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endocrine test 2
Question | Answer |
---|---|
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.” |