Jeopardy Exam 4 Review

Question 1

Which temperature intolerance does the nurse expect in a patient with an increased thyroid stimulating hormone (TSH)?

Answer 1

Cold intolerance

Question 2

A patient with this disease will present with a goiter or exophthalmos?

Answer 2

Hyperthyroidism/Graves Disease

Question 3

Which are 4 signs, symptoms, or behaviors the nurse will find when assessing a patient with hypothyroidism?

Answer 3

Bradycardia
Cold intolerance
Weight gain
Constipation

Question 4

What are the 3 thyroid medications the nurse expect to administer in a patient with Thyroid Storm?

Answer 4

PTU
Methimazole
Beta blockers

Question 5

What 3 vital signs would be abnormal in a patient with hyperthyroidism progressing to a thyroid storm?

Answer 5

Elevated HR, BP, and temp

Question 6

Which laboratory finding indicates poor glucose control for the past 3 months and a diagnosis of diabetes?

Answer 6

A1C greater than 6.5

Question 7

Diabetes can cause this condition, so it is recommended to see the ophthalmologist yearly

Answer 7

Retinopathy

Question 8

What are the 3 Ps?

Answer 8

Polydipsia
Polyphagia
Polyuria

Question 9

What are the 4 ways to diagnose diabetes?

Answer 9

Random spot POCT > 200
Fasting BS > 126 2x
Glucose uptake test > 200 after 2 hours
A1C > 6.5

Question 10

What are 3 interventions and 3 assessments when caring for a patient with DKA?

Answer 10

BP, BS, K+
Insulin
Tele
Fluids

Question 11

Patient’s with Addison’s disease have high levels of ____ due to aldosterone release.

Answer 11

Potassium

Question 12

The nurse is caring for a patient with adrenal insufficiency. What is the priority intervention and what would the nurse monitor?

Answer 12

Tele for monitoring due to hyperkalemia

Question 13

The nurse is caring for a client with acromegaly. What physical characteristics would the nurse expect to observe?

Answer 13

large hands and face

Question 14

Hypotension is to _____ disease, as Hypertension is to ______ disease

Answer 14

Hypotension :ADDISON’S disease
Hypertension: CUSHING’S disease

Question 15

A nurse assesses a client with Cushing’s disease. Which 4 assessment findings would the nurse expect?

Answer 15

Moon shaped face
buffalo hump
thin extremities
petechiae

Question 16

A nurse cares for a patient who possibly has (SIADH). The patient’s serum sodium level is 114 mEq/L. What change would the nurse implement?

Answer 16

fluid restriction

Question 17

A nurse is reviewing a prescription for dexamethasone in a patient who has an expanding brain tumor. The wife of the patient asks why this medication is given. What would you tell the wife?

Answer 17

It is a steroid given to reduce swelling of the brain

Question 18

A nurse is caring for a patient with increased ICP. What 2 early assessment findings would alert the nurse of this developing complication?

Answer 18

Restlessness and irritability

Question 19

This type of conditions can cause SIADH

Answer 19

lung cancer

Question 20

In SIADH, what is one type of fluid that you can administer to help with hypovolemia?

Answer 20

Hypertonic solution

Question 21

What is the typical age range for MS diagnosis?

Answer 21

20-40/50

Question 22

What is the first typical s/sx in a patient with MS?

Answer 22

Numbness and tingling

Question 23

Multiple sclerosis (MS) isan ____ disease that affects the brain and spinal cord.

Answer 23

Autoimmune

Question 24

What diagnostic test is used to evaluate for MS?

Answer 24

Lumbar puncture

Question 25

What 2 things are present in CSF of patients with MS?

Answer 25

Protein and WBC