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NGN-NCLEX 2024 > Endocrine Rationales > Flashcards

Endocrine Rationales Flashcards

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1
Q

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

A

NPO - b/c they can choke.

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2
Q

Water deprivation test is used to diagnose ________.

A

DI

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3
Q

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

A

Pheocrymocytoma

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4
Q

What test confirms pheocrymocytoma?

A

24 hour urine test is needed

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5
Q

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

A

Vital Signs

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6
Q

Name the three manifestations of adrenal crisis?

A
  1. Hypovolemia
  2. Hypotension
  3. Tachycardia
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7
Q

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

A

Hypothyroidism

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8
Q

What type of insulin is usually loaded into pumps?

A

Rapid / short acting such as Aspart

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9
Q

When using an insulin pump you should _______ sites.

A

rotate

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10
Q

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

A

2-3 days

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11
Q

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

A

DKA due to possible infection of the injection site.

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12
Q

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

A

roll

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13
Q

What does vigorous exercise require for Addison’s patients?

A

Additional dosage of the clients steroids.

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14
Q

Nephrolithiasis is another name for?

A

Kidney Stone

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15
Q

Potassium levels are more critical than ______.

A

glucose

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16
Q

Which insulin is common to use for HHS?

A

Short or rapid acting

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17
Q

HHS can lead to severe ________.

A

dehydration

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18
Q

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

A

fluid replacement

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19
Q

In HHS there is _______ hyperglycemia.

A

severe

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20
Q

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

A
  1. Tachycardia
  2. Fever
  3. HPTN
  4. Restlessness
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21
Q

When a DM patient exercises the BG will initially _______.

A

increase

22
Q

For a DM you should avoid exercise when?

A

During peak insulin times.

23
Q

Name 4 ways a patient can combat exophthalmos.

A
  1. artificial tears
  2. Stop smoking
  3. Sleep with the HOB elevated
  4. Cool compress to the eyes
24
Q

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

A

fluid intake

25
Q

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

A

Treat the ketoacidosis

26
Q

Name 4 common findings of hypoglycemia.

A
  1. Blurred Vision
  2. Cool / clammy skin
  3. Palpitations
  4. Paresthesias
27
Q

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

A

Hypothyroidism

28
Q

When does regular insulin peak?

A

2-4 hours after injection.

29
Q

When does NPH (intermediate) peak?

A

4-12 hours following administration.

30
Q

When a client has morning hyperglycemia what is it called?

A

Dawn Phenomenom

31
Q

Morning hyperglycemia from counterregulatory response to nighttime hypoglycemia.

A

Somogyi effect

32
Q

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

A

50-75

33
Q

A good A1C is <___%

A

7

34
Q

The two tx for nephrogenci DI is ______ or _____.

A

Thiazide diuretics or NSAIDS

35
Q

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

A

making enough cortisol

36
Q

Why is physical activity good for hypothyroidism?

A
  1. promotes bowel regulatory
  2. weight reduction
37
Q

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

A

hyperglycemia than hypoglycemia.

38
Q

Why are patients in a thyroid storm prescribed dexamethasone?

A

It inhibits the conversion of T4 into T3.

39
Q

Hyperthyroidism leads to ______ system activity.

A

Nervous system (Tremors in the hands and feet)

40
Q

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

A

NO

41
Q

Hyperglycemia patients may experience _____ ______ d/t hypovolemia.

A

Orthostatic hypotension

42
Q

What is a transphenodial hypophysectomy?

A

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

43
Q

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

A
  1. HA
  2. N/V
  3. UO
  4. Vital signs
44
Q

A normal MAP is between ______ - ______.

A

70-100

45
Q

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

A

MAP

46
Q

Cataracts and VT are associated with with endocrine condition?

A

Cushing’s

47
Q

The priority tx for Addison’s is?

A

admin prescribed hydrocortisone (prevent addisonian crisis)

48
Q

Does pheochromocytoma cause hyper or hypoglycemia?

A

Hyperglycemia

49
Q

Red conjunctiva is associated with rich endocrine disorder?

A

Hyperthyroidism

50
Q

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

A

glucocorticoid.

NGN-NCLEX 2024 (57 decks)

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