1. A patient with uncontrolled diabetes asks how often they should exercise. The nurse advises exercising at least 5 times a week to help control blood sugar.
2. A patient presents with hypothyroidism complications including hypothermia, hypoventilation, and myxedema coma. The nurse should be prepared for myxedema coma.
3. A diagnostic test result that indicates acromegaly is an increased serum somatomedin C level above 300.
[DOCUMENT]
1. A patient with uncontrolled diabetes asks how often they should exercise. The nurse advises exercising at least 5 times a week to help control blood sugar.
2. A patient presents with hypothyroidism complications including hypothermia, hypoventilation, and myxedema coma. The nurse should be prepared for myxedema coma.
3. A diagnostic test result that indicates acromegaly is an increased serum somatomedin C level above 300.
[DOCUMENT]
1. A patient with uncontrolled diabetes asks how often they should exercise. The nurse advises exercising at least 5 times a week to help control blood sugar.
2. A patient presents with hypothyroidism complications including hypothermia, hypoventilation, and myxedema coma. The nurse should be prepared for myxedema coma.
3. A diagnostic test result that indicates acromegaly is an increased serum somatomedin C level above 300.
[DOCUMENT]
1. A patient with uncontrolled diabetes asks how often they should exercise. The nurse advises exercising at least 5 times a week to help control blood sugar.
2. A patient presents with hypothyroidism complications including hypothermia, hypoventilation, and myxedema coma. The nurse should be prepared for myxedema coma.
3. A diagnostic test result that indicates acromegaly is an increased serum somatomedin C level above 300.
[DOCUMENT]
thyroidectomy a few hours ago due to an 1. Lorelei is patient with diabetes mellitus has adenoma of the thyroid. During rounds, an Hba1c level of 8%. On the basis of this test nurse Ella assesses the client, who now result, the nurse plans to teach the client about the need for which measure? has nausea, a temperature of 41° C, tachycardia, and extreme restlessness. A. Avoiding infection B. Taking in adequate fluids What is the most likely cause of these C. Preventing and recognizing hypoglycemia signs? D. Preventing and recognizing hyperglycemia
A. Diabetic ketoacidosis 2. Sandra has been diagnosed with B. Thyroid crisis C. Hypoglycemia hypothyroidism (myxedema) for 3 years and D. Tetany is receiving levothyroxine. Which finding 6. Vienna who weighs 85 kg was found out to should nurse Hans recognize as an adverse be hyperglycemic during a clinic visit. Her drug effect? husband reports her loud snoring at night. Which of the following describes the diagnosis? A. Dysuria B. Leg cramps A. Acromegaly C. Tachycardia B. Type 1 diabetes mellitus D. Blurred vision C. Hypothyroidism D. Deficient growth hormone
3. Harold was diagnosed with diabetes 7. Sandra was found lying on a street, insipidus recently due to a brain tumor. incoherent, and was brought to the Surgical and pharmacologic treatment was emergency department. Assessment reveal done. Which of the following signs indicate hypothermia, hypoventilation, respiratory successful outcome? acidosis, bradycardia and nonpitting edema of the face and pretibial area. The patient was A. Fluid intake is less than 2,500 ml/day. known to have a history of hypothyroidism. B. Urine output measures more than 200 Which of the following complications should ml/hour. you be prepared for? C. Blood pressure is 90/50 mm Hg. D. The heart rate is 126 beats/minute A. Thyroid storm. B. Cretinism. C. Myxedema coma. 4. Linda is 50-year-old with uncontrolled D. Hashimoto’s thyroiditis diabetes. She asks the nurse educator how often to exercise to help her control her blood sugar. The nurse educator advises the clients to exercise how often to meet the goals of 8. Felix has a history of hypoglycemia and planned exercise? has a growth hormone deficiency. Nurse Peng should avoid administering a drug that may potentiate hypoglycemia. Which drug fits this description? A. At least once a week B. At least three times a week A. sulfisoxazole (Gantrisin) C. At least five times a week B. mexiletine (Mexitil) D. Every day C. prednisone (Orasone) D. lithium carbonate (Lithobid)
1 9. Kelly is currently taking repaglinide. After 14. Eula presents with goiter, exophthalmos the health teaching, nurse Kira evaluates the and pretibial edema. She asks the nurse what patient’s knowledge. Which of the following caused the disorder. The best response by indicates further teaching is needed? the nurse is
A. “I must not skip the dose when a meal is a. "The cause of Grave's disease is not not taken” known, although it is thought to be genetic." B. “I may feel dizziness while taking it” b. "It is usually associated with goiter C. “This drug can act quicker but has shorter formation from an iodine deficiency over a duration of action” long period of time." D. “This is used to treat type II diabetes c. "Antibodies develop against thyroid tissue mellitus” and destroy it, causing a deficiency of thyroid hormones" 10. A student nurse asks you about d. "In genetically susceptible persons contraceptive pills. She asks you which pill antibodies form that attack thyroid tissue has a constant dose of estrogen with varying and stimulate overproduction of thyroid doses of progestin. You answer that these hormones." are: 15. You are currently providing discharge A. monophasic pills instructions to a patient following a subtotal B. biphasic pills thyroidectomy. You know that the patient has C. triphasic pills good understanding of the management D. Depo-Provera when she:
11. Sheena is suspected to have acromegaly a. Never missed a daily dose of thyroid due to an elevated plasma growth hormone replacement therapy level. Therefor you should also expect the b. Avoids regular exercise until thyroid patient's diagnostic results to include: function is normalized c. Avoids eating foods such as soybeans, a. hyperinsulinemia turnips, and rutabagas b. a plasma glucose of less than 70 d. Use warm salt water gargles several times c. decreased growth hormone levels with an a day to relieve throat pain oral glucose challenge test d. a serum sometomedin C (insulin-like growth-factor) of more than 300
12. June, a patient with a brain tumor
presents with DI. He is treated first with nasal desmopressin. The nurse recognize that the drug is not having an adequate therapeutic effect the the patient experiences
a. headache and weight gain
b. nasal irritation and nausea c. a urine specific gravity of 1.002 d. an oral intake greater than urinary output
13. Linda was diagnosed with nephrogenic DI.
You would expect treatment to include
a. fluid restriction b. thiazide diuretics c. a high-sodium diet d. chlorpropamide
