Exam 32: Endocrine Disorders and Therapeutic Management

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A patient has been admitted with diabetic ketoacidosis,and treatment has been initiated.Which findings would lead the nurse to suspect the patient is dehydrated?

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A

A patient has been admitted with diabetic ketoacidosis (DKA).The nurse knows that the top priority in the initial treatment of DKA is which intervention?

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The nurse is caring for a patient with a head injury who has developed diabetes insipidus (DI).What medication would the nurse expect to be prescribed for the patient?

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A patient is admitted with diabetic ketoacidosis (DKA).The nurse knows that the dehydration associated with DKA results from which pathophysiologic mechanism?

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The nurse is caring for a critically ill patient with type 1 diabetes.The nurse understands that the patient is at risk for developing diabetic ketoacidosis (DKA)secondary to what etiology?

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A patient was admitted with diabetic ketoacidosis (DKA)an hour ago and is on an insulin drip.Suddenly,the nurse notices frequent premature ventricular contractions (PVCs)on the electrocardiogram.The nurse notifies the practitioner.The nurse would anticipate an order for which intervention?

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The nurse has admitted a patient with hyperglycemic hyperosmolar state (HHS).Which medical intervention would the nurse expect to see ordered for this patient?

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The nurse has admitted a patient with hyperglycemic hyperosmolar state (HHS).Which findings would the nurse expect to observe in this patient?

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Which pathophysiologic mechanism occurs in the patient with type 2 diabetes?

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A patient presents with ketoacidosis and a blood glucose level of 125 mg/dL.Diabetic ketoacidosis has been ruled out.The nurse knows that ketoacidosis can occur in which condition?

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A patient is admitted with syndrome of inappropriate secretion of antidiuretic hormone (SIADH).The nurse understands that the hyponatremia associated with this disorder is the result of which mechanism?

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A patient with hyperglycemic hyperosmolar state (HHS)has a serum glucose level of 400 mg/dL and a serum sodium level of 138 mEq/L.What is the intravenous fluid of choice?

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Which nursing intervention should be initiated on all patients with the syndrome of inappropriate antidiuretic hormone (SIADH)?

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A patient has been admitted with hyperosmolar hyperglycemic state (HHS).The nurse knows that intravenous insulin is usually administered at what dosage?

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Decreased urine osmolality is a sign of which disorder?

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The nurse is caring for a patient with the syndrome of inappropriate secretion of antidiuretic hormone (SIADH).Which findings would confirm this diagnosis?

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As a patient with diabetic ketoacidosis (DKA)receives insulin and fluids,the nurse knows careful assessment must be given to which electrolyte?

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The nurse is caring for a patient with type 1 diabetes who was admitted with complaints of increased lethargy.Serum laboratory values validate the diagnosis of diabetic ketoacidosis (DKA).Which medical intervention would the nurse expect to be ordered for this patient?

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A patient is admitted with diabetic ketoacidosis (DKA)and is experiencing polyuria.Which electrolyte disturbances would the nurse expect to see at this phase of DKA?

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Which finding is expected in the patient with hypothyroidism?

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