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</p> Signup and view all the answers

    What is the primary function of fludrocortisone?

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

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

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

    What is the primary adverse effect of sulfonylureas?

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

    What is the primary nursing consideration for levothyroxine?

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

    What is the primary contraindication for thyroid hormone replacement therapy?

    <p>Thyrotoxicosis</p> Signup and view all the answers

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

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

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

    <p>Hypoglycemia</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</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</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</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</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</p> Signup and view all the answers

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

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

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

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

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

    <p>Hypoglycemia</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</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</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</p> Signup and view all the answers

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