1. 81. The client with type 1 diabetes asks the nurse, “What causes me to get dehydrated
when my glucose level is elevated?” Which statement would be the nurse’s best
response?
1. “The kidneys are damaged and cannot filter out the urine.”
2. “The glucose causes fluid to be pulled from the tissues.”
3. “The sweating as a result of the high glucose level causes dehydration.”
4. “You get dehydrated with a high glucose because you are so thirsty.”
82. The client calls the clinic first thing in the morning and tells the nurse, “I have been
vomiting and having diarrhea since last night.” Which response is appropriate for the
nurse to make?
1. Encourage the client to eat dairy products.
2. Have the client go to the emergency room.
3. Request the client obtain a stool specimen.
4. Tell the client to stay on a clear liquid diet.
83. Which signs/symptoms should the nurse expect to assess in the client diagnosed with
Addison’s disease?
1. Hypotension and bronze skin pigmentation.
2. Water retention and osteoporosis.
3. Hirsutism and abdominal striae.
4. Truncal obesity and thin, wasted extremities.
84. The client diagnosed with neurogenic diabetes insipidus (DI) asks the nurse, “What
is wrong with me? Why do I urinate so much?” Which statement by the nurse is
most appropriate?
1. “The islet cells in your pancreas are not functioning properly.”
2. “Your pituitary gland is not secreting a necessary hormone.”
3. “Your kidneys are in failure and you are overproducing urine.”
4. “The thyroid gland is speeding up all your metabolism.”
85. The client is admitted into the medical unit diagnosed with heart failure and is
prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention
should the nurse implement?
1. Call the pharmacist to clarify the order.
2. Administer the medication as ordered.
3. Ask the client why he or she takes Synthroid.
4. Request serum thyroid function levels.
86. Which client should the nurse consider at...
