Endocrine Walkabout NUR172 Questions With Complete
Solutions
Carbohydrate counting is important with diabetes. What is the
theory of glycemic control? Correct Answers balances glucose
amounts being brought into the body
Explain diet, exercise and medication regimen for the diabetic
patient Correct Answers Diet: Maintain BGL (<99) as much as
possible. Weight loss. CHO counting 130g/day (lifestyle
change). Sick day plan (very important).
Exercise: Regular long term exercise. Improve CV Function.
Control HTN. Greater success in weight management.
Meds: Name of meds, action, dose, storage and side effects.
Take meds as prescribed. Meds do not replace nutrition or
exercise. Choice of oral agents or insulin regimen is highly
individualized.
Explain how insulin and counterregulatory hormones work in
competition with each other Correct Answers In a non diabetic
patient, these hormones auto regulate the blood glucose level in
the body.
Explain pathophysiology of type 1 diabetes that results in
polyuria, polydipsia, and polyphagia. Correct Answers The
elevated glucose build up makes you urinate more due to
"osmotic diuresis", making you dehydrated and thirsty, and the
cells aren't taking in glucose due to lack of insulin so they are
"starved".
, Explain sick day rules for the diabetic patient. Correct Answers
Due to increased metabolism, the patient's body will require
more glucose, patient should monitor levels more frequently.
Explain the 15/15 rule for the care of the patient with
symptomatic hypoglycemia Correct Answers Give 15 grams of
carbs every 15 minutes, once it is >70 give protein with carbs
Explain why the Thyroid Stimulating Hormone (TSH) is down
in hyperthyroidism, while the (Thyroxine)T3 &T4 are elevated.
Correct Answers thyroid overproducing in response
For what common side effect of Glucagon requires the astute
nurse to place the patient on his/her left side? Correct Answers
vomiting
For what symptom in the person with hyperthyroidism, would
propranolol (Inderal) be prescribed? Correct Answers
tachycardia, increase BP
How does sustained elevated blood glucose level BGL lead to
renal, peripheral, eye, and cardiac disease? Correct Answers
High sugar levels slowly erode the ability of cells in your
pancreas to make insulin. The organ overcompensates and
insulin levels stay too high. Over time, the pancreas is
permanently damaged. High levels of blood sugar can cause
changes that lead to a hardening of the blood vessels, what
doctors call atherosclerosis.
Solutions
Carbohydrate counting is important with diabetes. What is the
theory of glycemic control? Correct Answers balances glucose
amounts being brought into the body
Explain diet, exercise and medication regimen for the diabetic
patient Correct Answers Diet: Maintain BGL (<99) as much as
possible. Weight loss. CHO counting 130g/day (lifestyle
change). Sick day plan (very important).
Exercise: Regular long term exercise. Improve CV Function.
Control HTN. Greater success in weight management.
Meds: Name of meds, action, dose, storage and side effects.
Take meds as prescribed. Meds do not replace nutrition or
exercise. Choice of oral agents or insulin regimen is highly
individualized.
Explain how insulin and counterregulatory hormones work in
competition with each other Correct Answers In a non diabetic
patient, these hormones auto regulate the blood glucose level in
the body.
Explain pathophysiology of type 1 diabetes that results in
polyuria, polydipsia, and polyphagia. Correct Answers The
elevated glucose build up makes you urinate more due to
"osmotic diuresis", making you dehydrated and thirsty, and the
cells aren't taking in glucose due to lack of insulin so they are
"starved".
, Explain sick day rules for the diabetic patient. Correct Answers
Due to increased metabolism, the patient's body will require
more glucose, patient should monitor levels more frequently.
Explain the 15/15 rule for the care of the patient with
symptomatic hypoglycemia Correct Answers Give 15 grams of
carbs every 15 minutes, once it is >70 give protein with carbs
Explain why the Thyroid Stimulating Hormone (TSH) is down
in hyperthyroidism, while the (Thyroxine)T3 &T4 are elevated.
Correct Answers thyroid overproducing in response
For what common side effect of Glucagon requires the astute
nurse to place the patient on his/her left side? Correct Answers
vomiting
For what symptom in the person with hyperthyroidism, would
propranolol (Inderal) be prescribed? Correct Answers
tachycardia, increase BP
How does sustained elevated blood glucose level BGL lead to
renal, peripheral, eye, and cardiac disease? Correct Answers
High sugar levels slowly erode the ability of cells in your
pancreas to make insulin. The organ overcompensates and
insulin levels stay too high. Over time, the pancreas is
permanently damaged. High levels of blood sugar can cause
changes that lead to a hardening of the blood vessels, what
doctors call atherosclerosis.
