift. Which client is the most appropriate to assign to an LPN/LVN? Client with Cushing’s syndrome who requires orthostatic vital signs assessments A client with an endocrine disorder says, “I can’t, you know, satisfy my wife anymore.” What is the nurse’s best response? “Can you please tell me more?” The nurse is teaching a client about proper nutrition to prevent an endocrine disorder. Which food does the nurse suggest adding to the diet when the client indicates a dislike of fish? Iodized salt A client is hospitalized for pituitary function testing. Which nursing action included in the client’s plan of care will be most appropriate for the RN to delegate to the LPN/LVN? Administer regular insulin for the growth hormone stimulation test. When caring for the older adult with decreased antidiuretic hormone (ADH) production, the nurse would include which of these in the plan of care? Encourage fluids every 2 hours The nurse is instructing a client who will undergo an adrenal suppression test. Which statement by the client indicates that teaching was effective? “I am being tested to see whether my hormone glands are hyperactive.” The nurse is teaching a client about the correct procedure for a 24-hour urine test for a hormone level. Which statement by the client indicates a need for further teaching? “I will not eat any protein when I am collecting urine for this test.” The client tells the visiting nurse his blood glucose values over the last week have been excellent. Which of these resources does the nurse evaluate to verify the client’s statement? Glycosylated hemoglobin (HbA1c) The nurse is caring for a client with a parathyroid dysfunction. Which comment by the client indicates a need for further assessment? “Lately, I lose my temper more quickly.” The nurse is caring for a client who has frequent episodes of hypoglycemia with loss of consciousness. During interdisciplinary rounds, which of these does the nurse suggest the client’s family learn to use? Glucagon A client is hospitalized with a possible disorder of the adrenal cortex. Which nursing activity is best for the charge nurse to delegate to an experienced nursing assistant? Check the client’s blood glucose levels every 4 hours. A client with Cushing’s disease begins to laugh loudly and inappropriately, causing the family in the room to be uncomfortable. What is the nurse’s best response? “The disease can sometimes affect emotional responses.” The charge nurse is making client assignments for the medical-surgical unit. Which client will be best to assign to an RN who has floated from the pediatric unit?
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