Which information from the client's history does the nurse identify as a risk factor for developing osteoporosis?
Anonymous Quiz
37%
Receives long-term steroid therapy
31%
Has a history of hypoparathyroidism
18%
Engages in strenuous physical activity
15%
Consumes high doses of the hormone estrogen
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A nurse is caring for two clients newly diagnosed with diabetes. One client has type1 diabetes and the other client type 2 diabetes. The nurse determines that the main difference between newly diagnose type 1 and type 2 diabetes is that in type 1 diabetes
Anonymous Quiz
20%
onset of the disease is slow.
38%
excessive weight is a contributing factor.
36%
complications are not present at the time of diagnosis.
5%
None
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A client is scheduled for an adrenalectomy Which nursing intervention should the nurse anticipate will be ordered for this client?
Anonymous Quiz
28%
Administer IV steroids.
13%
Provide a high-protein diet.
42%
Collect a 24-hour urine specimen.
17%
Withhold all medications for 48 hours
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A nurse is caring for a newly admitted client with a diagnosis of Cushing syndrome.Why should the nurse monitor this client for clinical indicators of diabetes mellitus?
Anonymous Quiz
9%
Cortical hormones stimulate rapid weight loss.
15%
Tissue catabolism results in a negative nitrogen balance..
51%
Glucocorticoids accelerate the process of gluconeogenesis.
25%
Excessive adrenocorticotropic hormone secretion damages pancreatic tissue.
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A nurse is caring for a client who is scheduled for a bilateral adrenalectomy. Which medication should the nurse expect to be prescribed for this client on the day of surgery and in the immediate postoperative period?
Anonymous Quiz
16%
1. Methimazole (Tapazole)
15%
2. Pituitary extract (Pituitrin)
18%
3. Regular insulin (Novolin R)
51%
4. Hydrocortisone succinate (Solu-Cortef)
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A nurse is caring for a client who had an adrenalectomy) For what clinical response should the nurse monitor while steroid therapy is being regulated?
Anonymous Quiz
11%
Hypotension
47%
Hyperglycemia
32%
Sodium retention
10%
Potassium excretion
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A client who has just had an adrenalectomy is told about a death in the family and becomes very upset. What concern about the client requires the nurse to notify the health care provider?
Anonymous Quiz
13%
Analgesia and mild sedation will be required to ensure rest.
33%
Steroid replacement medication therapy will have to be reduced.
30%
There is a decreased ability to handle stress despite steroid therapy.
25%
Feelings of exhaustion and lethargy may result from the emotional stress.
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A client with a tentative diagnosis of Cushing syndrome has an increasedcortisol level. For what response should the nurse assess this client?
Anonymous Quiz
11%
Hypovolemia
34%
Hyperkalemia
20%
Hypoglycemia
34%
Hypernatremia
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A health care provider orders a low-sodium, high-potassium diet for a client with Cushing syndrome. Which explanation should the nurse provide as to why the client needs to follow this diet?
Anonymous Quiz
4%
"The use of salt probably contributed to the disease."
15%
“Excess weight will be gained if sodium is not limited.
36%
"The loss of excess sodium and potassium in the urine requires less renal stimulation."
45%
"Excessive aldosterone and cortisone cause retention of sodium and loss of potassium.
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