NURS 147: Endocrine-Module 8 Day 1

Slides (34)

1. 1 - Freestyle

2. 2 - Freestyle

3. 3 - Pick Answer When teaching a client about endocrine disorders, which statement should the nurse include?

   1. Most endocrine disorders result from over- or underproduction of hormones.

   2. Endocrine glands release hormones through ducts.

   3. Hormone secretion occurs in a straight-line continuous process.

   4. Gland enlargement always causes hormone deficiency.

4. 4 - Freestyle

5. 5 - Pick Answer A client with head trauma begins producing large amounts of dilute urine and reports intense thirst. Which hormone deficiency does the nurse suspect?

   1. Prolactin

   2. Oxytocin

   3. TSH

   4. Vasopressin (ADH)

6. 6 - Leaderboard

7. 7 - Freestyle

8. 8 - Freestyle

9. 9 - Pick Answer A client has low T3/T4, high TSH, fatigue, weight gain, constipation, hair loss, and cold intolerance. Which condition best fits this picture?

   1. Hashimoto hypothyroidism

   2. Cushing syndrome

   3. Graves disease

   4. Addison disease

10. 10 - Leaderboard

11. 11 - Freestyle

12. 12 - Pick Answer An incoherent client with severe hypothyroidism has hypothermia, bradycardia, hypotension, and hypoventilation. What is the most critical intervention?

    1. Maintain a patent airway

    2. Administer oral levothyroxine

    3. Apply a warming blanket

    4. Measure intake and output

13. 13 - Freestyle

14. 14 - Freestyle

15. 15 - Pick Answer A nurse is caring for a client in addisonian crisis. Which medication order should the nurse question?

    1. Fludrocortisone

    2. Potassium chloride

    3. Hydrocortisone

    4. Normal saline

16. 16 - Leaderboard

17. 17 - Freestyle

18. 18 - Pick Answer Insulin unlocks the cell and pulls glucose and which electrolyte into the cell?

    1. Sodium

    2. Potassium

    3. Magnesium

    4. Calcium

19. 19 - Freestyle

20. 20 - Pick Answer Which client is at the greatest risk for DKA?

    1. An older adult with insulin resistance and some endogenous insulin production

    2. A child with autoimmune destruction of beta cells and no insulin production

    3. A client with Cushing syndrome

    4. A client with hyperthyroidism

21. 21 - Leaderboard

22. 22 - Pick Answer An awake client is shaky, sweaty, pale, and anxious. Blood glucose is 62 mg/dL. What is the nurse’s first action?

    1. Start IV regular insulin

    2. Administer IM glucagon

    3. Recheck glucose in 1 hour

    4. Give 15 g of fast-acting carbohydrate

23. 23 - Freestyle

24. 24 - Pick Answer Put the first three DKA treatment actions in the correct order.

    1. Monitor/replace potassium

    2. Start 0.9% normal saline IV

    3. Begin IV regular insulin

25. 25 - Freestyle

26. 26 - Pick Answer An older adult with type 2 diabetes presents with glucose 720 mg/dL, severe dehydration, confusion, no fruity breath, and no abdominal pain. Which crisis does the nurse suspect?

    1. Thyroid storm

    2. HHNS

    3. Myxedema coma

    4. DKA

27. 27 - Leaderboard

28. 28 - Freestyle

29. 29 - Pick Answer A child with type 1 diabetes is nauseated, not eating, and may vomit. Which instruction is correct?

    1. Hold insulin until the child can eat a full meal

    2. Continue sick-day insulin and monitor closely because illness can raise glucose and trigger DKA

    3. Stop long-acting insulin and only give juice

    4. Mix glargine with regular insulin to reduce injections

30. 30 - Freestyle

31. 31 - Pick Answer Which insulin is the only insulin that can be given IV?

    1. Regular

    2. NPH

    3. Glargine

    4. Detemir

32. 32 - Pick Answer When mixing regular insulin with NPH, which technique is correct?

    1. Shake both vials vigorously before mixing

    2. Draw up cloudy before clear

    3. Mix glargine with NPH first

    4. Draw up clear before cloudy

33. 33 - Leaderboard

34. 34 - Freestyle