Exam 19: Endocrine Alterations

Which of the following patients is at the highest risk for hyperosmolar hyperglycemic syndrome?

In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome,when is an intravenous (IV)solution that contains dextrose started?

The nurse is caring for a patient who underwent pituitary surgery 12 hours ago.The nurse will give priority to monitoring the patient carefully for which of the following?

A patient presents to the emergency department with suspected thyroid storm.The nurse should be alert to which of the following cardiac rhythms while providing care to this patient?

An individual with type 2 diabetes who takes glipizide has begun a formal exercise program at a local gym.While exercising on the treadmill,the individual becomes pale,diaphoretic,shaky,and has a headache.The individual feels as though she is going to pass out.What is the individual's priority action?

The nurse is caring for a patient with a diagnosis of head trauma.The nurse notes that the patient's urine output has increased tremendously over the past 18 hours.The nurse suspects that the patient may be developing

The nurse is assigned to care for a patient who presented to the emergency department with diabetic ketoacidosis.A continuous insulin intravenous infusion is started,and hourly bedside glucose monitoring is ordered.The targeted blood glucose value after the first hour of therapy is

The nurse is caring for a patient who suffered a head trauma following a fall.The patient's heart rate is 112 beats/min and blood pressure is 88/50 mm Hg.The patient has poor skin turgor and dry mucous membranes.The patient is confused and restless.The following laboratory values are reported: serum sodium is 115 mEq/L; blood urea nitrogen (BUN)50 mg/dL; and creatinine 1.8 mg/dL.The findings are consistent with which disorder?

In hyperosmolar hyperglycemic syndrome,the laboratory results are similar to those of diabetic ketoacidosis,with three major exceptions.What differences would you expect to see in patients with hyperosmolar hyperglycemic syndrome?

A patient presents to the emergency department with the following clinical signs: Pulse: 132 beats/min Blood pressure: 88/50 mm Hg Respiratory rate: 32 breaths/min Temperature: 104.8°F Chest x-ray: Findings consistent with congestive heart failure Cardiac rhythm: Atrial fibrillation with rapid ventricular response These signs are consistent with which disorder?

A patient with newly diagnosed type 1 diabetes is being transitioned from an infusion of intravenous (IV)regular insulin to an intensive insulin therapy regimen of insulin glargine and insulin aspart.How should the nurse manage this transition in insulin delivery?

A patient is admitted to the critical care unit with a diagnosis of diabetic ketoacidosis.Following aggressive fluid resuscitation and intravenous (IV)insulin administration,the blood glucose begins to normalize.In addition to glucose monitoring,which of the following electrolytes requires close monitoring?

What psychosocial factors may potentially contribute to the development of diabetic ketoacidosis? (Select all that apply.)

The most significant clinical finding of acute adrenal crisis associated with fluid and electrolyte imbalance is

Mechanisms for development of diabetes insipidus include which of the following? (Select all that apply.)