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Flashcards in Endocrine Deck (4):
1

HHNS S/S:

BG of > 600 mg/dL, severe dehydration, high serum osmolality, pH > 7.3, ALOC, type 2 DM

2

What is an orchiectomy and what is the NSG main priority post-op?

Orchiectomy is the removal of the testicles (penis & scrotum are left intact) usually done to stop the production of testosterone. Main priority is to manage post-op pain

3

At a senior citizen's group meeting the nurse talks with a client who has type 1 diabetes. Which statement by the client during the conversation is most predictive of a potential for impaired skin integrity?

A: I give my insulin shots in my thighs & belly & alternate sites

B: Here are my glucose test readings that I wrote on my calendar

C: If I bathe more than once a week my skin feels too dry

D: I had a penny in my shoe all day last week, and I didn't even realize it until I took my shoes off!

D: I had a penny in my shoe all day last week, and I didn't even realize it until I took my shoes off!

Peripheral neuropathy can lead to lack of sensation in the lower extremities. Clients who do not feel pressure and/or pain are at high risk for skin impairment

4

During a routine checkup, a client with a history of type 1 diabetes mellitus has the glycosolated hemoglobin (HbA1c) checked. The results indicate a level of 11%. Based on this result, what should the nurse emphasize during teaching?

Insulin mixing and preparation

Daily peripheral glucose monitoring

Review of diet and exercise recommendations

Daily peripheral glucose monitoring

Normal results for Hg A1c (glycosolated hemoglobin) is 6% or less. Persons diagnosed with diabetes mellitus have guidelines designated by their health care provider; usually it's less than 7%. Hemoglobin A1c is an average serum glucose level for the prior three months. The peripheral stick for glucose is an approach to monitor daily fluctuations.