Endocrine

Question 1

A client with diaphoresis, palpitations, jitters, and tachycardia
approximately 1½ hours after taking his regular morning insulin is
experiencing symptoms of ____________

Answer 1

Hypoglycemia

Question 2

Chronic complication of diabetes mellitus

Answer 2

Retinopathy

Question 3

_______ decreases insulin resistance

Answer 3

Exercise

Question 4

______produces fatty masses at injection sites, causing
unpredictable absorption of insulin injected into these sites

Answer 4

Insulin lipodystrophy

Question 5

____ is sometimes seen after normal blood glucose levels are
established in a client with prolonged hyperglycemia

Answer 5

Insulin edema

Question 6

______ occurs mostly in overweight clients and is due to
insulin binding with antibodies, decreasing the amount of absorption

Answer 6

Insulin resistance

Question 7

Results of a urine glucose test correlate poorly with____

Answer 7

Glucose levels.

Question 8

Weight gain, lethargy, and slow pulse rate along with decreased T3 and T4 levels indicate

Answer 8

hypothyroidism

Question 9

_____ are thyroid hormones that affect growth and development as
well as metabolic rate

Answer 9

T3
and T4

Question 10

____ is related to low calcium levels

Answer 10

Tetany

Question 11

To palpate the thyroid gland, ask the client to ____

Answer 11

Swallow; as he does so,
palpate the gland for enlargement as the tissue rises and falls

Question 12

Measurement of glycosylated hemoglobin (Hb A1c) is used to assess_______

Answer 12

hyperglycemia

Question 13

Coarsening of facial features and extremity enlargement are symptoms of_____

Answer 13

Acromegaly

Question 14

The medulla of the adrenal gland releases two hormones:

Answer 14

epinephrine
and norepinephrine

Question 15

Thyroxine (T4), triiodothyronine (T3), and calcitonin are secreted by the _____

Answer 15

thyroid gland

Question 16

The islet cells of the pancreas secrete____

Answer 16

insulin, glucagon, and somatostatin

Question 17

Diabetes insipidus is at risk for developing____

Answer 17

Hypovolemic shock because of increased urine output

Question 18

In clients with diabetes insipidus, urine specifi c gravity should be
monitored for____

Answer 18

Low osmolality (generally less than 1.005) due to the body’s inability to concentrate urine.

Question 19

Fluid deprivation test involves

Answer 19

withholding water for 4 to 18 hours
and checking urine osmolarity periodically