Unit 7 Endocrine
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Questions and Answers

Which type of diabetes is characterized by insulin resistance?

  • Type 1 diabetes
  • Hypo/hyperthyroidism
  • Type 2 diabetes (correct)
  • Cushing's syndrome

What is the mechanism of action of levothyroxine?

  • Insulin production
  • Thyroid hormone replacement (correct)
  • Adrenal hormone replacement
  • Cortisol replacement

What is the primary adverse effect of corticosteroids?

  • Hypotension
  • Buildup of fluid in lower legs (correct)
  • Hypoglycemia
  • Hyperthyroidism

What is the therapeutic class of hydrocortisone?

<p>Corticosteroid (C)</p> Signup and view all the answers

What is the primary function of fludrocortisone?

<p>Mimic effects of natural mineralocorticoids (A)</p> Signup and view all the answers

What is the onset of action for aspart and lispro insulin?

<p>10-30 minutes (A)</p> Signup and view all the answers

What is the primary adverse effect of sulfonylureas?

<p>Hypoglycemia and weight gain (D)</p> Signup and view all the answers

What is the primary nursing consideration for levothyroxine?

<p>Timing of administration (C)</p> Signup and view all the answers

What is the primary contraindication for thyroid hormone replacement therapy?

<p>Thyrotoxicosis (B)</p> Signup and view all the answers

What is the primary laboratory test for monitoring patients taking insulin?

<p>Blood glucose checks (D)</p> Signup and view all the answers

What is the primary therapeutic effect of thyroid hormone replacement therapy in patients with hypothyroidism?

<p>Enhanced metabolism (D)</p> Signup and view all the answers

A patient is experiencing symptoms of Cushing's syndrome due to long-term use of corticosteroids. What is the most likely cause of this?

<p>Suppressed production of natural cortisol (A)</p> Signup and view all the answers

A patient is taking levothyroxine for thyroid hormone replacement therapy. What is the primary concern for the nurse when discontinuing this medication?

<p>Gradually discontinuing the medication (C)</p> Signup and view all the answers

What is the primary difference between glargine and detemir insulin compared to aspart and lispro insulin?

<p>Duration of action (D)</p> Signup and view all the answers

A patient is taking fludrocortisone for adrenal hormone replacement therapy. What is the primary concern for the nurse when monitoring this patient?

<p>Monitoring for retention of sodium and water (A)</p> Signup and view all the answers

What is the primary reason for the black box warning on thyroid hormone replacement therapy?

<p>Risk of obesity and weight loss (A)</p> Signup and view all the answers

A patient is taking insulin for diabetes management. What is the primary concern for the nurse when evaluating the effectiveness of this medication?

<p>Monitoring blood glucose levels (D)</p> Signup and view all the answers

What is the primary adverse effect of sulfonylureas that is similar to insulin?

<p>Hypoglycemia (A)</p> Signup and view all the answers

A patient is taking hydrocortisone for adrenal hormone replacement therapy. What is the primary concern for the nurse when monitoring this patient's bone health?

<p>Monitoring for bone pain (A)</p> Signup and view all the answers

What is the primary difference between type 1 and type 2 diabetes mellitus?

<p>Type 1 is insulin dependent, while type 2 is insulin resistant (A)</p> Signup and view all the answers

What is the primary reason why thyroid hormone replacement therapy should not be used to treat obesity or weight loss?

<p>It can cause thyrotoxicosis (B)</p> Signup and view all the answers

What is the primary difference between the onset of action of regular insulin and NPH insulin?

<p>Regular insulin has a faster onset of action (C)</p> Signup and view all the answers

What is the primary concern for the nurse when monitoring a patient taking fludrocortisone for adrenal hormone replacement therapy?

<p>Monitoring for retention of sodium and water (D)</p> Signup and view all the answers

What is the primary therapeutic effect of corticosteroids in patients with inflammation?

<p>Reducing inflammation (D)</p> Signup and view all the answers

What is the primary laboratory test for monitoring patients taking sulfonylureas?

<p>Blood glucose levels (A)</p> Signup and view all the answers

What is the primary concern for the nurse when evaluating the effectiveness of insulin therapy in patients with type 1 diabetes?

<p>Monitoring blood glucose levels (D)</p> Signup and view all the answers

What is the primary adverse effect of sulfonylureas that is similar to insulin?

<p>Hypoglycemia (B)</p> Signup and view all the answers

What is the primary difference between the duration of action of glargine and detemir insulin compared to aspart and lispro insulin?

<p>Glargine and detemir have a longer duration of action (B)</p> Signup and view all the answers

What is the primary concern for the nurse when monitoring a patient taking hydrocortisone for adrenal hormone replacement therapy?

<p>Monitoring for bone pain and overall bone health (B)</p> Signup and view all the answers

What is the primary therapeutic effect of thyroid hormone replacement therapy in patients with hypothyroidism?

<p>Increasing metabolic rate (B)</p> Signup and view all the answers

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