ECCO Endocrine Disorders Exam Questions And Answers Verified 100% Correct

ECCO Endocrine Disorders Exam Questions And Answers Verified 100% Correct What requirements must be met before transitioning a critically ill patient from continuous regular IV insulin to basal and prandial subcutaneous insulin? - ANSWER Regular insulin is being infused at a low rate. Patient's glucose is stable. Patient's glucose is at a target level. An 85-year-old patient is admitted with dehydration. Fluid resuscitation has been initiated. Serum glucose is 250, and blood ketones are negative. What is this patient's target serum glucose level? - ANSWER 140-180 mg/dL A patient with bronchogenic carcinoma is admitted with lethargy and confusion. Serum sodium is 118. Which intervention should the nurse anticipate? - ANSWER Na+ increase by 0.5 mEq/L/hr with hypertonic saline A patient with a history of Addison's disease is admitted. The patient reports nausea, vomiting, and abdominal pain. Which intervention should the nurse anticipate as the highest priority? - ANSWER Administer dexamethasone A patient with type 2 diabetes who is receiving TPN is started on continuous regular IV insulin. Which treatment priority should the nurse anticipate? - ANSWER Vigilant monitoring of blood glucose What interventions should the nurse be prepared to perform for a patient who is receiving an epinephrine infusion? - ANSWER Regular insulin infusion for blood glucose greater than 180 mg/dL Hourly blood glucose checks Which of the following patients with a history of diabetes is at the highest risk for development of hyperglycemia? A patient admitted with: - ANSWER Sepsis receiving norepinephrine A patient with TBI has BP 96/50, HR 108, UO 525 mL/hr, Na 154. Patient is lethargic with poor skin turgor. Which should the nurse anticipate? - ANSWER Desmopressin and vasopressin A patient with diabetes is admitted with sepsis. Administration of which should the nurse anticipate? - ANSWER Regular insulin Which intervention is needed for a patient on a continuous IV insulin infusion at 6 units/ hour and whose current glucose is 68 mg/ dL; last hourly glucose check was 142 mg/dL. - ANSWER Stop the insulin infusion and administer IV D50 emergently Which intervention should the nurse perform for a postsurgical patient who is receiving IV insulin? - ANSWER Evaluate potassium at regular intervals A patient with diabetes is admitted with DKA. After 1 hour of 0.9% NS with 20 mEq t KCl/L and continuous infusion of IV regular insulin, the patient is reevaluated. Wha should the nurse anticipate - ANSWER IV 1/2 NS with 20 mEq KCl/ L at 250 mL/hour A patient with type 2 diabetes managed with diet and exercise who takes metoprolol (Lopressor) is admitted for trauma after a motor vehicle crash. Medication reconciliation in collaboration with the pharmacist is complete. What intervention should the nurse anticipate? - ANSWER Monitor for symptoms of hypoglycemia An alert patient who had a hypoglycemic episode was given 4 oz of orange juice. The nurse checks the patient's symptoms and blood glucose. What priority intervention should the nurse anticipate? - ANSWER If no improvement in 10 minutes, give 15-20 grams of glucose/ carbohydrates. An intubated patient, IV 0.45% NS with 20 meq KCl/L, with liver failure has a blood glucose of 55 mg/dl. What initial interventionn should the nurse anticipate? - ANSWER 25ml of d 50 IV A patient with a history of diabetes is receiving a continuous infusion of IV insulin. Labs are being monitored at regular intervals. For which of the following should the nurse observe? - ANSWER K 3.0 After a subarachnoid hemorrhage, a patient is agitated and has a headache. The patient's UO was 1,500 ml in four hours, with BP 86/50 (62), HR 108, and serum Na 118. What two interventions should the nurse anticipate? - ANSWER Fluid bolus of 0.9% NS Admin hypertonic saline A nurse noted a high urine output, blood glucose of 650, and hypokalemia in a patient recovering from MI. Which other assessment led the nurse to anticipate treatment for HHS? - ANSWER negative blood ketones A patient with diabetes is admitted with sepsis Na 135, K 4.4, Phos 2.5 BUN 33 Cr 1.2 glucose 625, pH 7.15, HCO3 9.8 blood ketones positive. administration of which should the nurse anticipate? - ANSWER regular insulin infusion A patient taking tricyclic antidepressants is admitted after a CABG; UO was low in surgery. After anesthesia reversal, the patient is very lethargic. Administration of which should the nurse anticipate? - ANSWER 3% saline A patient with TBI is lethargic with poor skin turgor. Which should the nurse anticipate? - ANSWER Desmopressin and vasopressin A patient with history of osteoporosis and bone pain is admitted with symptomatic bradycardia and reports recent onset of forgetfulness, loss of appetite, and depression; Ca++ 14.5. Administration of which should the nurse anticipate? - ANSWER isotonic fluids and lasix A patient with bronchogenic carcinoma is admitted with lethargy and confusion. Serum sodium is 118. Which intervention should the nurse anticipate? - ANSWER Na increase by 0.5 mEq/L/hr with hypertonic saline solution Which of the following interventions in a critically ill patient can contribute to insulin resistance? - ANSWER Epinephrine infusion What priority intervention is essential for managing a patient with DI? - ANSWER Infusing IV hypotonic fluids Following a patient's carotid artery surgery, the nurse observes new-onset atria l fibrillation, HR 155, BP 148/92, temp 38.6, RR 24, and TSH 0.04. The nurse should expect administration of which to control the atrial fibrillation? - ANSWER Beta blockers or calcium channel blockers A 75-year-old patient admitted from a chronic care facility with HHS is semi-comatose with severe dehydration. Fluids and IV regular insulin 0.1 units/kg/hr? - ANSWER Blood glucose 285 mg/dL A patient with a history of diabetes is treated for DKA. The patient is receiving a continuous infusion of IV insulin. The presence of which criteria indicates the patient can be changed to subQ insulin? - ANSWER Blood glucose 198, pH 7.35, anion gap 12 A patient is admitted after brain aneurysm clipping with BP 90/54, HR 110, CVP 1 mm Hg, UO 1,400 mL in four hours, serum Na+ 155, and serum osmolality 320. Which