Exam 50: Care of the Patient with an Endocrine Disorder

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The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine. Which of the following foods contains iodine?

(Multiple Choice)
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When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm, this is a(n) __________ ____________.

(Short Answer)
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What is the postoperative position for a person who has had a thyroidectomy?

(Multiple Choice)
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In diabetes insipidus, a deficiency of which hormone causes clinical manifestations?

(Multiple Choice)
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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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The nurse would instruct a patient with hyperthyroidism (Graves disease) to select which of the following nutritious foods because of the increased metabolism related to the disease. (Select all that apply.)

(Multiple Choice)
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The nurse is administering long-acting insulin once a day, which provides insulin coverage for 24 hours. This insulin is _________________.

(Short Answer)
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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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What instructions should a nurse give to a diabetic patient to prevent injury to the feet?

(Multiple Choice)
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Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

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

(Short Answer)
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The nurse discovers the type 1 diabetic (IDDM) patient drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. These are signs of:

(Multiple Choice)
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What should the nurse include in provisions for the postoperative care of the patient who had a thyroidectomy? (Select all that apply.)

(Multiple Choice)
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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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Arrange the steps of the negative feedback system in the control of blood glucose in chronologic order. (Separate letters by a comma and space as follows: A, B, C, D): A) Elevation of blood glucose B) Decrease in blood glucose C) Beta cells repressed D) Beta cells of pancreas stimulated to excrete insulin E) Intake of nutrients

(Short Answer)
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What should the nurse caution a type I diabetic about excessive exercise?

(Multiple Choice)
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Which precaution(s) should the nurse take when caring for a patient who is being treated with radioactive iodine 131 (RAIU)?

(Multiple Choice)
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What are the three major life-threatening complications postoperatively of a thyroidectomy? (Select all that apply.)

(Multiple Choice)
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What is an appropriate nursing diagnosis for a patient who has recently been diagnosed with acromegaly?

(Multiple Choice)
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How should the nurse administer insulin to prevent lipohypertrophy?

(Multiple Choice)
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