SIADH & DI
DKA & HHS
Miscell.
Endocrine
Dosage & Calculations
100

Which medication should the nurse question in a client with SIADH?

  • Vasopressin
  • Medication that increases ADH activity
  • Medication that promotes water retention
  • Medication that can worsen SIADH
100

What is the priority intervention for a client with HHS?

  • Administer IV fluids aggressively
  • Restore circulating volume
  • Correct severe dehydration
  • Treat hyperosmolarity
100

What should the nurse assess for when DKA is suspected?

  • Mental status changes
  • Nausea and vomiting
  • Increased respiratory rate
  • Abdominal pain
  • Dehydration
100

Which pharmacological intervention should be anticipated for myxedema crisis?

  • Medication to increase blood pressure
  • Vasopressors
  • Support for severe hypotension
  • Treatment of cardiovascular instability
100

How should a 180-lb client’s weight be converted to kilograms?

  • Divide by 2.2
  • 180 ÷ 2.2
  • Approximately 82 kg
200

Which finding is a neurologic effect of DI?

  • Ataxia
  • Irritability
  • Decreased cognition
  • Confusion
200

What findings can indicate that a client with type 1 diabetes is developing DKA?

  • Polyuria
  • Polydipsia
  • Dehydration
  • Blood glucose above 250 mg/dL
  • Elevated ketones
  • Low bicarbonate
  • Metabolic acidosis
200

Which triage color is appropriate for a client with superficial lacerations and a sprained ankle who can walk?

  • Green
  • Minor injuries
  • Able to walk
  • Does not require immediate treatment
200

A client with Cushing syndrome has hypokalemia, muscle weakness, hypertension, and hyperglycemia. What is the priority intervention?

  • Administer potassium supplements as prescribed
  • Monitor cardiac rhythm
  • Correct hypokalemia
  • Monitor for cardiac dysrhythmias
200

A client needs 50 mg of medication over 30 minutes. The medication is 100 mg in 500 mL. What IV pump rate is needed?

  • 250 mL/hour
  • 250 mL/hr
  • Infuse half of the 500 mL in 30 minutes
300

Which laboratory finding requires immediate intervention in a critically ill client with SIADH?

  • Serum sodium 125 mEq/L
  • Hyponatremia
  • Low serum sodium
  • Risk for neurologic complications
300

Which findings in a client with DKA require immediate follow-up?

  • Low blood pressure
  • Elevated BUN
  • Severely elevated blood glucose
  • Dehydration
  • Hypovolemia
300

What are the major differences between DKA and HHS?

  • DKA has significant ketone production
  • DKA causes metabolic acidosis
  • HHS causes more severe dehydration
  • HHS usually has minimal or no ketosis
  • HHS commonly causes extreme hyperglycemia
  • Both can cause altered mental status
300

A client with myxedema coma develops worsening respiratory depression. What is the priority action?

  • Initiate mechanical ventilation
  • Support ventilation
  • Maintain oxygenation
  • Treat respiratory failure
300

A client needs 45 mg of a medication. The medication is 15 mg/mL. How many mL should be given?

  • 3 mL
  • 45 mg ÷ 15 mg/mL
  • 3 mL per dose
400

What should a client with DI prioritize monitoring at home?

  • Frequency of urination
  • Intake and output
  • Excessive urine production
  • Changes in urine output
400

Which comorbidity can increase mortality risk in an older adult with DKA?

  • Polypharmacy
  • Infection
  • Cardiac dysrhythmias
  • Other chronic health problems
400

What are the major findings of DI?

  • Massive polyuria
  • Extreme thirst
  • Dilute urine
  • Increased serum sodium
  • Increased serum osmolality
  • Dehydration
  • Weight loss


400

A client with myxedema coma is hypothermic, lethargic, and has shallow respirations. What intervention should be prioritized?

  • Administer IV levothyroxine as ordered
  • Provide thyroid hormone replacement
  • Support respiratory status
  • Use gradual warming
400

A client needs 0.3 mg of a medication. The medication is 1 mg/mL. How many mL should be given?

  • 0.3 mL
  • 0.3 mg ÷ 1 mg/mL
  • 0.3 mL
500

What laboratory pattern is expected with SIADH?

  • Decreased serum sodium
  • Decreased serum osmolality
  • Increased urine osmolality
  • Increased urine specific gravity
  • Decreased urine output
500

What is the difference between Somogyi phenomenon and dawn phenomenon?

  • Somogyi phenomenon follows nocturnal hypoglycemia and causes rebound hyperglycemia
  • Dawn phenomenon causes early-morning hyperglycemia without preceding hypoglycemia
  • Somogyi involves nighttime low glucose
  • Dawn phenomenon is related to early-morning hormone release
500

What are the major findings of SIADH?

  • Decreased serum sodium
  • Decreased serum osmolality
  • Increased urine osmolality
  • Increased urine specific gravity
  • Decreased urine output
  • Water retention
  • Weight gain
500

A client with Cushing syndrome has hyperglycemia, hypertension, and signs of infection. What should the nurse prioritize?

  • Implement strict infection control measures
  • Assess for signs of infection
  • Monitor closely for infection
  • Prevent progression to sepsis
500

A client needs 375 mg of medication. Each tablet contains 125 mg. How many tablets should be given?

  • 3 tablets
  • 375 mg ÷ 125 mg
  • 3 tablets