1
What is a long-term complication of diabetes mellitus?
A. Diverticulitis
B. Renal failure
C. Hypothyroidism
D. Hyperglycemia
B. Renal failure
In diabetes insipidus, a deficiency of which hormone causes clinical manifestations?
A. Antidiuretic hormone (ADH)
B. Follicle-stimulating hormone (FSH)
C. Thyroid-stimulating hormone (TSH)
D. Adrenocorticotropic hormone (ACTH)
A. Antidiuretic hormone (ADH)
The purpose of the use of radioactive iodine in the treatment of hyperthyroidism is to:
A. stimulate the thyroid gland.
B. depress the pituitary.
C. destroy some of the thyroid tissue.
D. alter the stimulus from the pituitary
destroy some of the thyroid tissue.
A 27-year-old patient with hypothyroidism is referred to the dietitian for dietary consultation. What should nutritional interventions include?
A. Frequent small meals high in carbohydrates
B. Calorie-restricted meals
C. Caffeine-rich beverages
D. Fluid restrictions
B.
What instructions should a nurse give to a diabetic patient to prevent injury to the feet?
A. Soak feet in warm water every day.
B. Avoid going barefoot and always wear shoes with soles.
C. Use of commercial keratolytic agents to remove corns and calluses are preferred to cutting off corns and calluses.
D. Use a heating pad to warm feet when they feel cool to the touch.
B. Avoid going barefoot and always wear shoes with soles. Correct
Why would a patient with hyperthyroidism be prescribed the drug methimazole ?
A. To limit the effect of the pituitary on the thyroid.
B. To destroy part of the hyperactive thyroid tissue.
C. To stimulate the pineal gland.
D. To block the production of thyroid hormones.
D. To block the production of thyroid hormones.
A patient has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. These symptoms most likely indicate problems with the:
A. pituitary gland.
B. adrenal glands.
C. thyroid gland.
D. pancreas.
A. pituitary gland.
The nurse discovers the type 1 diabetic (IDDM) patient drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. These are signs of:
A. hypoglycemic reaction; give 6 oz of orange juice.
B. hyperglycemic reaction; give ordered regular insulin.
C. hyperglycemic hyperosmolar nonketotic reaction; squeeze glucagon gel in buccal cavity.
D. hypoglycemic reaction; give ordered insulin.
A. hypoglycemic reaction; give 6 oz of orange juice.
What do the Chvostek sign and the Trousseau sign indicate?
A. Low levels of serum calcium Correct
B. High levels of blood sugar
C. Low levels of serum sodium
D. High levels of serum aldosterone
A. Low levels of serum calcium
A patient with a history of Graves disease is admitted to the unit with shortness of breath. The nurse notes the patient’s vital signs: T 103°F, P 160, R 24, BP 160/80. The nurse also notes distended neck veins. What does the patient most likely have?
A. Pulmonary embolism
B. Hypertensive crisis
C. Thyroid storm
D. Cushing crisis
C.
Only ________insulin can be administered intravenously.
Regular
The patient being treated for hypothyroidism should be instructed to eat well-balanced meals including intake of iodine. Which of the following foods contains iodine?
A. Eggs
B. Pork
C. White bread
D. Skinless chicken
The health care provider prescribes glyburide (Micronase, DiaBeta, Glynase) for a patient, age 57, when diet and exercise have not been able to control type 2 diabetes. What should the nurse include in the teaching plan about this medication?
A. It is a substitute for insulin and acts by directly stimulating glucose uptake into the cell.
B. It does not cause the hypoglycemic reactions that may occur with insulin use.
C. It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites.
D. It lowers blood sugar by inhibiting glucagon release from the liver, preventing gluconeogenesis.
C. It is thought to stimulate insulin production and increase sensitivity to insulin at receptor sites. Correct
What are the three major life-threatening complications postoperatively of a thyroidectomy? (Select all that apply.)
A. Hemorrhaging
B. Seizures
C. Tetany
D. Hypoglycemia
E. Thyroid crisis (storm)
F. SIADH
Which of the following are signs and symptoms of hypoglycemia? (Select all that apply.)
A. Irritability
B. Dry mouth
C. Tremors
D. Diaphoresis
E. Fruity breath
F. Deep respirations