ENDOCRINE

Question 1

Signs of hypoglycemia

Answer 1

diaphoresis, headache and slurred speech

Question 2

For clients showing classic signs of hypoglycemia

Answer 2

give orange juice

Question 3

Hyperglycemia can be defined

Answer 3

as blood glucose levels of higher than 120 mg/dl

Question 4

Diabetic ketoacidosis is characterized by

Answer 4

flushed skin, fast deep labored perspiration with smell of acetone (fruity odor like over-ripped peach)

Question 5

Diabetes insipidus

Answer 5

is caused by the lack of Antidiuretic hormone (ADH)

Question 6

ADH is responsible for

Answer 6

reabsorption of water in the kidneys

Question 7

Kussmaul’s respirations are

Answer 7

deep, rapid breaths characteristic of diabetic ketoacidosis (DKA)

Question 8

Measuring urine and serum levels and osmolality are diagnostic test for

Answer 8

SIADH

Question 9

The best time for a person with diabetes to exercise is

Answer 9

30 to 60 minutes after a meal

Question 10

A person with Cushing syndrome

Answer 10

will have a high risk for fluid volume excess

Question 11

Trousseau’s sign and Chovstek’s sign are

Answer 11

seen in hypocalcemia

Question 12

If a nurse suspects tetany

Answer 12

Chovstek’s and Trosseau’s sign should be checked

Question 13

The laboratory value to check for if Chovstek’s or Trosseau’s sign is

Answer 13

positive is calcium levels

Question 14

Synthroid

Answer 14

medication used in treating hypothyroidism and it must be taken for life

Question 15

Glycosylated hemoglobin

Answer 15

an important index of glucose control because it identifies the average glucose levels for the preceding 100 to 120 days

Question 16

Addison disease

Answer 16

is a hypofunction of the adrenal cortex

Question 17

This client will need to take steroid replacement throughout life

Answer 17

Addison disease patient

Question 18

A tracheostomy set should be kept at the bedside of a patient returning from a

Answer 18

thyroidectomy surgery

Question 19

If ADH is lacking, adequate reabsorption of water is prevented leading to diuresis

Answer 19

Client may urinate from 3 to 15 L per day leading to concentrated blood and dehydration.

Question 20

Urine specific gravity is one of the diagnostic tests used to test for DI.

Answer 20

Urine specific gravity is less than 1.005 (normal is 1.010-1.025)

Question 21

normal is 1.010-1.025

Answer 21

Urine specific gravity

Question 22

SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion) results from too much ADH in the body.

Answer 22

This causes excess water to be reabsorbed by the kidney

Question 23

All diabetic patients should follow a daily foot care regimen, but it is particularly important for one with

Answer 23

peripheral vascular disease and peripheral neuropathy