Exam 19: Endocrine Alterations

Which of the following would be seen in a patient with myxedema coma?

Which of the following statements is true about the medical management of diabetic ketoacidosis?

Factors associated with the development of nephrogenic diabetes insipidus include which of the following? (Select all that apply.)

A patient is receiving hydrocortisone sodium succinate for adrenal crisis.What other medication does the nurse prepare to administer?

Which of the following are appropriate nursing interventions for the patient in myxedema coma? (Select all that apply.)

The nurse is providing insulin education for an elderly patient with long-standing diabetes.A prescription has been written for the patient to take 20 units of insulin glargine at 10 PM nightly.The nurse should instruct the patient that the peak of the insulin action for this agent is

An elderly female patient has presented to the emergency department with altered mental status,hypothermia,and clinical signs of heart failure.Myxedema is suspected.Which of the following laboratory findings support this diagnosis?

A patient is admitted to the oncology unit with a small-cell lung carcinoma.During the admission,the patient is noted to have a significant decrease in urine output accompanied by shortness of breath,edema,and mental status changes.The nurse is aware that this clinical presentation is consistent with

A patient with a history of type 1 diabetes and an eating disorder is found unconscious.In the emergency department,the following lab values are obtained: Glucose: 648 mg/dL PH: 6.88 P_aCO₂: 20 mm Hg P_aO₂: 95 mm Hg HCO₃-: undetectable Anion gap: >31 Na⁺: 127 mEq/L K⁺: 3.5 mEq/L Creatinine: 1.8 mg/dL After the patient's airway and ventilation have been established,the next priority for this patient is:

A patient with long-standing type 1 diabetes presents to the emergency department with a loss of consciousness and seizure activity.The patient has a history of renal insufficiency,gastroparesis,and peripheral diabetic neuropathy.Emergency personnel reported a blood glucose of 32 mg/dL on scene.When providing discharge teaching for this patient and family,the nurse instructs on the need to do which of the following? (Select all that apply.)

The nurse has been assigned the following patients.Which patients require assessment of blood glucose control as a nursing priority? (Select all that apply.)

Which of the following laboratory values would be more common in patients with diabetic ketoacidosis?

A patient with pancreatic cancer has been admitted to the critical care unit with clinical signs consistent with syndrome of inappropriate secretion of antidiuretic hormone.The nurse anticipates that clinical management of this condition will include

A patient has been on daily,high-dose glucocorticoid therapy for the treatment of rheumatoid arthritis.His prescription runs out before his next appointment with his physician.Because he is asymptomatic,he thinks it is all right to withhold the medication for 3 days.What is likely to happen to this patient?

A college student was admitted to the emergency department after being found unconscious by a roommate.The roommate informs emergency medical personnel that the student has diabetes and has been experiencing flulike symptoms,including vomiting,since yesterday.The patient had been up all night studying for exams.The patient used the last diabetes testing supplies 3 days ago and has not had time to go to the pharmacy to refill prescription supplies.Based upon the history,which laboratory findings would be anticipated in this client? (Select all that apply.)

Which of the following laboratory values would be found in a patient with syndrome of inappropriate secretion of antidiuretic hormone?

A patient with type 1 diabetes who is receiving a continuous subcutaneous insulin infusion via an insulin pump contacts the clinic to report mechanical failure of the infusion pump.The nurse instructs the patient to begin monitoring for signs of:

The nurse is caring for a patient with head trauma who was admitted to the surgical intensive care unit following a motorcycle crash.What is an important assessment that will assist the nurse in early identification of an endocrine disorder commonly associated with this condition?

Acute adrenal crisis is caused by

Which of the following is a high-priority nursing diagnosis for both diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome?