Question 1

Only ________insulin can be administered intravenously.

Accepted Answer

regular

Question 2

The adrenal cortex secretes glucocorticoids.The most important is cortisol.What is it involved in? (Select all that apply. )

Accepted Answer

A)  Glucose metabolism 
B)  Releasing androgens and estrogens 
C)  Providing extra reserve energy during stress 
D)  Decreasing the level of potassium in the bloodstream 
E)  Increasing retention of sodium in the bloodstream 
A)  Glucose metabolism 
B)  Releasing androgens and estrogens 
C)  Providing extra reserve energy during stress 
D)  Decreasing the level of potassium in the bloodstream 
E)  Increasing retention of sodium in the bloodstream A,C

Question 3

To which diet should a patient with Cushing syndrome adhere?

Accepted Answer

A)  Less sodium 
B)  More calories 
C)  Less potassium 
D)  More carbohydrates 
A)  Less sodium 
B)  More calories 
C)  Less potassium 
D)  More carbohydrates A

Question 4

The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen.The patient plans to enroll in a swimming class.Which adjustment should be made based on this information?

Accepted Answer

A)  Time the morning insulin injection so that the peak action will occur during swimming class. 
B)  Delete normal walks on swimming class days. 
C)  Delay the meal before the swimming class until the session is over. 
D)  Monitor glucose level before,during,and after swimming to determine the need for alterations in food or insulin. 
A)  Time the morning insulin injection so that the peak action will occur during swimming class. 
B)  Delete normal walks on swimming class days. 
C)  Delay the meal before the swimming class until the session is over. 
D)  Monitor glucose level before,during,and after swimming to determine the need for alterations in food or insulin.

Question 5

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy,the patient has a spasm of the facial muscles.What should the nurse recognize this as?

Accepted Answer

A)  Chvostek sign 
B)  Montgomery sign 
C)  Trousseau sign 
D)  Homans' sign 
A)  Chvostek sign 
B)  Montgomery sign 
C)  Trousseau sign 
D)  Homans' sign

Question 6

The human insulin whose onset of action occurs within ____ minutes is lispro (Humalog).

Accepted Answer

A)  30 
B)  60 
C)  15 
D)  45 
A)  30 
B)  60 
C)  15 
D)  45

Question 7

What instructions should be included in the discharge instructions for a 47-year-old patient with hypothyroidism?

Accepted Answer

A)  Taking medication whenever symptoms cause discomfort 
B)  Decreasing fluid and fiber intake 
C)  Consuming foods rich in iron 
D)  Seeing the health care provider regularly for follow-up care 
A)  Taking medication whenever symptoms cause discomfort 
B)  Decreasing fluid and fiber intake 
C)  Consuming foods rich in iron 
D)  Seeing the health care provider regularly for follow-up care

Question 8

What should the nurse caution a type I diabetic about excessive exercise?

Accepted Answer

A)  It can increase the need for insulin and may result in hyperglycemia. 
B)  It can decrease the need for insulin and may result in hypoglycemia. 
C)  It can increase muscle bulk and may result in malabsorption of insulin. 
D)  It can decrease metabolic demand and may result in metabolic acidosis. 
A)  It can increase the need for insulin and may result in hyperglycemia. 
B)  It can decrease the need for insulin and may result in hypoglycemia. 
C)  It can increase muscle bulk and may result in malabsorption of insulin. 
D)  It can decrease metabolic demand and may result in metabolic acidosis.

Question 9

What instructions should a nurse give to a diabetic patient to prevent injury to the feet?

Accepted Answer

A)  Soak feet in warm water every day. 
B)  Avoid going barefoot and always wear shoes with soles. 
C)  Use of commercial keratolytic agents to remove corns and calluses are preferred to cutting off corns and calluses. 
D)  Use a heating pad to warm feet when they feel cool to the touch. 
A)  Soak feet in warm water every day. 
B)  Avoid going barefoot and always wear shoes with soles. 
C)  Use of commercial keratolytic agents to remove corns and calluses are preferred to cutting off corns and calluses. 
D)  Use a heating pad to warm feet when they feel cool to the touch.

Question 10

A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation.What should nutritional interventions include?

Accepted Answer

A)  Frequent small meals high in carbohydrates 
B)  Calorie-restricted meals 
C)  Caffeine-rich beverages 
D)  Fluid restrictions 
A)  Frequent small meals high in carbohydrates 
B)  Calorie-restricted meals 
C)  Caffeine-rich beverages 
D)  Fluid restrictions

Question 11

What is the postoperative position for a person who has had a thyroidectomy?

Accepted Answer

A)  Prone 
B)  Semi-Fowler 
C)  Side-lying 
D)  Supine 
A)  Prone 
B)  Semi-Fowler 
C)  Side-lying 
D)  Supine

Question 12

How should the nurse administer insulin to prevent lipohypertrophy?

Accepted Answer

A)  At room temperature 
B)  At body temperature 
C)  Straight from the refrigerator 
D)  After rolling bottle between hands to warm 
A)  At room temperature 
B)  At body temperature 
C)  Straight from the refrigerator 
D)  After rolling bottle between hands to warm

Question 13

A patient has come to the clinic because of enlarged hands and feet,amenorrhea,and increased hair growth.These symptoms most likely indicate problems with the:

Accepted Answer

A)  pituitary gland. 
B)  adrenal glands. 
C)  thyroid gland. 
D)  pancreas. 
A)  pituitary gland. 
B)  adrenal glands. 
C)  thyroid gland. 
D)  pancreas.

Question 14

The nurse teaching a patient with type 1 diabetes mellitus (IDDM)about early signs of insulin reaction would include information about:

Accepted Answer

A)  abdominal pain and nausea. 
B)  dyspnea and pallor. 
C)  flushing of the skin and headache. 
D)  hunger and a trembling sensation. 
A)  abdominal pain and nausea. 
B)  dyspnea and pallor. 
C)  flushing of the skin and headache. 
D)  hunger and a trembling sensation.

Question 15

Another term for hyperglycemic reaction is diabetic ______________.

Accepted Answer

The answer of Another term for hyperglycemic reaction is diabetic...

Question 16

The nurse would instruct a patient with hyperthyroidism (Graves disease)to select which of the following nutritious foods because of the increased metabolism related to the disease? (Select all that apply. )

Accepted Answer

A)  Coffee with cream 
B)  Lean meat 
C)  White bread 
D)  Leafy green vegetables 
E)  Supplemental vitamin D 
A)  Coffee with cream 
B)  Lean meat 
C)  White bread 
D)  Leafy green vegetables 
E)  Supplemental vitamin D

Question 17

Which precaution(s)should the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?

Accepted Answer

A)  Initiate radioactive safety precautions. 
B)  Avoid assigning any young woman to the patient. 
C)  Wait 3 days after dose before assigning a pregnant nurse to care for this patient. 
D)  Advise visitors to sit at least 10 ft away from the patient. 
A)  Initiate radioactive safety precautions. 
B)  Avoid assigning any young woman to the patient. 
C)  Wait 3 days after dose before assigning a pregnant nurse to care for this patient. 
D)  Advise visitors to sit at least 10 ft away from the patient.

Question 18

What do the Chvostek sign and the Trousseau sign indicate?

Accepted Answer

A)  Low levels of serum calcium 
B)  High levels of blood sugar 
C)  Low levels of serum sodium 
D)  High levels of serum aldosterone 
A)  Low levels of serum calcium 
B)  High levels of blood sugar 
C)  Low levels of serum sodium 
D)  High levels of serum aldosterone

Question 19

The health care provider prescribes glyburide (Micronase,DiaBeta,Glynase)for a patient,age 57,when diet and exercise have not been able to control type 2 diabetes.What should the nurse include in the teaching plan about this medication?

Accepted Answer

A)  It is a substitute for insulin and acts by directly stimulating glucose uptake into the cell. 
B)  It does not cause the hypoglycemic reactions that may occur with insulin use. 
C)  It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. 
D)  It lowers blood sugar by inhibiting glucagon release from the liver,preventing gluconeogenesis. 
A)  It is a substitute for insulin and acts by directly stimulating glucose uptake into the cell. 
B)  It does not cause the hypoglycemic reactions that may occur with insulin use. 
C)  It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. 
D)  It lowers blood sugar by inhibiting glucagon release from the liver,preventing gluconeogenesis.

Question 20

The health care provider orders an 1800-calorie diabetic diet and 40 units of (Humulin N)insulin U-100 subcutaneously daily for a patient with diabetes mellitus.Why would a mid-afternoon snack of milk and crackers be given?

Accepted Answer

A)  To improve nutrition. 
B)  To improve carbohydrate metabolism. 
C)  To prevent an insulin reaction. 
D)  To prevent diabetic coma. 
A)  To improve nutrition. 
B)  To improve carbohydrate metabolism. 
C)  To prevent an insulin reaction. 
D)  To prevent diabetic coma.

Exam 51: Care of the Patient With an Endocrine Disorder

Only ________insulin can be administered intravenously.

The adrenal cortex secretes glucocorticoids.The most important is cortisol.What is it involved in? (Select all that apply. )

To which diet should a patient with Cushing syndrome adhere?

The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen.The patient plans to enroll in a swimming class.Which adjustment should be made based on this information?

As the nurse is shaving a patient who is 2 days postoperative from a thyroidectomy,the patient has a spasm of the facial muscles.What should the nurse recognize this as?

The human insulin whose onset of action occurs within ____ minutes is lispro (Humalog).

What instructions should be included in the discharge instructions for a 47-year-old patient with hypothyroidism?

What should the nurse caution a type I diabetic about excessive exercise?

What instructions should a nurse give to a diabetic patient to prevent injury to the feet?

A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation.What should nutritional interventions include?

What is the postoperative position for a person who has had a thyroidectomy?

How should the nurse administer insulin to prevent lipohypertrophy?

A patient has come to the clinic because of enlarged hands and feet,amenorrhea,and increased hair growth.These symptoms most likely indicate problems with the:

The nurse teaching a patient with type 1 diabetes mellitus (IDDM)about early signs of insulin reaction would include information about:

Another term for hyperglycemic reaction is diabetic ______________.

The nurse would instruct a patient with hyperthyroidism (Graves disease)to select which of the following nutritious foods because of the increased metabolism related to the disease? (Select all that apply. )

Which precaution(s)should the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?

What do the Chvostek sign and the Trousseau sign indicate?

The health care provider prescribes glyburide (Micronase,DiaBeta,Glynase)for a patient,age 57,when diet and exercise have not been able to control type 2 diabetes.What should the nurse include in the teaching plan about this medication?

The health care provider orders an 1800-calorie diabetic diet and 40 units of (Humulin N)insulin U-100 subcutaneously daily for a patient with diabetes mellitus.Why would a mid-afternoon snack of milk and crackers be given?

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