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Endocrine

Total questions: 10

Worksheet time: 8mins

Name
Class
Date
1.

Which of the following laboratory tests for a client who has suspected hyperthyroidism. An elevation of which of the following values is the most accurate diagnostic indicator that a client is experiencing a hyperthyroid state? Select all that apply.

a)

Low Serum Sodium

b)

High Serum Potassium

c)

Low Urine Creatinine

d)

High Urine Sodium

e)

Increased Urine-Specific Gravity

2.

A client asks the nurse why the provider bases the medication regimen on the HbA1c instead of the log of morning fasting blood glucose levels. Which of the following is an appropriate response by the nurse?

a)

"It measures how well your insulin is regulating your blood glucose between meals."

b)

"It indicates how well your blood glucose has been regulated over the past 3 to 4 months."

c)

"It is the first blood test that should be done to diagnose if an individual has diabetes."

d)

"It will determine if an individual's dose of Regular Insulin needs to be adjusted."

3.

A nurse is reviewing the laboratory tests for a client who has suspected hyperthyroidism. An elevation of which of the following values is the most accurate diagnostic indicator that a client is experiencing a hyperthyroid state?

a)

T3

b)

VMA

c)

TSH

d)

TRH

4.

A nurse is caring for a client whose blood glucose is 49 mg/dl. The client is lethargic but arousable. Which of the following is the priority nursing action?

a)

Re-check blood glucose in 15 minutes

b)

Give 7 g of protein.

c)

Give 15 to 20 g of carbohydrates.

d)

Report findings to the client's health care provider.

5.

A client's medication record reads: Lispro insulin 10 Units subcutaneously 0800. Which of the following actions should the nurse take when administering this medication?

a)

Check the client's blood glucose immediately after administration

b)

Administer the medication when the breakfast tray arrives

c)

Administer the medication within 30 minutes of the scheduled time.

d)

Clarify the prescription because the medication is usually given at bedtime.

6.

›A nurse is caring for a client who is in a hyperosmolar-hyperglycemic state (HHS). Which of the following findings is a consistent with HHS? (Select all that apply)

a)

›Abdominal pain

b)

›Confusion

c)

Polyuria

d)

›Polydipsia

e)

pH 7.24

7.

True: False: Hyperglycemic -hyperosmolar State (HHS) is an acute life threatning condition charactyerized by profound hyperglycemia (>600mg/dL), dehydration and an absence of ketosis?

a)

True

b)

False

8.

True:False: Diabetic Ketoacidosis is an acute life threatending condition characyterized by hyperglycemia (>300 mg/dL), resulting in the breakdowen of body fat for energy and accumulation of ketones in the blood and urine?

a)

False

b)

True

9.

True: False: Patients with DKA are at risk for fluid overload?

a)

False

b)

True

10.

What is it: Serum Glucose >300mg/dL

a)

DKA

b)

HHS