Medical Surgical Nursing Questions about Endocrine (11-15)

11. A client is transferred to a rehabilitation center after being treated in the hospital for a cerebrovascular accident (CVA). Because the client has a history of Cushing's syndrome (hypercortisolism) and chronic obstructive pulmonary disease (COPD), the nurse formulates a nursing diagnosis of:

a. Risk for imbalanced fluid volume related to excessive sodium loss.
b. Risk for impaired skin integrity related to tissue catabolism secondary to cortisol hypersecretion.
c. Ineffective health maintenance related to frequent hypoglycemic episodes secondary to Cushing's syndrome.
d. Decreased cardiac output related to hypotension secondary to Cushing's syndrome.

12. A client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. The nurse explains that these medications are only effective if the client:

a. prefers to take insulin orally.
b. has type 2 diabetes.
c. has type 1 diabetes.
d. is pregnant and has type 2 diabetes.

13. A client becomes upset when the physician diagnoses diabetes mellitus as the cause of current signs and symptoms. The client tells the nurse, "This must be a mistake. No one in my family has ever had diabetes." Based on this statement, the nurse suspects the client is using which coping mechanism?

a. Denial
b. Withdrawal
c. Anger
d. Resolution

14. When instructing the client diagnosed with hyperparathyroidism about diet, the nurse should stress the importance of which of the following?

a. Restricting fluids
b. Restricting sodium
c. Forcing fluids
d. Restricting potassium

15. The nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will prescribe daily supplements of calcium and:

a. folic acid.
b. vitamin D.
c. potassium.
d. iron.

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