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Endocrine

Total questions: 9

Worksheet time: 7mins

Name
Class
Date
1.

An agitated, confused female client arrives in the emergency department. Her history includes type 1 diabetes mellitus, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:

a)

2 to 5 g of a simple carbohydrate

b)

10 to 15 g of a simple carbohydrate

c)

18 to 20 g of a simple carbohydrate

d)

25 to 30 g of a simple carbohydrate

2.

A female client with hypothyroidism (myxedema) is receiving levothyroxine (Synthroid), 25 mcg P.O. daily. Which finding should nurse Hans recognize as a drug side effect?

a)

Dysuria

b)

Leg cramps

c)

Tachycardia

d)

Blurred vision

3.

A male client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. Nurse Jack explains that these medications are only effective if the client

a)

Prefers to take insulin orally

b)

Has type 1 diabetes

c)

Is pregnant and has type 2 diabetes

d)

Has type 2 diabetes

4.

Prednisone is prescribed for a client with diabetes mellitus who is using Humulin 70/30 daily. Which of the following prescription changes does the nurse expect during the medication therapy?

a)

An addition of an oral hypoglycemic medication

b)

Increased dosage of prednisone

c)

Increased dosage of humulin 70/30

d)

Decreased dosage of humulin 70/30

5.

A nurse is performing an assessment on a newly admitted patient who is taking propylthiouracil (PTU) daily. The nurse suspects that the client has a history of?

a)

Addison's disease

b)

Cushing's syndrome

c)

Grave's disease

d)

Myxedema

6.

A nurse is giving discharge instructions to a patient who is taking Synthroid (levothyroxine). The nurse instructs the client to notify the physician if which of the following occurs?

a)

Respiratory rate of 12

b)

Chest pain

c)

Coarse, dry hair

d)

Muscle cramps

7.

A nurse is giving instructions to a patient who is taking levothyroxine (Synthroid). The nurse tells the client that the best time to take this medication is?

a)

During bedtime

b)

After lunch

c)

Taken with food

d)

Taken on an empty stomach

8.

Glucotrol (glipizide) is prescribed to a patient with diabetes mellitus. The nurse instructed the patient to avoid which of the following?

a)

Soft drinks

b)

Whole grain cereals

c)

Alcohol

d)

Organ meats

9.

When caring for a client taking parathyroid medication, which of the following nursing interventions is a priority?

a)

Monitor serum calcium levels

b)

Evaluate bowel function

c)

Measure serum acid phosphatase

d)

Check for side effects