Questions 42

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Endocrine RN NCLEX Questions Questions

Extract:

The following scenario applies to the next 6 items
The nurse in the clinic is caring for a 32-year-old female client.
Item 4 of 6
Nurses' Notes
1559: Client reports to the outpatient clinic with reports of persistent fatigue, weakness, lethargy, and lower back pain over the last 8 months. She is also concerned because she has gained 24 pounds (10.9 kg) over the past 4 months. She stated that the weight gain has been so significant that she developed reddened streaks on her abdomen from the weight gain. The client is concerned because, over the past month, she has noticed she has been drinking more often and has had increased hunger. She has also noticed she is urinating more frequently. She went to urgent care one week ago and tested negative for urinary tract infection. She also noticed that her menstrual cycle has been irregular. She is not on birth control and took a home pregnancy test, which was negative. During the assessment, the client was fully alert and oriented. Clear lung sounds bilaterally. Skin was dry. Excessive facial hair was noted. 1+ pedal and ankle edema bilaterally. Peripheral pulses palpable, 2+, and regular. Body mass index (BMI) of 32. Vital signs: T 97.5° F (36.4° C), P 93, RR 18, BP 145/93, pulse oximetry reading 96% on room air. She is currently taking escitalopram for persistent depressive disorder.

Laboratory Results
Capillary Blood Glucose
1613: 254 mg/dL [70-110 mg/dL]


Question 1 of 5

For each potential order, click to specify whether the potential order is indicated or not indicated for the client.

Potential Orders Indicated Not Indicated
Serum hemoglobin A1C
24-hour urinary cortisol levels
Serum complete metabolic panel
Serum clonidine suppression test
Serum complete blood count
Administration of a prescribed corticosteroid
Referral for neurology consultation

Correct Answer: A, B, C, E

Rationale: HbA1C assesses long-term glucose control, 24-hour cortisol tests for Cushing's, CMP evaluates electrolytes and glucose, and CBC checks for infection or anemia. Clonidine suppression is for pheochromocytoma, corticosteroids are not indicated, and neurology referral is unnecessary without neurological symptoms.

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Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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