Exam 33: Endocrine Disorders and Therapeutic Management

An older patient presents with a serum glucose level of 900 mg/dL,hematocrit of 55%,and no serum ketones.Immediate attention must be given to

Patients who have sustained head trauma or have undergone resection of a pituitary tumor have an increased risk of developing

A patient is admitted to the unit with extreme fatigue,vomiting,and headache.This patient has type 1 diabetes but has been on an insulin pump for 6 months.He states,"I know it could not be my diabetes because my pump gives me 24-hour control." The nurse's best response would be

The onset of seizures in the patient with DI indicates

Characteristics of diabetes insipidus (DI)are

As a patient with diabetic ketoacidosis receives insulin and fluids,the nurse knows careful assessment must be given to which of the following electrolytes?

While a patient with SIADH is receiving hypertonic saline,the nurse assesses for signs that the saline must be stopped.These signs would include

The nurse knows that the dehydration associated with diabetic ketoacidosis results from

The hallmark of hyperglycemic hyperosmolar syndrome (HHS)is

The patient's temperature is 93° F rectally.The most appropriate intervention with this patient would be to

The nurse knows that the patient with DKA will need

A patient with type 2 diabetes is admitted.He is very lethargic and hypotensive.A diagnosis of hyperglycemic hyperosmolar syndrome (HHS)is made based on laboratory values of

A patient has thyroid storm.The nurse is providing medication instruction for home.The patient asks "If I have a fever,should I take Tylenol or aspirin?" The best response for the nurse would be

A patient with diabetes in the critical care unit is at risk for developing diabetic ketoacidosis (DKA)secondary to

A patient has a 10-year history of diabetes mellitus.The patient is admitted to the critical care unit with complaints of increased lethargy.Serum laboratory values validate the diagnosis of diabetic ketoacidosis (DKA).The treatment of DKA involves

In the syndrome of inappropriate antidiuretic hormone (SIADH),the physiologic effect is

The nurse knows that three signs of effective fluid replacement include

When a patient in diabetic ketoacidosis (DKA)has insulin infusing intravenously,the nurse expects a drop in the serum levels of

Decreased urine osmolality is a sign of

The patient admitted in diabetic ketoacidosis has dry,cracked lips and is begging for something to drink.The nurse's best response would be to