Medications/S&S
Only __________ insulin can be administered intravenously.
Humulin R
________ is experiencing excessive body hair in a masculine distribution.
Hirsutism
Which test will furnish immediate feedback for a diagnosed diabetic who is preparing to eat a meal?
SMBG (Self monitoring blood glucose) fingerstick
To which diet should a patient with Cushing syndrome adhere?
Less sodium
The nurse discovers a patient with type I diabetes drowsy and tremulous, the skin is cool and moist, and the respirations are 32 and shallow. The nurse recognizes the patient is having which type of reaction and quickly provides which intervention?
Hypoglycemic reaction; give 6 oz of orange juice
Lispro has an onset of action within how many minutes?
15
Complications from diabetes mellitus can be decreased significantly by properly maintaining the blood glucose level within _________ range.
60-99 mL/dL
Complications of diabetes mellitus impact all body systems includes:
Retinopathy
Erectile dysfunction
Cardiovascular impairment to include heart disease and stroke
Circulatory impairment related to damaged blood vessels
___________ may be experienced by a diabetic patient. It is defined as decreased sensation or any abnormal condition of the peripheral nerves. This condition increases the danger of ulcers and other abnormal lesions developing into gangrene.
Neuropathy
Which disorder is a long-term chronic complication of diabetes mellitus?
Renal failure
The following is correct when mixing insulins in the same syringe for administration:
Draw up short-acting insulin first, then proceed to the long-acting insulin for the second draw
A clinical manifestations of diabetes includes increased food intake, which is:
Poyphagia
Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?
Glycosylated hemoglobin (HbA1c)
What is an appropriate nursing intervention for a patient admitted into the hospital with signs and symptoms of diabetic ketoacidosis?
Obtain blood glucose immediately
Which information will the nurse provide a patient with type I diabetes regarding excessive exercise?
It can decrease the need for insulin and may result in hypoglycemia
A patient experiencing Cushing’s Syndrome is receiving education prior to being released home. The nursing education includes:
Gentle handling to prevent skin impairments
Frequent assessment for signs of infection
Have the patient wear a med-alert bracelet or necklace
The most common cause of Addison’s disease is:
An autoimmune response where adrenal tissue is destroyed by antibodies against the patient’s own adrenal cortex
Nutritional therapy for the patient with DM is aimed at helping to achieve a normal blood glucose level of less than _________.
126 mg/dL
My plate food planning tool includes use of a 9 inch plate and the following instructions:
50 % nonstarch vegetables, 25% lean proteins or plant-based protein options, 25% carbohydrates
Which instructions will the nurse provide to a patient with diabetes to prevent injury to the feet?
Avoid going barefoot and always wear shoes with soles
Which is a sign or symptom of hypoglycemia?
Irritability
Tremors
Diaphoresis
The thyroidectomy patient faces three life-threatening postoperative complications. They are:
Hemorrhage
tetany
thyroid storm
A patient has been evaluated by his physician and has been diagnosed with an illness that is defined as having an absence of insulin, due to the pancreas not producing insulin. This diagnosis is:
Diabetes Mellitus type 1
When assessing the endocrine system, include an assessment of psychological demeanor. Be alert to the patient’s affect.Depression is common in patients with _______. Be alert for suicidal thoughts.
Cushing Syndrome
In which manner will the nurse administer insulin to prevent lipohypertrophy?
At room temperature