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Questions and Answers
A patient with suspected Cushing's syndrome is undergoing initial screening. Which of the following tests, if elevated, would suggest that the patient has Cushing's syndrome?
A patient with suspected Cushing's syndrome is undergoing initial screening. Which of the following tests, if elevated, would suggest that the patient has Cushing's syndrome?
- 24-hour urinary free cortisol (correct)
- ACTH stimulation test
- Serum sodium
- Fasting blood glucose
Following a transsphenoidal hypophysectomy, a patient reports a persistent headache and increased nasal drainage. Which of the following complications should the nurse suspect?
Following a transsphenoidal hypophysectomy, a patient reports a persistent headache and increased nasal drainage. Which of the following complications should the nurse suspect?
- Syndrome of inappropriate antidiuretic hormone (SIADH)
- Meningitis (correct)
- Cerebral salt wasting
- Diabetes insipidus
A patient is prescribed desmopressin for the treatment of diabetes insipidus. Which of the following instructions is most important for the nurse to include in the patient's teaching plan?
A patient is prescribed desmopressin for the treatment of diabetes insipidus. Which of the following instructions is most important for the nurse to include in the patient's teaching plan?
- Monitor for signs of hyperkalemia.
- Increase sodium intake to prevent hyponatremia.
- Take the medication on an empty stomach to enhance absorption.
- Restrict fluid intake to prevent water intoxication. (correct)
A patient with a history of hyperparathyroidism is admitted with severe fatigue, bone pain, and nausea. Which of the following electrolyte imbalances is most likely contributing to these clinical manifestations?
A patient with a history of hyperparathyroidism is admitted with severe fatigue, bone pain, and nausea. Which of the following electrolyte imbalances is most likely contributing to these clinical manifestations?
A patient is started on levothyroxine for the treatment of hypothyroidism. Which of the following assessment findings indicates the medication is having a therapeutic effect?
A patient is started on levothyroxine for the treatment of hypothyroidism. Which of the following assessment findings indicates the medication is having a therapeutic effect?
A patient with diabetes mellitus is prescribed regular insulin and insulin lispro. Which of the following injection strategies should the nurse teach the patient to minimize the risk of hypoglycemia?
A patient with diabetes mellitus is prescribed regular insulin and insulin lispro. Which of the following injection strategies should the nurse teach the patient to minimize the risk of hypoglycemia?
A patient with adrenal insufficiency is prescribed hydrocortisone. The nurse should provide which of the following instructions regarding medication administration?
A patient with adrenal insufficiency is prescribed hydrocortisone. The nurse should provide which of the following instructions regarding medication administration?
A patient who had a thyroidectomy is now exhibiting signs of tetany. Which electrolyte imbalance is the most likely cause of this condition?
A patient who had a thyroidectomy is now exhibiting signs of tetany. Which electrolyte imbalance is the most likely cause of this condition?
A patient is hospitalized for diabetic ketoacidosis (DKA). Which of the following assessment findings is most important for the nurse to report immediately to the healthcare provider?
A patient is hospitalized for diabetic ketoacidosis (DKA). Which of the following assessment findings is most important for the nurse to report immediately to the healthcare provider?
A patient with acromegaly is scheduled for an MRI to evaluate the pituitary gland. What specific patient preparation should the nurse include prior to the MRI?
A patient with acromegaly is scheduled for an MRI to evaluate the pituitary gland. What specific patient preparation should the nurse include prior to the MRI?
A patient will start taking metformin to manage type 2 diabetes mellitus. The nurse recognizes that which of the following statements about metformin is most accurate?
A patient will start taking metformin to manage type 2 diabetes mellitus. The nurse recognizes that which of the following statements about metformin is most accurate?
A patient receiving propylthiouracil (PTU) for hyperthyroidism develops a fever and sore throat. The nurse should immediately assess for which of the following adverse effects?
A patient receiving propylthiouracil (PTU) for hyperthyroidism develops a fever and sore throat. The nurse should immediately assess for which of the following adverse effects?
A patient with type 2 diabetes mellitus develops several small ulcers on their lower extremities. Which of the following macrovascular complications is the most likely cause of these ulcers?
A patient with type 2 diabetes mellitus develops several small ulcers on their lower extremities. Which of the following macrovascular complications is the most likely cause of these ulcers?
A patient is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following nursing interventions is most important to implement?
A patient is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following nursing interventions is most important to implement?
A patient is prescribed glucagon-like peptide-1 (GLP-1) receptor agonist medication. What best describes the mechanism of action of GLP-1 receptor agonists in managing diabetes?
A patient is prescribed glucagon-like peptide-1 (GLP-1) receptor agonist medication. What best describes the mechanism of action of GLP-1 receptor agonists in managing diabetes?
A patient is being treated for hyperthyroidism with radioactive iodine (RAI). Which teaching point is most important for the nurse to emphasize to the patient?
A patient is being treated for hyperthyroidism with radioactive iodine (RAI). Which teaching point is most important for the nurse to emphasize to the patient?
A patient is diagnosed with Addison's disease. Which nursing intervention is most important to include in the patient's plan of care?
A patient is diagnosed with Addison's disease. Which nursing intervention is most important to include in the patient's plan of care?
A patient with diabetes mellitus reports taking garlic supplements to help lower blood sugar. Which is the most appropriate response of the nurse to the patient?
A patient with diabetes mellitus reports taking garlic supplements to help lower blood sugar. Which is the most appropriate response of the nurse to the patient?
The nurse is reviewing the lab results of a patient with primary hyperaldosteronism. Which findings should the nurse expect to see?
The nurse is reviewing the lab results of a patient with primary hyperaldosteronism. Which findings should the nurse expect to see?
Which of the following statements best describes the negative feedback loop involved in regulating thyroid hormone production?
Which of the following statements best describes the negative feedback loop involved in regulating thyroid hormone production?
Flashcards
Negative Feedback Loop
Negative Feedback Loop
A process where the product of a reaction inhibits the reaction itself.
Pituitary Disorders: Patient Teaching
Pituitary Disorders: Patient Teaching
Diet, post-operative nursing and teaching for transsphenoidal hypophysectomy.
Transsphenoidal Hypophysectomy
Transsphenoidal Hypophysectomy
Surgical approach through the nasal cavity to remove a pituitary tumor.
Adrenal Disorders: Clinical Manifestations
Adrenal Disorders: Clinical Manifestations
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Adrenal Disorders: Patient Education
Adrenal Disorders: Patient Education
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Adrenal Disorders: Steroid Effects
Adrenal Disorders: Steroid Effects
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Thyroidectomy Post-Op Care
Thyroidectomy Post-Op Care
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Thyroid Disorders: Treatment
Thyroid Disorders: Treatment
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Parathyroid Disorders: Manifestations & Treatment
Parathyroid Disorders: Manifestations & Treatment
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Diabetes: HgbA1c Prep
Diabetes: HgbA1c Prep
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Diabetes: Insulin Administration
Diabetes: Insulin Administration
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Diabetes: DKA Assessment & Treatment
Diabetes: DKA Assessment & Treatment
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DM Type 2 Macrovascular Complications
DM Type 2 Macrovascular Complications
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Pharmacology: Medication Information
Pharmacology: Medication Information
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Pharmacology: Patient Education
Pharmacology: Patient Education
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Levothyroxine
Levothyroxine
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TZDs (Thiazolidinediones)
TZDs (Thiazolidinediones)
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Biguanides
Biguanides
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Sulfonylureas
Sulfonylureas
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GLP-1 Agonists
GLP-1 Agonists
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Study Notes
- The unit contains questions regarding endocrine assessment, pituitary disorders, adrenal disorders, thyroid and parathyroid disorders, diabetes mellitus, pharmacology, and math.
Endocrine Assessment
- Focus on the negative feedback loop
- Focus on assessment data requiring immediate intervention
- Focus on clinical manifestations or physiologic responses related to alterations in various hormones (ADH, GH, cortisol).
- Focus on age related changes
- Focus on MRI patient preparation.
- Focus on patient teaching for steroids.
Pituitary Disorders
- Focus on patient teaching regarding diet.
- Focus on transsphenoidal hypophysectomy post-op nursing care and teaching.
- Focus on nursing diagnoses for various pituitary disorders
- Focus on electrolyte values.
- Focus on the most concerning findings related to deficient hormone (ACTH).
Adrenal Disorders
- Focus on clinical manifestations of hypercortisolism and hyperaldosteronism.
- Focus on clinical manifestations requiring intervention for adrenal insufficiency.
- Focus on treatment for adrenal insufficiency.
- Focus on patient education regarding the cause of symptoms for Cushing's syndrome and adrenal insufficiency.
- Focus on steroid adverse effects/prophylactic medication to reduce effects.
Thyroid and Parathyroid Disorders
- Focus on assessment findings that indicate additional care is needed.
- Focus on post-op thyroidectomy observations to report immediately.
- Focus on thyrotoxicosis priority actions.
- Focus on treatment, standard and for complications.
- Focus on hypoparathyroidism clinical manifestations and treatment.
- Focus on hyperparathyroidism treatment.
- Focus on myxedema clinical manifestations.
Diabetes Mellitus
- Focus on patient preparation for HgbA1c.
- Focus on selecting the most appropriate insulin syringe based on the order.
- Focus on insulin administration, including patient teaching and return demonstration, proper technique, and safety considerations.
- Focus on DKA assessment findings and treatment.
- Focus on DM Type 2 macrovascular complications.
- Focus on patient self-monitoring.
Pharmacology
- Focus on indications, route, and mechanism of action for medications.
- Focus on therapeutic effects and adverse effects of medications.
- Focus on patient teaching for all listed medications.
- Focus on prophylaxis medication (if indicated).
- Patient safety is important
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