Chapter 32: Endocrine Disorders and Therapeutic Management Urden: Critical Care Nursing, 8th Edition

Chapter 32: Endocrine Disorders and Therapeutic Management Urden: Critical Care Nursing, 8th Edition MULTIPLE CHOICE 1. The nurse is caring for a critically ill patient with type 1 diabetes. The nurse understands that the patient is at risk for developing diabetic ketoacidosis (DKA) secondary to what etiology? a. Excess insulin administration ha ve b. Inadequate food intake c. Physiologic and psychologic stress d. Increased release of antidiuretic hormone (ADH) ANS: C Major neurologic and endocrine changes occur when an individual is confronted with physiologic stress caused by any critical illness, sepsis, trauma, major surgery, or underlying cardiovascular disease. PTS: 1 DIF: Cognitive Level: Applying REF: p. 725 OBJ: Nursing Process Step: Diagnosis TOP: Endocrine MSC: NCLEX: Physiologic Integrity 2. The nurse has admitted a patient with hyperglycemic hyperosmolar state (HHS). Which findings would the nurse expect to observe in this patient? a. Hyperglycemia with low serum osmolality b. Severe hyperglycemia with minimal or absent ketosis c. Little or no ke