What am I?
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
When does education start in the perioperative process?
Pre-op
I need to increase iodine in my diet, what foods should I consume on a regular basis?
seafood, dairy, salt, nuts, etc.
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
The client's blood sugar is 43, they are unresponsive to voice and stimuli. What is the nurses priority?
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, can take with water
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 patient never signed their consent pre-op and the anesthesiologist has already administered a quick acting relaxant. What should the nurse do?
Inform the surgeon and cancel the surgery
The client struggles with morning hyperglycemia. Which insulin is best to take at night to prevent morning blood sugar elevation?
NPH/intermediate
What kind of nursing precautions would a patient with Cushing's disease be on?
fall precautions (increased Na+ and osteoporosis)
What is a typical cue that could indicate diabetes insipidus?
Chronic, excessive thirst
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
The patient with new onset hyperthyroidism is prescribed a beta blocker. Why is this expected?
Hyperthyroidism increases BP and HR.
List 4 typical education points to tell a patient pre-op
NPO
ride home (if ambulatory)
wound care
incentive spirometry
early ambulation
The patient with hyperthyroidism is asking for tips with meals and calorie intake. What is the best thing to advise?
Small, frequent meals
The patient's temp is 103.F, HR 160, BP 90/58 they are diaphoresis and anxious. What endocrine complication could this be?
Thyroid storm
The patient with a known diagnosis of DMT2 is hard to wake up at the beginning of the shift. Once awake, the patient is confused and remains lethargic. What is the priority action of the nurse?
Check the blood sugar.
Which medication would a patient with Addison's be prescribed on their MAR?
lifelong steroid use; hydrocortisone
potentially something to lower K+
IVF
What should we educate the patient to do post-op to prevent wound dehiscence or eviseration?
Abdominal splinting
How do you know if a post-op patient is able to resume their diet?
Check for gag reflex