My beta cells are destroyed! I can be caused by genetics and environmental factors and the only way to help me is insulin.
Type 1 DM
The client has a large goiter on their neck and reports increase in size over the last few weeks. What is your priority?
airway
My blood sugar this morning is 210, I am prescribed Insulin Lispro and Regular Insulin. Which do I take?
Lispro - rapid acting
The client with osteoarthritis is asking for ways to decrease the progression of their diagnosis. What are two modifiable things you can educate them on?
Weight loss and low impact exercise
I need to increase iodine in my diet, what foods should I consume on a regular basis?
seafood, dairy, salt
My lab results are usually high TSH, low T3/T4 and I am accompanied by weight gain, low temperature, slow speech, and fatigue. What am I?
Hypothyroidism
SQ/IM/IV dextrose
What time of day should the patient take their Synthroid and what should they take it with?
first thing in the morning on an empty stomach
The client diagnosed with hyperparathyroidism complains of difficulty and pain with urination. What manifestation related to their diagnosis may they be experiencing?
Kidney Stones
Being a diabetic I have to control my caloric intake distribution of which 3 items during the day?
Carbs, fat, & protein
I occur mainly because of obesity and inactivity. If I correct these things I may get better but I can be managed in the meantime.
Type 2 DM
The client is experiencing twitching of the arms, face, and hands. What electrolyte are they most likely depleted in and need replaced?
Calcium
The client struggles with morning hyperglycemia. Which insulin is best to take at night to prevent morning blood sugar elevation?
NPH/intermediate
When giving myself insulin injections, I should rotate sites to prevent what from occuring?
Insulin lipodystrophy
The patient with osteoporosis asks what they should be sure to include in their diet. What would be best to include?
Vitamin D, C, and calcium
My lab results usually show high potassium, low sodium, low blood glucose, and low cortisol. I am often accompanied by weight loss, GI changes, weakness, and changes in body hair. What am I?
Addison's Disease
I want to exercise but my blood sugar is 255 and I have ketones in my urine, can I exercise?
NO
Kidney & liver function
The client was seen for wrist pain but the x-ray is negative for fracture. What 4 interventions can you educate the patient on to perform at home.
RICE
rest, ice, compress, elevate
A patient is newly diagnosed with Cushing's Syndrome, what type of diet are you going to encourage?
Low fat, low sodium, increased potassium
I am autoimmune and cause warm, swollen joints in the hands, wrists, and feet. What am I?
RA
The client fell while at PT and reports pain in their shoulder and the right arm is markedly longer than the left. What is the nurses immediate response?
Immobilize the arm
What endocrine diagnosis would a dexamethasone suppression test be used for to help diagnose?
Cushing's
This medication is given at night and then a cortisol level is drawn in the morning which if due to crushing's, the cortisol level will be elevated
The client is recovering from a total hip arthroplasty and is getting ready for discharge. What hip precautions are you going to educate them about?
Abduction
do not bend more than 90 degrees
raised seats
early movement
no heavy lifting
The client suffering from pressure ulcers should include what key elements into their daily intake?
Vitamin C
Protein