Module 11: Endocrine Flashcards
Which of the following would a practical nurse assess for in the client with hypothyroidism?
a. Diarrhea
b. Hair loss
c. Profuse sweating
d. Unexplained weight gain
A -Diarrhea
What is the purpose of thyroid replacement therapy?
Increased levels of T3 and T4
A patient with Grave’s disease asks the nurse what caused the disorder. The best response by the nurse is
“In genetically susceptible persons antibodies form that attack thyroid tissue and stimulate overproduction of thyroid hormones.”
Your client receives 30 units of Humulin N (intermediate acting) each morning at 0730. Your might expect a hypoglycemic reaction at:
a. 1330 hours
b. 1900 hours
c. 2300 hours
d. 0930 hours
A - 1330 hrs. You would expect hypoglycaemia at peak time. Intermediate acting peaks at 4 to 10 hours
The action of insulin is to decrease blood glucose by…
Allowing the glucose to enter a cell by making the cell membrane more permeable
Under what circumstances would the practical nurse with hold insulin?
a. If glucometer reading is above 10 mmol/L
b. If client is alert
c. If blood sugar is too high
d. If NPO for tests or surgery
d. If NPO for tests or surgery
What is the most common side effect of insulin?
Hypoglycemic
Why can’t insulin be administered orally?
It is destroyed by the stomach acid
What diabetes drug acts by decreasing amount of glucose produced by the liver?
Biguanides
What regimen offers the best blood glucose control for persons with type one diabetes?
Three or four injections per day of different types of insulin
What chemical is essential for the synthesis of thyroid hormones?
Iodine (provided through dietary intake of salt)
What is the function of thyroid hormones?
Regulates metabolism, which is your body‘s ability to break down food and convert it to energy
(Regulate basal metabolic rate - The speed by which cells perform their functions)
