Exam 32: Endocrine Disorders and Therapeutic Management

A patient is admitted with a long history of mental illness.The patient's spouse states the patient has been drinking up to 10 gallons of water each day for the past 2 days and refuses to eat.The patient is severely dehydrated and soaked with urine.The nurse suspects the patient has which problem?

A patient weighs 140 kg and is 60 inches tall.The patient's blood sugar is being controlled by glipizide.Which topic would be important for the nurse to include in the patient's discharge education plan?

A patient is admitted with severe hyperglycemia.The patient is very lethargic and has a "fruity" odor to his breath.The nurse knows the odor on the patient's breath is indicative of which situation?

A patient is admitted with diabetic ketoacidosis (DKA).The patient's arterial blood gas indicates the patient has an uncompensated metabolic acidosis.The patient has rapid,regular respirations.Which medical intervention would the nurse expect to initiate to correct the acidosis?

Patients discharged with antithyroid medications should be alerted to which potential side effect?

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

The nurse knows that during the resuscitation of a patient with diabetic ketoacidosis (DKA),the intravenous (IV)line should be changed to a solution containing glucose when what happens?

Which pathophysiologic mechanism occurs in the syndrome of inappropriate antidiuretic hormone (SIADH)?

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 statement best describes the rationale for administrating potassium supplements with the patient's insulin therapy?

A patient has been admitted after surgery for removal of a brain tumor.The nurse suspects the patient may be developing diabetes insipidus (DI).Which findings would confirm the nurse's suspicion?

A patient was admitted with diabetic ketoacidosis (DKA).Glucose is 349 mg/dL,K⁺ is 3.7 mEq/L,and pH is 7.10.Which of the following interventions would you expect?

A patient is admitted with extreme fatigue,vomiting,and headache.This patient has type 1 diabetes that has been well controlled with an insulin pump.The patient states,"I know it could not be my diabetes because my pump gives me 24-hour control." Which reply would be the nurse's best response?

The nursing management plan for a patient with thyrotoxicosis would include which intervention?

The neuroendocrine stress response produces which findings?

A patient with a history of type 2 diabetes was admitted after aneurysm repair.The patient's serum glucose levels have been elevated for the past 2 days,and the patient is concerned about becoming dependent on insulin.Which statement is the nurse's best response to the patient's concerns?

A patient with diabetic ketoacidosis (DKA)has an insulin drip infusing,and the nurse has just administered subcutaneous insulin.The nurse is alert for signs of hypoglycemia,which would include what findings?

The nurse is caring for a patient with myxedema coma.The patient's temperature is 93° F.Which intervention would the nurse include in the plan of care for this patient?

A patient with type 2 diabetes is admitted.He is very lethargic and hypotensive.A diagnosis of hyperglycemic hyperosmolar syndrome (HHS)is given.Which findings support this diagnosis?

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

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 which intervention?