1. Which nursing diagnosis takes highest priority for a client with hyperthyroidism?
a. Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
b. Risk for impaired skin integrity related to edema, skin fragility, and poor wound healing
c. Body image disturbance related to weight gain and edema
d. Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
2. A client with long-standing type 1 diabetes mellitus is admitted to the hospital with unstable angina pectoris. After the client's condition stabilizes, the nurse evaluates the diabetes management regimen. The nurse learns that the client sees the physician every 4 weeks, injects insulin after breakfast and dinner, and measures blood glucose before breakfast and at bedtime. Consequently, the nurse should formulate a nursing diagnosis of:
a. Impaired adjustment.
b. Defensive coping.
c. Deficient knowledge.
d. Health-seeking behaviors.
3. A 62-year-old client diagnosed with pyelonephritis and possible septicemia has had five urinary tract infections over the past 2 years. She's fatigued from lack of sleep; urinates frequently, even during the night; and has lost weight recently. Tests reveal the following: sodium level 152 mEq/L, osmolarity 340 mOsm/L, glucose level 125 mg/dl, and potassium level 3.8 mEq/L. Which of the following nursing diagnoses is most appropriate for this client?
a. Deficient fluid volume related to inability to conserve water
b. Imbalanced nutrition: Less than body requirements related to hypermetabolic state
c. Deficient fluid volume related to osmotic diuresis induced by hypernatremia
d. Imbalanced nutrition: Less than body requirements related to catabolic effects of insulin deficiency
4. A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). The nurse informs the client that the physician will prescribe diuretic therapy and restrict fluid and sodium intake to treat the disorder. If the client does not comply with the recommended treatment, which complication may arise?
a. Cerebral edema
b. Hypovolemic shock
c. Severe hyperkalemia
5. Following a unilateral adrenalectomy, the nurse would assess for hyperkalemia shown by which of the following?
a. Muscle weakness