Chapter 19 - Endocrine and Hematologic Emergencies

Question 1

A 37-year-old female with a history of diabetes presents with excessive urination and weakness of 2 days’ duration. Her blood glucose level reads 320 mg/dL. If this patient’s condition is not promptly treated, she will MOST likely develop:

A. irreversible renal failure.

B. hypoxia and overhydration.

C. severe insulin shock.

D. acidosis and dehydration.

Answer 1

A. irreversible renal failure.

P 733, Endocrine Emergencies

Question 2

A patient with an altered mental status; high blood glucose levels; and deep, rapid breathing may have a condition known as __________.

A. diabetic ketoacidosis

B. hyperosmolar hyperglycemic nonketotic coma

C. hyperglycemic crisis

D. hypoglycemic crisis

Answer 2

A. diabetic ketoacidosis

P 732, Endocrine Emergencies

Question 3

During your assessment of a 19-year-old male, you are told that he is being treated with factor VIII. This indicates that:

A. he has hemophilia A.

B. he has a thrombosis.

C. his blood clots too quickly.

D. he has thrombophilia.

Answer 3

A. he has hemophilia A.

P 743, Hematologic Emergencies