1.
A client is diagnosed with a hypothalamic disorder affecting the production of vasopressin. Which of the following manifestations is the nurse least likely to assess in this client?
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Hypoglycemia
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Polydipsia
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Polyphagia
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Polyuria
2.
A client is prescribed a drug that inhibits the action of CRH. After administration of this drug, what should the nurse monitor?
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TSH
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Cortisol
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Estrogen
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Testosterone
3.
A client is prescribed octreotide 150 mcg subcutaneously daily in three divided doses. The available drug comes in a concentration of 100 mcg/mL. How many milliliters should the nurse administer for each dose?
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0.5 mL
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1.0 mL
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1.5 mL
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2.0 mL
4.
A client with adrenal insufficiency is prescribed hydrocortisone. Which action should the nurse take to detect potential adverse effects of this drug?
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Monitor for hypoglycemia and hypertension
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Assess for hyperglycemia and hypertension
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Check for hypoglycemia and weight loss
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Assess for weight loss and hypertension
5.
A nurse is caring for a client with acromegaly. Which explanation of this disorder will the nurse give to the client?
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“Excess growth hormone causes increased bone density.”
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“Increased growth hormone results in decreased insulin resistance.”
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“Elevated growth hormone leads to increased muscle mass and strength.”
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“Too much growth hormone causes abnormal growth of bones and soft tissues.”
6.
A client is prescribed fludrocortisone. Which findings indicate to the nurse that the client is having adverse effects from this medication?
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Hypokalemia and hypertension
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Hypoglycemia and hypertension
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Hypokalemia and hypotension
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Hyperglycemia and hypotension
7.
A client requires 120 mg of methylprednisolone. The available medication comes in a 125 mg/2 mL vial. How many milliliters should the nurse administer if rounded to the nearest tenth?
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1.9 mL
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1.8 mL
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2.0 mL
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2.1 mL
8.
A client is being discharged on a glucocorticosteroid drug for a flare-up of rheumatoid arthritis. Which instruction should the nurse give to the client?
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Stop the medication when symptoms subside.
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Taper the medication as directed.
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Take the medication, as needed, for joint pain.
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Increase the dose each day until pain is relieved.
9.
A client with Parkinson’s disease has an order for bromocriptine. Which assessment finding would cause the nurse to not administer the drug and notify the provider?
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Hypervigilance
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Diarrhea
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Heart rate 90 beats/minute
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Blood pressure 196/108 mm Hg
10.
A client presents with hyperaldosteronism. What assessment findings should the nurse expect?
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Decreased blood pressure, increased potassium levels
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Increased blood pressure, decreased potassium levels
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Increased blood pressure, increased potassium levels
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Decreased blood pressure, decreased potassium levels