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endocrine test 2

QuestionAnswer
1. What is hormone? - Messenger - Pituitary gland to target organ.
2. What is the master gland? - Pituitary gland
3. What is a disorder for Cushing syndrome? - Increases susceptibility to infection.
4. Know true statement for DM2. - Abnormal resistance to insulin action
5. What is the best treatment for a patient in ketoacidosis? - Start an IV line and infuse insulin as prescribed.
6. What is A1C? - Assess control of diabetes. - Shows average blood glucose levels for the 2 to 3 months before the test.
7. Diet for Cushing’s syndrome. - Decrease sodium intake.
8. If I am swimming for exercise and have DM1, what do I need to do? - Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.
9. What is the long-term complication for DM? - Renal failure
10. Precaution for radioactive iodine. - Wait three days after dose before assigning a pregnant nurse to care for this patient.
11. What is the onset for lispro? - 15 minutes
12. What does excessive exercise do to DM1? - It can decrease the need for insulin and may result in hypoglycemia.
13. Why do you give NPH patients snacks? - To prevent a hypoglycemic reaction.
14. s/s of hypoglycemia in DM1. - Tremors - hunger
15. What reaction is this and how do you treat a patient with DM 1 feeling drowsy, skin cool and clammy, and respirations of 30? - These are s/s of hypoglycemia. - Give 6 oz of orange juice.
16. Teachings for foot care to be given. - Wear close toed shoes with soles. - Tell patient not to go barefoot.
17. Teachings for glyburide. - It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites.
18. Know insulin syringe, what it looks like and how to calibrate it. - there are 25-, 30-, 50-, and 100-unit syringes. - The 100-unit syringe is marked in 2-unit increments while the smaller syringes are marked in 1-unit increments.
19. 3 s/s hypoglycemia - Irritability - Tremors - Diaphoresis (sweating)
20. Describe cortisol. - Glucose metabolism - Providing extra reserve energy during stress.
21. Teaching exercise to DM 1 patient in regard to insulin. - "I should avoid injecting insulin into my thigh if I am going to go running."
22. How to prevent long term complication of retinopathy and neuropathy. - Maintain stable blood glucose levels.
23. Teaching hypoglycemia to a parent of child. - Diaphoresis
24. Pt is experiencing nervousness, dizziness, tachycardia, and diaphoresis. These are s/s of what? - Hypoglycemia
25. know if teaching about DM 1 is effective by response from patient. - Inject the insulin into the abdominal area.
26. Know response from mom if teaching about insulin is effective. - Do not aspirate before injecting insulin.
27. Know response about insulin storage. - Unopened vials of insulin should be kept in the refrigerator.
28. Symptoms of diabetic ketoacidosis (DKA) - 3 p’s (polyuria, polydipsia, polyphagia)
29. Finding for DM 1. - Weight loss
30. Manifestations of hyperglycemia. - Patient will be more thirsty than usual
31. What is the care of a client with DM 1, what do you report to the nurse? - if you refuse to eat.
32. A nurse is providing teaching to a school-age child who has a new diagnosed of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching? - “I should not take my regular insulin when I am sick.”
Created by: nataliesp
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