Exam 11: Care of the Patient with an Endocrine Disorder

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

(Multiple Choice)
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A patient with a history of Graves disease is admitted to the unit with shortness of breath.The nurse notes the patient's vital signs: T 103° F,P 160,R 24,BP 160/80.The nurse also notes distended neck veins.What does the patient most likely have?

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

(Multiple Choice)
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The nurse cautions the patient who is being instructed on self-medication with insulin to be aware that there are 25-,30-,50-,and 100-unit syringes.How is the 100-unit syringe marked?

(Multiple Choice)
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A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion.She should be informed of which potential complication?

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

(Multiple Choice)
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The nurse would instruct a patient who is hypocalcemic from hypoparathyroidism about a diet that should include (select all that apply):

(Multiple Choice)
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Arrange the steps of drawing up a short-acting and a long-acting insulin in the same syringe.(Separate letters by a comma and space as follows: A,B,C,D) A) Draw up amount of shorter-acting insulin B) Check insulin dose with a second licensed nurse C) Inject the desired amount of air into the long-acting insulin D) Clean rubber stopper of both vials with alcohol E) Draw up desired amount of longer-acting insulin F) Inject the desired amount of air into the short-acting insulin

(Short Answer)
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The nurse is caring for a patient who is receiving calcium gluconate for treatment of hypoparathyroid tetany.Which assessment would indicate an adverse reaction to the drug?

(Multiple Choice)
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Another term for hyperglycemic reaction is ____________ ______________.

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

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

(Multiple Choice)
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The physician 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?

(Multiple Choice)
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To which diet should a patient with Cushing syndrome adhere?

(Multiple Choice)
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The nurse caring for a 75-year-old man who has developed diabetes insipidus following a head injury will include in the plan of care provisions for:

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

(Multiple Choice)
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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:

(Multiple Choice)
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What is a long-term complication of diabetes mellitus?

(Multiple Choice)
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Why would a patient with hyperthyroidism be prescribed the drug methimazole (Tapa-zole)?

(Multiple Choice)
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________________is the term that describes a condition of normal thyroid function.

(Short Answer)
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