Chapter 19 Quiz Flashcards

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1
Q

During your assessment of a 19-year-old male, you are told that he is being treated with factor VIII. This indicates that:

A. he has a thrombosis.
B. his blood clots too quickly.
C. he has thrombophilia.
D. he has hemophilia A.

A

D. he has hemophilia A.

Chapter 19, page 743, Hematologic Emergencies

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2
Q

Classic signs and symptoms of hypoglycemia include:

A. cold, clammy skin; bradycardia; hunger; and deep, rapid respirations.
B. cool, clammy skin; weakness; tachycardia; and rapid respirations.
C. warm, dry skin; hunger; abdominal pain; and deep, slow respirations.
D. warm, dry skin; irritability; bradycardia; and rapid respirations.

A

B. cool, clammy skin; weakness; tachycardia; and rapid respirations.

Chapter 19, page 734, Endocrine Emergencies

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3
Q

A patient with hypoglycemia will often present with which of the following signs/symptoms?

A. Deep, rapid respirations
B. Pale, cool, and clammy skin
C. Hypertension
D. Warm, red, and dry skin

A

B. Pale, cool, and clammy skin

Chapter 19, page 730, Endocrine Emergencies

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4
Q

Symptomatic hypoglycemia will MOST likely develop if a patient:

A. eats a regular meal followed by mild exertion.
B. misses one or two prescribed insulin injections.
C. takes too much of his or her prescribed insulin.
D. markedly overeats and misses an insulin dose.

A

C. takes too much of his or her prescribed insulin.

Chapter 19, pages 733–734, Endocrine Emergencies

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5
Q

Excessive eating caused by cellular “hunger” is called:

A. polyphagia.
B. polydipsia.
C. dysphasia.
D. dyspepsia.

A

A. polyphagia.

Chapter 19, page 731, Endocrine Emergencies

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6
Q

A patient with an altered mental status; high blood glucose levels; and deep, rapid breathing may have a condition known as __________.

A. diabetic ketoacidosis
B. hyperosmolar hyperglycemic nonketotic coma
C. hypoglycemic crisis
D. hyperglycemic crisis

A

A. diabetic ketoacidosis

Chapter 19, page 732, Endocrine Emergencies

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7
Q

The two main types of cells contained in blood are called _________.

A. transport and clotting
B. hemoglobin A and S
C. erythrocytes and leukocytes
D. platelets and plasma

A

C. erythrocytes and leukocytes

Chapter 19, page 741, Hematologic Emergencies

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8
Q

A man finds his 59-year-old wife unconscious on the couch. He states that she takes medications for type 2 diabetes. He further tells you that his wife has been ill recently and has not eaten for the past 24 hours. Your assessment reveals that the patient is unresponsive. You should:

A. administer 100% oxygen via a nonrebreathing mask.
B. administer oral glucose between her cheek and gum.
C. assess for the presence of a medical identification tag.
D. open and maintain her airway and assess breathing.

A

D. open and maintain her airway and assess breathing.

Chapter 19, page 735, Patient Assessment of Diabetes

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9
Q

A 37-year-old female with a history of diabetes presents with excessive urination and weakness of 2 days’ duration. Her blood glucose level reads 320 mg/dL. If this patient’s condition is not promptly treated, she will MOST likely develop:

A. hypoxia and overhydration.
B. irreversible renal failure.
C. severe insulin shock.
D. acidosis and dehydration.

A

B. irreversible renal failure.

Chapter 19, page 733, Endocrine Emergencies

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10
Q

In contrast to type 1 diabetes, type 2 diabetes:

A. is caused by a complete lack of insulin in the body.
B. is commonly diagnosed in children and young adults.
C. occurs when antibodies attack insulin-producing cells.
D. is caused by resistance to insulin at the cellular level.

A

D. is caused by resistance to insulin at the cellular level.

Chapter 19, pages 730 and 732, Endocrine Emergencies

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