Adult. Endocrine disorders Exam

A 65-year-old client has a 10-year history of Type 2 diabetes mellitus, hypertension, impaired renal function, and hypercholesteremia. The client was a 30-pack-year smoker and has not smoked for 2 years. The client has had recent stress and underwent surgery for a stent insertion 8 months ago. Initial admission assessment and laboratory findings include:
Which of the following assessment findings require follow-up by the nurse?

The nurse is caring for a client who began showing signs of diabetes insipidus 4 hours ago and was treated with IV fluids and one dose of nasal desmopressin. Which assessment finding demonstrates to the nurse that the treatment has been effective? Select all that apply.

Jeremy, a 42-year-old man, presents to an endocrinology clinic for evaluation of his increasing hand and foot size over the past five years. He also mentions having developed coarser facial features and sleep apnea. After a series of tests, he is diagnosed with acromegaly. Jeremy asks about possible complications of his condition.
Which of the following complications is commonly associated with acromegaly?

Rachel, a 28-year-old woman with type 1 diabetes, is admitted to the hospital for recurrent early morning hyperglycemia. 
Which of the following nursing interventions would be appropriate to prevent this effect in Rachel? Select all that apply

Eduardo, a 36-year-old man, is rushed to the ER with palpitations, profuse sweating, and extreme anxiety. Upon examination, he exhibits a rapid heartbeat, tremor, and an enlarged thyroid gland.

Which of the following physician’s orders would the nurse anticipate? Select all that apply. 

Lisa, a 48-year-old woman with a recent diagnosis of hyperthyroidism, visits the ophthalmology clinic due to discomfort in her eyes. She displays noticeable eye protrusion or exophthalmos.
Which is the following nursing intervention essential for the care of exophthalmos in Lisa's hyperthyroidism?

Marie, a 65-year-old female, is admitted to the intensive care unit with a history of untreated hypothyroidism. She presents with severe lethargy, hypothermia, hypoventilation, and decreased responsiveness.

Which of the following is the most crucial nursing intervention for Marie in the initial management of myxedema coma?

Patient Profile:
Name: John Doe Age: 58 Sex: Male
Presenting to: Emergency Department

Chief Complaint:
Intense thirst and excessive urination. 
Reports an intake of up to 8 liters of water daily for the past few weeks.
No family history of diabetes mellitus.
Denies recent head injury or surgeries.
No known allergies.
Not on any regular medications.
Complete the diagram below by dragging from the choice below what condition the client is most likely experiencing, 2 actions the nurse would take to address that condition, and 2 parameters the nurse would monitor to assess the condition.

Sarah, a 39-year-old woman, is admitted to the critical care unit with a high fever, rapid heart rate, and tremors. She has a history of hyperthyroidism but has been non-compliant with her medication regimen.
Which nursing implications are essential in managing Sarah during this acute episode?

Alex, a 46-year-old male, arrives at the emergency department with severe abdominal pain, hypotension, and confusion. He has a history of Addison's disease but ran out of his medication a week ago.
Which of the following symptoms best correlates with an Addisonian crisis in Alex?

The nurse begins her morning shift in the endocrine ward, she is assigned six different patients 
Which patient requires immediate nursing attention based on current clinical status?

The nurse is teaching a group of nursing students about diabetes mellitus. She shows two typical cases in her nurse's notes.
Which of the following statements is correct regarding the differences between Jake's and Linda's conditions?

Leah, a 30-year-old nurse, presents to the emergency department with recurrent episodes of hypoglycemia. Detailed assessment and monitoring reveal no medical cause, raising suspicions of factitious hypoglycemia, potentially self-induced.
Which of the following is the most appropriate nursing implication when managing Leah's condition?

Elaine, a 16-year-old girl, is brought to the pediatric clinic by her mother due to a lack of menstruation. 
Which of the following causes is the most likely explanation for Elaine's primary amenorrhea?

Anna, a 50-year-old post-menopausal woman, visits her healthcare provider with concerns about osteoporosis. She's witnessed her mother's struggles with the condition and wants to take preventive steps.
Osteoporosis is characterized by

Among the most important preventive measures are

Michael, a 28-year-old man with a known history of Type 1 diabetes, is admitted to the ICU.
In managing Michael's condition, which of the following interventions is the priority for the nursing team? Select all that apply

Angela, a 52-year-old woman, recently underwent a total thyroidectomy. Two days post-operatively, she complained of numbness around her mouth and tingling in her fingertips.
Which of the following is the most likely cause of Angela's symptoms?

Carlos, a 47-year-old man, in order to assess a potential Cushing's syndrome has been advised to undergo

He approaches the nurse for guidance on how to conduct the test.

The most critical instruction before performing the test is 

Samantha, a 40-year-old preschool teacher, is about to receive Radioactive iodine (RAI I131) therapy for her hyperthyroidism. The nurse is providing instructions regarding precautions she should take post-treatment.
Which of the following precautions is essential for Samantha post RAI I131 therapy?

Jennifer, a 45-year-old woman, underwent a total thyroidectomy three days ago due to a large goiter causing compressive symptoms.
She is currently recovering in the surgical ward.
This morning, she complained of numbness and tingling around her mouth and in her fingertips.
Upon physical examination, she exhibits facial muscle twitching when the facial nerve is tapped at the angle of the jaw, and her hand and fingers contract in a characteristic position when a blood pressure cuff is inflated on her upper arm and maintained for 3 minutes.
Which nursing intervention is MOST appropriate for Jennifer given her symptoms post-thyroidectomy?