Exam 19: Endocrine Alterations

Which of the following are appropriate nursing interventions for the patient in myxedema coma?

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?

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

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?

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

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?

Acute adrenal crisis is caused by

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

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

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?

What psychosocial factors may potentially contribute to the development of diabetic ketoacidosis?

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 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?

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 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?