ENDOCRINE NURSING -- PRACTICE QUESTIONS WITH ALL ANSWERS.

Endocrine Nursing -- Practice Questions With b b b b b




All Answers b b




A bgclient bgis bgbrought bgto bgthe bgED bgin bgan bgunresponsive bgstate, bgand bga bgdX bgof
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bghyperglycemic bghyperosmolar bgnonketotic bgsyndrome bgis bgmade. bgThe bgnurse
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bgwould bgIMMEDIATELY bgprepare bgto bginitiate bgwhich bganticipated bghealth bgcare
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bgprovider's bgprescription?
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a) bgendotracheal bgintubation
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b) bg100 bgunits bgof bgNPH bginsulin
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c) bgIV bginfusion bgof bgnormal bgsaline
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d) bgIV bginfusion bgof bgsodium bgbicarbonate bg- bg bgcorrect bganswer- bgC
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An bgexternal bginsulin bgpump bgis bgprescribed bgfor bga bgclient bgwith bgDM bgand bgthe bgclient
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bgasks bgthe bgnurse bgabout bgthe bgfunctioning bgof bgthe bgpump. bgThe bgnurse bgbases bgthe
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bgresponse bgon bgwhich bginformation bgabout bgthe bgpump?
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a) bgis bgtimed bgto bgrelease bgprogrammed bgdoses bgof bgshort-duration bgor bgNPH bginsulin
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bginto bgthe bgbloodstream bgat bgspecific bgintervals
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b) bgcontinuously bginfuses bgsmall bgamounts bgof bgNPH bginsulin bginto bgthe bgbloodstream
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bgwhile bgregularly bgmonitoring bgblood bgglucose bglevels
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c) bgis bgsurgically bgattached bgto bgthe bgpancreas bgand bginfuses bgregular bginsulin bginto
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bgthe bgpancreas, bgwhich bgin bgturn bgreleases bgthe bginsulin bginto bgthe bgbloodstream
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d) bggives bga bgsmall bgcontinuous bgdose bgof bgshort-duration bginsulin bgsubQ-- bgand bgthe
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bgclient bgcan bgself-administer bga bgbolus bgwith bgan bgadditional bgdose bgfrom bgthe bgpump
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bgbefore bgeach bgmeal bg- bg bgcorrect bganswer- bgD
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A bgclient bgwith bga bgdiagnosis bgof bgDKA bgis bgbeing bgtreated bgin bgthe bgED. bgWhich
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bgfindings bgwould bgthe bgnurse bgexpect bgto bgnote bgas bgconfirming bgthis bgdiagnosis?
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bgSATA:
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a) bgincrease bgin bgpH
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b) bgcomatose bgstate
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,c) bgdeep, bgrapid bgbreathing
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d) bgdecreased bgurine bgoutput
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e) bgelevated bgblood bgglucose bglevel
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f) bglow bgplasma bgbicarbonate bglevel bg- bg bgcorrect bganswer- bgC, bgE, bgF
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The bgnurse bgteaches bga bgclient bgwith bgDM bgabout bgdifferentiating bgbetween
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bghypoglycemia bgand bgketoacidosis. bgThe bgclient bgdemonstrates bgan bgunderstanding
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bgof bgthe bgteaching bgby bgstating bgthat bga bgform bgof bgglucose bgshould bgbe bgtaken bgif
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bgwhich bgsymptoms bgdevelop? bgSATA:
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a) bgpolyuria b




b) bgshakiness b




c) bgpalpitations
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d) bgblurred bgvision
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e) bglightheadedness
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f) bgfruity bgbreath bgodor bg- bg bgcorrect bganswer- bgB, bgC, bgE
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A bgclient bgwith bgDM bgdemonstrates bgacute bganxiety bgwhen bgfirst bgadmitted bgto bgthe
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bghospital bgfor bgthe bgtreatment bgof bghyperglycemia. bgWhat bgis bgthe bgMOST
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bgAPPROPRIATE bgintervention bgto bgdecrease bgthe bgclient's bganxiety? bg
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a) bgadminister bga bgsedative
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b) bgconvey bgempathy, bgtrust, bgand bgrespect bgtoward bgthe bgclient
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c) bgignore bgthe bgsigns bgand bgsymptoms bgof bganxiety bgso bgthat bgthey bgwill bgsoon
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bgdisappear
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d) bgmake bgsure bgthat bgthe bgclient bgknows bgall bgthe bgcorrect bgmedical bgterms bgto
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bgunderstand bgwhat bgis bghappening bg- bg bgcorrect bganswer- bgB
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The bgnurse bgprovides bginstructions bgto bga bgclient bgnewly bgdX bgwith bgtype bgI bgDM. bgThe
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bgnurse bgrecognizes bgaccurate bgunderstanding bgof bgmeasures bgto bgprevent bgDKA
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bgwhen bgthe bgclient bgmakes bgwhich bgstatement?
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a) bgI bgwill bgstop bgtaking bgmy bginsulin bgif bgI'm bgtoo bgsick bgto bgeat
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b) bgi bgwill bgdecrease bgmy bginsulin bgdose bgduring bgtimes bgof bgillness
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c) bgi bgwill bgadjust bgmy bginsulin bgdose bgaccording bgto bgthe bglevel bgof bgglucose bgin bgmy
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bgurine
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d) bgi bgwill bgnotify bgmy bgHCP bgif bgmy bgblood bgglucose bglevel bgis bghigher bgthan bg250
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bgmg/dL bg- bg bgcorrect bganswer- bgD
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A bgclient bgis bgadmitted bgto bga bghospital bgwith bga bgdX bgof bgDKA. bgThe bginitial bgblood
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bgglucose bglevel bgwas bg950 bgmg/dL. bgA bgcontinuous bgintravenous bginfusion bgof bgshort-
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acting bginsulin bgis bginitiated, bgalong bgwith bgIV bgrehydration bgwith bgnormal bgsaline. bgThe
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bgserum bgglucose bglevel bgis bgnow bg240 bgmg/dL. bgThe bgnurse bgwould bgnext bgprepare
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bgto bgadminister bgwhich bgitem?
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a) bgampule bgof bg50% bgdextrose
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, b) bgNPH bginsulin bgsubcutaneously
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c) bgIV bgfluids bgcontaining bgdextrose
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d) bgPhenytoin bg(Dilantin) bgfor bgthe bgprevention bgof bgseizures bg- bg bgcorrect bganswer- bgC
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The bgnurse bgis bgmonitoring bga bgclient bgnewly bgdX bgwith bgDM bgfor bgsigns bgof
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bgcomplications. bgWhich bgsign, bgif bgexhibited bgin bgthe bgclient, bgwould bgindicate
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bghyperglycemia?
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a) bgpolyuria
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b) bgdiaphoresis
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c) bghypertension
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d) bgincreased bgpulse bgrate bg- bg bgcorrect bganswer- bgA
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The bgnurse bgis bgpreparing bga bgplan bgof bgcare bgfor bga bgclient bgwith bgDM bgwho bghas
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bghyperglycemia. bgThe bgnurse bgplaces bghighest bgpriority bgon bgwhich bgclient bgproblem?
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a) bglack bgof bgknowledge bg
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b) bginadequate bgfluid bgvolume
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c) bgcompromised bgfamily bgcoping
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d) bginadequate bgconsumption bgof bgnutrients bg- bg bgcorrect bganswer- bgB
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The bghome bghealth bgnurse bgvisits bga bgclient bgwith bga bgdX bgof bgtype bg1 bgDM. bgThe
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bgclient bgrelates bga bghistory bgof bgvomiting bgand bgdiarrhea bgand bgtells bgthe bgnurse bgthat
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bgno bgfood bghas bgbeen bgconsumed bgfor bgthe bglast bg24 bghours. bgWhich bgadditional
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bgstatement bgby bgthe bgclient bgindicates bga bgNEED bgFOR bgFURTHER bgTEACHING?
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a) bgi bgneed bgto bgstop bgmy bginsulin bg
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b) bgi bgneed bgto bgincrease bgmy bgfluid bgintake
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c) bgi bgneed bgto bgmonitor bgmy bgblood bgglucose bgevery bg3 bgto bg4 bghours
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d) bgi bgneed bgto bgcall bgthe bgHCP bgbecause bgof bgthese bgsymptoms bg- bg bgcorrect
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bganswer- bgA
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The bgnurse bgis bgcaring bgfor bga bgclient bgafter bghypophysectomy bgand bgnotes bgclear
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bgnasal bgdrainage bgfrom bgthe bgclient's bgnostril. bgThe bgnurse bgshould bgtake bgwhich
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bginitial bgaction?
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a) bglower bgthe bghead bgof bgthe bgbed
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b) bgtest bgthe bgdrainage bgfor bgglucose
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c) bgobtain bga bgculture bgof bgthe bgdrainage
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d) bgcontinue bgto bgobserve bgthe bgdrainage bg- bg bgcorrect bganswer- bgB
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After bgseveral bgdiagnostic bgtests, bga bgclient bgis bgdX bgwith bgdiabetes bginsipidus. bgThe
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bgnurse bgperforms bgan bgassessment bgon bgthe bgclient, bgknowing bgthat bgwhich bgsymptom
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bgis bgmost bgindicative bgof bgthis bgdisorder?
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a) bgfatigue
b