ATI LPN
Medical Surgical Endocrine Quizlet Questions
Question 1 of 5
The nurse is caring for a client who is receiving treatment for DKA. Which of the following laboratory values would indicate that the client's DKA is resolving?
Correct Answer: C
Rationale: DKA resolution is indicated by glucose <200 mg/dL and HCO3- nearing normal (22-26 mEq/L).
Question 2 of 5
A client is taking methimazole (Tapazole) for hyperthyroidism and would like to know how soon this medication will begin working. What is the nurse's best response?
Correct Answer: D
Rationale: Methimazole reduces thyroid hormone synthesis; effects begin within 1-2 weeks, full effect takes longer.
Question 3 of 5
A client is admitted to the ICU with diagnosis of a brain tumor complicated by transient diabetes insipidus. Which client data related to this complication should the nurse expect? Select ONE that does not apply.
Correct Answer: A
Rationale: DI is a condition in which ADH is insufficiently produced or suppressed, resulting in polydipsia and polyuria (up to 20 L/day). Urine is copious and dilute with a low specific gravity (<1.005); fluid volume deficit can lead to dehydration, hypernatremia, high serum osmolality, and weight loss.
Question 4 of 5
The nurse cares for a client with Addison's disease who was involved in a motor vehicle accident and hospitalized for a fracture of the right femur. Which client information is most important to report to the PCP?
Correct Answer: A
Rationale: Significant BP drop in Addison's suggests adrenal crisis, a priority to report due to risk of shock.
Question 5 of 5
The nurse is caring for a client who has undergone a subtotal thyroidectomy. Which of the following should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Post-thyroidectomy, airway obstruction risk (e.g., hematoma) necessitates a tracheotomy set.