Medications
How long does it take for Humulin R to peak?
2 hours
This instruction should be provided to a patient scheduled for a thyroid scan.
Avoid iodine for one week prior to the test
What is the main symptom of SIADH?
Water retention
What should be included in a teaching plan for a diabetic patient regarding exercise?
Regular exercise helps control blood glucose levels
What is the primary nursing concern when caring for a patient with hypoparathyroidism?
Potential for urinary obstruction
What is the expected action of octreotide?
Suppression of the growth hormone
What lab results will confirm a diagnosis of hypothyroidism?
Decreased T3 and T4
What are the cardinal symptoms of diabetes insipidus?
Dehydration, thirst, and diuresis
How would the nurse explain the cause of the hunger experienced by type 1 diabetic patients?
Their cells cannot use the blood glucose
A patient with hyperparathyroidism has a care plan that states they are at risk for falls and injury. Why is the patient at risk for falls and injury?
Pathologic bone fractures may occur
What instruction should a nurse provide to a patient taking saturated solution of potassium iodide?
Medication should be sipped through a straw to prevent tooth staining
This is the purpose of a hemoglobin A1C level.
Shows what the glucose has been like over the past 3 months
What s/s would indicate an adrenal crisis?
Confusion and tachycardia
What education should a nurse include for a patient with Addison disease?
Wear a medical alert tag and carry emergency dexamethasone
This nursing diagnosis may be added to the plan of care for a patient with Cushing's syndrome who is experiencing masculine characteristics.
Disturbed/Altered Body Image
Why may older adults take a decreased dose of thyroid hormone?
Because they have a decrease in metabolism
What can be inferred if someone has a high TSH level and a low T4 level?
TSH is telling the thyroid gland to increase production, but the thyroid is not producing enough of the hormone.
These findings are expected when caring for a patient with Cushing syndrome.
Moon face, slender extremities, and excess adipose tissue in the trunk
After a thyroidectomy, what activity should the nurse discourage the patient from doing?
Forced coughing
What is the appropriate action when assessing for hemorrhage in a post-thyroidectomy patient?
Examine behind the patient's neck and upper back
What is the benefit of 70/30 insulin mixture?
It makes insulin administration easier and safer
What lab finding is suggestive that the type 2 diabetic patient is developing HHNS?
Serum glucose level at or above 650 mg/dL
What are signs of hypoglycemia? (four)
Irritability, anxiety, confusion, and dizziness
What should a teaching plan about diabetic foot care include? (three)
Wash and dry the feet daily, protect the feet from extreme temperatures, and buy supportive and comfortable shoes
After head trauma, a patient develops symptoms of diabetes insipidus. What nursing intervention is crucial for monitoring the patient's condition?
Measuring fluid intake and output