Unit 3 Quiz Flashcards
The signs and symptoms of abrupt cessation of pharmacologic glucocorticoids closely resemble those of:
a) addison disease
b) cushing syndrome
c) cushing disease
d) graves disease
A
Which of the following clinical manifestations lead the healthcare worker to suspect the client is at the end-stage expression of hypothyroidism? A client: Select all that apply.
a) brought to the emergency department with hypothermia who presents with low sodium levels
b) in the emergency department presenting with tachycardia and palpitations
c) whose family took him to the health care provider complaining of shortness of breath and heat intolerance
d) who takes analgesics for chronic pain that goes into a coma
e) who has abnormal retraction of eyelids and infrequent blinking
A, D
Which of the following clients are at risk for developing hypothyroidism? Select all that apply.
a) a bipolar client prescribed lithium carbonate
b) a client who is prescribed amiodarone for frequent dysrhythmias
c) a client who has bulging eyeballs being treated with B-adrenergic blockers
d) a female experiencing an autoimmune disorder called thyroiditis
e) a client who has precancerous thyroid lesions
A, B, D, E
Which of the following individuals displays the precursors to acromegaly?
a) an adult who has a diagnosis of cushing syndrome
b) a girl who has been diagnosed with precocious puberty
c) a client who has recently developed primary adrenal carcinoma
d) an adult with excess of growth hormone due to an adenoma
D
One of the first signs that indicates an infant may have congenital hypothyroidism is:
a) palpable mass in the neck region
b) prolonged period of physiologic jaundice
c) full, bounding fontanels
d) no passage of meconium within the first 72 hours after birth
B
While trying to explain the physiology behind type 2 diabetes to a group of nursing students, the instructor will mention which of the following accurate information?
a) They have increased predisposition to other autoimmune disorders such as Graves disease, rheumatoid arthritis, and Addison disease
b) The destruction of beta cells and absolute lack of insulin in people with type 2 diabetes means that they are particularly prone to the development of diabetic complication
c) Because of the loss of insulin response, all people with type 2 diabetes require exogenous insulin replacement to control blood glucose levels
d) In skeletal muscle, insulin resistance prompts decreased uptake of glucose. Following meals (postprandial), glucose levels are higher due to diminished efficiency of glucose clearance
D
A client tells his health care provider that his body is changing. It used to be normal for his blood glucose to be higher during the latter part of the morning. However, now his fasting blood glucose level is elevated in the early AM (07:00). The health care provider recognizes the client may be experiencing:
a) possible stress-related hypoglycemia
b) hyperglycemic hyperosmolar state (HHS)
c) somogyi effect
d) dawn phenomenon
D
Impaired and delayed healing in a person with diabetes is caused by long-term complications that include:
a) fluid imbalances
b) ketoacidosis
c) chronic neuropathies
d) Somogyi effect
C
A client’s primary care provider has ordered an oral glucose tolerance test (OGTT) as a screening measure for diabetes. Which of the following instructions should the client be given?
a) “They’ll take a blood sample and see how much sugar is attached to your red blood cells.”
b) “You can go to the lab at any time; just tell the technician when you last ate before they draw a blood sample.”
c) “The lab tech will give you a sugar solution and then measure your blood sugar levels at specified intervals.”
d) “The lab tech will give you a sugar solution and then measure your blood sugar levels at specified intervals.”
D
A client is admitted in the ICU with diagnosis of hyperglycemic hyperosmolar state (HHS). The nurse caring for the client knows that the client’s elevated serum osmolality has pulled water out of this brain cells based on which of the following assessment findings? Select all that apply.
a) After the sole of the foot has been firmly stroked, the toes flex and flare out
b) Uncontrollable twitching of a muscle group
c) Weakness one side of the body
d) Increase in urine output in proportion to the increase in blood glucose
e) Unable to respond verbally to questions
A, B, C, E
The nurse is asked to explain how to administer somatropin (Saizen) to the mother of a 6-year-old. How would the nurse explain how this drug is administered?
a) “There will no longer be any need to rotate sites because it uses a needleless system.”
b) “It requires only a very small needle and doesn’t hurt much at all.”
c) “This system will be used until your son gets older and is more tolerant of needles.”
d) “This delivers a fine mist through the skin without needles and far less discomfort.”
D
The nurse administers desmopressin (DDAVP) to the patient to treat diabetes insipidus. What assessment finding would indicate to the nurse that the desmopressin is producing a therapeutic effect?
a) Decreased blood volume
b) Increased plasma osmolarity
c) Decreased urine output
d) Decreased water reabsorption
C
The nurse, caring for a patient experiencing stress, knows that activation of the stress reaction will cause the release of what?
a) Adrenocorticotropic hormone (ACTH)
b) oxytocin
c) aldosterone
d) glucose
A
The nurse anticipates an order for a glucocorticoid when caring for a patient with what condition?
a) appendicitis
b) hypoglycemia
c) arthritis
d) septicemia
C
When caring for a patient receiving long-term therapy with corticosteroids, the nurse would plan care incorporating interventions aimed at preventing what?
a) allergies
b) infection
c) inflammation
d) anemia
B
