Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Med and surg Adult > Endocrine ATI > Flashcards

Endocrine ATI Flashcards

1
Q

A nurse in a provider’s office is reviewing the health record of a pt who is being evaluated for
Grave’s diseae. The nurse should identify which of the following laboratory results is an expected findings?
a. Decreased thyrotropin receptor antibodies
b. Decreased thyroid-stimulating hormones
c. Decreased free thyroxine index
d. Decreased triiodothyronine

A

b
Low TSH is an expected finding. The pituitary gland decreases the production of TSH when the thyroid hormone levels are elevated.
a,b,d should elevated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A nurse is reviewing the manifestation of hyperthyroidism with a pt. Which of the following findings should the nurse includes? SATA
a. Anorexia
b. Heat intolerance
c. Constipation
d. Palpitations
e. Weight loss
d. Bradycardia

A

b,d,e

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A nurse is providing instructions to a pt who has Grave’s disease and has a new prescription for propranolol. Which of the following information should the nurse include?
a. An adverse effect of this medication is jaundice
b. Take your pulse before each dose
c. The purpose of this medication is to decrease the production of thyroid hormone.
d. You should stop taking this medication if you have a sore throat.

A

b
a-Methimazole
c-puroise of propranolol is decease HR
d-sore throat is NOT ADR, do not stop because it cause tachy and dysrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A nurse is preparing to receive a pt from the PACU who is posting operative following a thyroidectomy.The nurse should be unsure which of the following equipment is available?
SATA
a. Suction equipment
b. Humidified oxygen
c. Flashlight
d. Chest tube tray

A

a,b,d
Thyroidectomy is surgical removal of all or part of the thyroid gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A nurse in a provider’s office is planning care for a pt who has a new diagnosis of Grave’s disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care? SATA
a. Monitor CBC
b. Monitor triiodothyronine(t3)
c. Instruct the pt to increase consumption of shellfish
d. Advise the pt to take the medication at the same time every day
e.Inform the pt that an adverse effect of this medication is iodine toxicity

A

a,b,d
Methimazole can cause a number of hematologic effects, including leukopenia and thrombocytopenia,
reduce thyroid hormone production, should be taken at the same time to maintain blood levels.

c-instruct limit consumption of shellfish(iodine contained food)
e-this is the ADR of potassium iodine solution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A nurse is assessing a pt who is 12hr postoperative following a thyroidectomy, Which of the following findings is indicative of a thyroid crisis? SATA
a. Bradycardia
b. Hypothermia
c. Dyspnea
d. Abdominal pain
e. Mental confusion

A

c,d,e

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

A nurse in the provider’s office is reviewing lab results of a pt who is being evaluated for secondary hypothyroidism. Which of the following lab findings is expected?
a. Elevated T4
b. Decreased T3
c. Elevated thyroid stimulating hormone
d. Decreased cholesterol

A

b
a,b-shuld decrease
d-should elevated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A nurse is collecting an admission history from a pt who has hypothyroidism, WHich of the following findings should the nurse expect? SATA
a. Diarrhea
b. Menorrhagia
c. Dry skin
d. Increases libido
e. Hoarseness

A

b,c,e
b-Menorrhagia is menstrual bleeding that lasts more than 7 days
e-Hoarseness is a condition marked by changes in the pitch or quality of the voice, which may sound weak, scratchy or husky
a-sohuld constipation
d-should decrease/Libido-sexual desire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A nurse is reinforcing teaching with a pt who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse include in the teaching? SATA
a. Weight gain is expected while taking this medication
b. Medication should not be discontinued without the advice of the provider
c. Follow-up blood TSH levels should be obtaine
d. Take the medication on an empty stomach
e. Use fiber laxatives for constipation

A

b,c,d
a-speed up metabolisum. weight loss is an expected effect
e-Fiber laxatives reduce absorption of the medicationand should avoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A nurse is planning care for a pt who has myxedema come. Which of the following actions should the nurse include? SATA
a. Observe cardiac monitor for dysrhythmias
b. Observe for evidence of urinary tract infection
c. Initiate IV fluid using 0.9% sodium chloride
d. Administer a levothyroxine IV bolus
e. Provide warmth using a heating pad

A

a,b,c,d
e-provide extra clothing and blankets.eletric heating devices should be avioided because the combination of vasodilation,decrease sensation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A nrsue is assesing a pt who recently began taking levothyroxine to treat hypothyroidisum. Which of the following findings should indicate to the nurse that the pt might need a decrease tin th edosage of the medication?
a. Hand treamors
b. Bradycardia
c. Pallor
d. Slow speech

A

a
b,c,d These are manifestations of hypothyroidisum so this indicates need to continnue the therapy and maybe to increase dosage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A nurse is planning care for a pt who has Cushining’s disease. The nurse should identify that pt who has Cushing’s disease are at increased risk for which of the following? SATA
a. Infection
b. Gastric ulcer
c. Renal calculi
d. Bone fractures
e. Dysphagia

A

a,b,d
a-suppression of the immune system places the risk of infection
b-the overproduction of cortisol inhibits the production of a protective muscle lining in the stomach=increase amount of gastric acid
d-decrease ca absorption leads to osteoporosis

c-Kidney stones
e-wallowing difficulties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A nurse is assessing a pt who has Cushing’s disease. Which of the following findings is the priority?
a. Weight gain
b. Fatigue
c. Fragile skin
d. Joint pain

A

a
the great risk to a pt who has Cushining’s disease is fluid retention, which can lead to pulmonary edema,HTN, and HF.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A nurse is reviewing the lab findings of a pt who has Cusining’s disease. Which of the following findings should the nurse expect from the pt? SATA
a. Sodium 150mEq/L
b. Potassium 3.3mEq/L
c. Calcium 8.0mg/dL
d. Lymphocyte count 35%
e. Fasting glucose 145mg/dL

A

a,b,c,e
hypernatremia(135 to 145 )
hypokalemia (3.5 to 5.2)
hypocalcemia (8.6 to 10.3 )
elevated glucose(99 mg/dL or lowe)

should decrease Lymphocyte count

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A nurse is caring for a pt who is 6hr postoperative following transsphenoidal hypophysectomy. The nurse should test the pt’s nasal drainage for the presence of which of the following?
a. RBCs
b. Ketones
c. Glucose
d. Streptococci

A

c
cerebral sonal fluid contains glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A nurse is providing discharge teaching for a pt who had transsphenoidal hypophysectomy. Which of the following instructions should the nurse include? SATA
a. Brush teeth after every meal or snack
b. Avoid bending at the knees
c. Eat a high-fiber diet
d. Notify the provider of increased swallowing
e. Notify the provider of a diminished sense of smel

A

c,d
c-to avoid constipation
d-indication of leakage of cerebrospinal fluid

a-should avoid brushing teeth for 2 weeks
b-should avoid bending at the waist
e-expected findings

17
Q

A nurse is providing medication teaching for a pt who has Addison’s disease and is taking hydrocortisone. Which of the following instructions should the nurse include? SATA
a. Gtake the medication on an empty stomach
b. Notify the provider of any illness or stress
c. Report any manifestations of weakness or dizziness
d. Do not d/c the medication suddenly
e. Eat-low sodium diet

A

b,c,d
b-physical and emotional stress increases the need for hydrocortisone. the provide will increase the dosage when stress occur
c- this is indication of adrenal insufficiency

a-should take with food
e-cause hyponatremia so pt may requier sodium supplement

18
Q

A nurse is reviewing lab results for a pt who has Addison’s disease. Which of the following lab results should the nurse expect for this pt? SATA
a. Sodium 130mEq/L
b. Potassium 6.1mEq/L
c. Calcium 11.6mg/dL
d. Blood urea nitrogen(BUNN) 28mg/dL
e. Fasting glucose 148mg/dL

A

a,b,c,d
hyponatremia(135 to 145 )
hyperkalemia (3.5 to 5.2)
hypercalcemia (8.6 to 10.3 )
Eleveated BUN level (7 to 20)

hypoglycemia or normal glucose should expected(99 mg/dL or lowe)

19
Q

A nurse is admitting a pt who has acute adrenal insufficiency. Which of the following prescriptions should the nurse expect? SATA
a. IV therapy with 0.45% sodium chloride
b. Regular insulin
c. Hydrocortisone sodium succinate
d. Sodium polystyrene sulfonate
e. Furosemide

A

b,c,d,e

20
Q

A nurse is planning to teach a pt who is being evaluated for Addison’s disease about the adrenocorticotropic hormone(ACTH) stimulation test. The nurse should base the instructions on which of the following?
a. The ACTH stimulation test measures the response by the kidney to ACTH
b. In the presence of primary adrenal insufficiency, plasma cortisol levels rise in response to the administration of ACTH.
c. ACTH is a hormone produced by the pituitary gland.
d. THe pt is instructed to take a dose of ACTH by mouth the evening before the test.

A

c

F

21
Q

A nurse is caring for a pt who has a blood glucose of 52mg/dL. THe pt os lethargic but arousable. Which of the following actions should the nurse perform?
a) Recheck blood glucose in 15 mins
b) Provide a carbonhydrate and protine foood
c) Provide 15g simple carbohydrates
d) Report findings to the provider

A

c

22
Q

A nurse is preparing to administer a morning dose of insulin asapart to a pt who has type 1 DM, WHich of the following actions should the nurse take?
a) Check blood glucose immediately after breakfast
b) Administer insulin when breakfast arrives
c) Hold breakfast for 1 hr after insulin administration
d) Clarify the prescription because insulin should not be administered at this time

A

b
asapart is rapid-acting and should be administered 10-15 mins before breakfast
a-Blood glucose should be checked before insulin administration to prevent an episode of hypoglycemia
c-pt should eat food within 5-15 mins of taking insulin asapart to prevent hypoglycemia

23
Q

A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a pt who has a blood glucose of 278mg/dL.
Which of the following actions should the nurse take?
a) Draw up the regular insulin and then the glargine insulin in the same syringe
b) Draw up the glargine insulin and then the regular insulin in the same syringe
c) Draw up and administer regular and glargine insulin in separate syringes
d) Administer the regular insulin, wait for 1 hr, and then administer the glargine insulin

A

c
This insulin are not compatible and should not be drawn up in the same syringe

24
Q

A nurse is presenting information to a group of pt about nutrition habits that prevent type 2 DM. Which of the following should the nurse include in the information? SATA
a) Eat at regular intervals
b) Decrease intake of saturated fat
c) Increase daily fiber intake
d) Limit saturated fat by taking t 15% of daily caloric intake
e) Include omega-3 fatty acids in the diet

A

a,b,c,e
d-no more than 7% of total caloric intake

25
Q

A nurse is teaching foot care to a pt who has DM. Which of the following information should the nurse include in the teaching? SATA
a) Remove calluses using OTC remdeies
b) Apply lotion between toes
c) Test water temp with the finger before bathing
d) Trim toenails straight across
e) Wear close-toe-shoes

A

d,e
a- OTC can increase the risk for tissue injury and an infection
c- should check with the wrist or a thermometer

26
Q

A nurse is reviewing the health history of a pt who has D type 2. Which of the following are risk factors for the hyperglycemic hyperosmolar state (HHS)?
a) Evidence of recent MI
b) BUN 35mg/dL
c) Take CCB
d) Age 77 years old
e) Daily insulin injections

A

a,b,c,d
a- d/t Increase hormone production during illness or stress, which can cause an increase insulin and decrease the effect of insulin
b- this indication of kidney dysfunction, means the kidney cannot filter blood glucose into the urine
d- older age is at risk for developing DM type 2

27
Q

A nurse is assessing a pt who has DKA and ketones in the urine. THe nurse should expect which of the following findings? SATA
a) Weight gain
b) Fruity odor of the breath
c) Abdominal pain
d) Kussmaul respirations
e) Metabolic acidosis

A

b,c,d,e

28
Q

A nurse is reviewing lab reports of a pt who has HHS. Which of the following findings should the nurse expect?
a) Blood ph 7.2
b) Blood osmolarity 350mOsm/L
c) Blood potassium 3.8mg/dL
d) Blood creatinine 0.8mg/dL

A

b
normal levels are 275-295
a- It should be greater than 7.4/ph less than 7.35 means acidemia/pH above 7.45 is an alkalemia
c- HHS would initially have a decreased potassium due to polyuria
d- Normal range is 0.7 to 1.3 mg/dL and HHS should be grater than 1.5

29
Q

A nurse is reviewing the medical record of a pt who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect?
a) Administer an IV of regular insulin at 0.3unit/kg/hr
b) Adminisger a slow IV infusion of 3 % sodium chloride
c) Rapidly administer an IV infusion of 0.9% sodium chloride
d) Add glucose to the IV infusion when blood glucose is 350mg/dL

A

A-c
a- should be 0.1 unit
d- when 250mg/dL not 350

30
Q

A nurse is providing discharge teaching to a pt who had diabetic ketoacidosis. Which of the following information should the nurse include about preventing DKA? SATA
a) Drink 2L fluids daily
b) Monitor blood glucose every 4 hr when ill
c) Administer insulin as prescribed when ill
d) notify the provider when blood glucose is 200mg/dL
e) Report ketones in the urine after 24hr of illness

A

a,b,c,e
a-can prevent dehydration if the pt develops DKA
d-notify grater than 250

Med and surg Adult (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions