Page 1427 - Saunders Comprehensive Review For NCLEX-RN

505. The nurse is monitoring a client who was diagnosed with type 1 diabetes
mellitus and is being treated with NPH and regular insulin. Which
manifestations would alert the nurse to the presence of a possible
hypoglycemic reaction? Select all that apply.
1. Tremors

2. Anorexia

3. Irritability

4. Nervousness
5. Hot, dry skin

6. Muscle cramps

506. The nurse is performing an assessment on a client with pheochromocytoma.
Which assessment data would indicate a potential complication associated
with this disorder?
1. A urinary output of 50 mL/hr
2. A coagulation time of 5 minutes
3. A heart rate that is 90 beats per minute and irregular
4. A blood urea nitrogen level of 20 mg/dL (7.1 mmol/L)
507. The nurse is monitoring a client diagnosed with acromegaly who was treated
with transsphenoidal hypophysectomy and is recovering in the intensive
care unit. Which findings should alert the nurse to the presence of a possible
postoperative complication? Select all that apply.
1. Anxiety

2. Leukocytosis

3. Chvostek’s sign
4. Urinary output of 800 mL/hr

5. Clear drainage on nasal dripper pad

508. The nurse performs a physical assessment on a client with type 2 diabetes
mellitus. Findings include a fasting blood glucose level of 70 mg/dL
(3.9 mmol/L), temperature of 101° F (38.3° C), pulse of 82 beats per minute,
respirations of 20 breaths per minute, and blood pressure of 118/68 mm Hg.
Which finding would be the priority concern to the nurse?
1. Pulse
2. Respiration
3. Temperature
4. Blood pressure
509. The nurse is preparing a client with a new diagnosis of hypothyroidism for
discharge. The nurse determines that the client understands discharge
instructions if the client states that which signs and symptoms are associated
with this diagnosis? Select all that apply.

1. Tremors

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