What am I?
Prioritize me
Medications
Education
Diet
100

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

100

The client has a large goiter on their neck and reports increase in size over the last few weeks.  What is your priority?

airway

100

My blood sugar this morning is 210, I am prescribed Insulin Lispro and Regular Insulin.  Which do I take?

Lispro - rapid acting

100

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 

100

I need to increase iodine in my diet, what foods should I consume on a regular basis?

seafood, dairy, salt

200

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 

200
The client's blood sugar is 43, they are unresponsive to voice and stimuli.  What is the nurses priority?

SQ/IM/IV dextrose

200

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

200

The client diagnosed with hyperparathyroidism complains of difficulty and pain with urination. What manifestation related to their diagnosis may they be experiencing?

Kidney Stones

200

Being a diabetic I have to control my caloric intake distribution of which 3 items during the day?

Carbs, fat, & protein

300

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

300

The client is experiencing twitching of the arms, face, and hands.  What electrolyte are they most likely depleted in and need replaced?

Calcium

300

The client struggles with morning hyperglycemia.  Which insulin is best to take at night to prevent morning blood sugar elevation?

NPH/intermediate

300

When giving myself insulin injections, I should rotate sites to prevent what from occuring?

Insulin lipodystrophy

300

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

400

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

400

I want to exercise but my blood sugar is 255 and I have ketones in my urine, can I exercise?

NO

400
The client is on long term NSAIDS for treatment of osteoarthritis, what long term concerns should be monitored?

Kidney & liver function

400

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 

400

A patient is newly diagnosed with Cushing's Syndrome, what type of diet are you going to encourage?

Low fat, low sodium, increased potassium

500

I am autoimmune and cause warm, swollen joints in the hands, wrists, and feet.  What am I?

RA

500

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

500

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

500

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 

500

The client suffering from pressure ulcers should include what key elements into their daily intake?

Vitamin C

Protein

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