Endocrine Rationales

Question 1

If a client has slurred speech and lethargy you should keep them ______.

Answer 1

NPO - b/c they can choke.

Question 2

Water deprivation test is used to diagnose ________.

Answer 2

DI

Question 3

Headache, hyperglycemia, and HPTN are all symptoms of ________.

Answer 3

Pheocrymocytoma

Question 4

What test confirms pheocrymocytoma?

Answer 4

24 hour urine test is needed

Question 5

_______ ______ are the most critical priority in the pre-operative period.

Answer 5

Vital Signs

Question 6

Name the three manifestations of adrenal crisis?

Answer 6

1. Hypovolemia
2. Hypotension
3. Tachycardia

Question 7

weight gain, constipation, abdominal distention, and peripheral edema are all signs of ________.

Answer 7

Hypothyroidism

Question 8

What type of insulin is usually loaded into pumps?

Answer 8

Rapid / short acting such as Aspart

Question 9

When using an insulin pump you should _______ sites.

Answer 9

rotate

Question 10

You should change the pump cannula / infusion Q ____ - _____ days.

Answer 10

2-3 days

Question 11

When using an insulin pump a client is at high risk of _______.

Answer 11

DKA due to possible infection of the injection site.

Question 12

Don’t ______ the vial insulin prior to inserting it in the pump.

Answer 12

roll

Question 13

What does vigorous exercise require for Addison’s patients?

Answer 13

Additional dosage of the clients steroids.

Question 14

Nephrolithiasis is another name for?

Answer 14

Kidney Stone

Question 15

Potassium levels are more critical than ______.

Answer 15

glucose

Question 16

Which insulin is common to use for HHS?

Answer 16

Short or rapid acting

Question 17

HHS can lead to severe ________.

Answer 17

dehydration

Question 18

Tx for HHS emphasizes ______ ________. It is the priority treatment.

Answer 18

fluid replacement

Question 19

In HHS there is _______ hyperglycemia.

Answer 19

severe

Question 20

A thyroid storm is manifested with _____, ______, _________, ________.

Answer 20

1. Tachycardia
2. Fever
3. HPTN
4. Restlessness

Question 21

When a DM patient exercises the BG will initially _______.

Answer 21

increase

Question 22

For a DM you should avoid exercise when?

Answer 22

During peak insulin times.

Question 23

Name 4 ways a patient can combat exophthalmos.

Answer 23

1. artificial tears
2. Stop smoking
3. Sleep with the HOB elevated
4. Cool compress to the eyes

Question 24

DI patients don’t need to restrict their _____ ______. Even after a certain time of day.

Answer 24

fluid intake

Question 25

In DKA patients IV regular insulin is prescribed to ______ _____ ______.

Answer 25

Treat the ketoacidosis

Question 26

Name 4 common findings of hypoglycemia.

Answer 26

1. Blurred Vision 2. Cool / clammy skin 3. Palpitations 4. Paresthesias

Question 27

Obesity, periorbital edema, and a decrease in motivation are all signs of ______.

Answer 27

Hypothyroidism

Question 28

When does regular insulin peak?

Answer 28

2-4 hours after injection.

Question 29

When does NPH (intermediate) peak?

Answer 29

4-12 hours following administration.

Question 30

When a client has morning hyperglycemia what is it called?

Answer 30

Dawn Phenomenom

Question 31

Morning hyperglycemia from counterregulatory response to nighttime hypoglycemia.

Answer 31

Somogyi effect

Question 32

The therapeutic goal for glucose to drop is ____ - _____ mg/dl/hr.

Answer 32

50-75

Question 33

A good A1C is <___%

Answer 33

7

Question 34

The two tx for nephrogenci DI is ______ or _____.

Answer 34

Thiazide diuretics or NSAIDS

Question 35

When in adrenal crisis your glands are not _____ _____ ______.

Answer 35

making enough cortisol

Question 36

Why is physical activity good for hypothyroidism?

Answer 36

1. promotes bowel regulatory 2. weight reduction

Question 37

when taking TPN there is a higher risk for _______ than ______.

Answer 37

hyperglycemia than hypoglycemia.

Question 38

Why are patients in a thyroid storm prescribed dexamethasone?

Answer 38

It inhibits the conversion of T4 into T3.

Question 39

Hyperthyroidism leads to ______ system activity.

Answer 39

Nervous system (Tremors in the hands and feet)

Question 40

Is drinking one glass of red wine 3 times a week a concern for developing DM 2?

Answer 40

NO

Question 41

Hyperglycemia patients may experience _____ ______ d/t hypovolemia.

Answer 41

Orthostatic hypotension

Question 42

What is a transphenodial hypophysectomy?

Answer 42

surgery to remove a tumor or part of the pituitary gland.

Question 43

After a hypophysectomy a client should be closely monitored for what? 4

Answer 43

1. HA 2. N/V 3. UO 4. Vital signs

Question 44

A normal MAP is between ______ - ______.

Answer 44

70-100

Question 45

The average arterial pressure throughout one cardiac cycle, systole, and diastole is known as the?

Answer 45

MAP

Question 46

Cataracts and VT are associated with with endocrine condition?

Answer 46

Cushing's

Question 47

The priority tx for Addison's is?

Answer 47

admin prescribed hydrocortisone (prevent addisonian crisis)

Question 48

Does pheochromocytoma cause hyper or hypoglycemia?

Answer 48

Hyperglycemia

Question 49

Red conjunctiva is associated with rich endocrine disorder?

Answer 49

Hyperthyroidism

Question 50

Cushing's syndrome is characterized by chronic exposure to a _______.

Answer 50

glucocorticoid.