CC endocrine

Beschreibung

Quiz am CC endocrine, erstellt von Leonora C am 07/12/2018.
Leonora C
Quiz von Leonora C, aktualisiert more than 1 year ago
Leonora C
Erstellt von Leonora C vor fast 6 Jahre
75
3

Zusammenfassung der Ressource

Frage 1

Frage
Renin plays a role in blood pressure regulation by
Antworten
  • activating the renin-angiotensin-aldosterone cascade.
  • decreasing sodium reabsorption
  • suppressing angiotensin production
  • inhibiting aldosterone release

Frage 2

Frage
The patient is getting hemodialysis for the second time when he complains of a headache and nausea and, a little later, of becoming confused. The nurse realizes these are symptoms of
Antworten
  • a shift in potassium levels.
  • dialyzer membrane incompatibility.
  • hypothermia
  • dialysis disequilibrium syndrome

Frage 3

Frage
Slow continuous ultrafiltration is also known as isolated ultrafiltration and is used to
Antworten
  • remove plasma water and solutes by adding dialysate.
  • combine ultrafiltration, convection, and dialysis.
  • remove plasma water in cases of volume overload
  • remove fluids and solutes through the process of convection.

Frage 4

Frage
An advantage of peritoneal dialysis is that
Antworten
  • a decreased risk of peritonitis exists.
  • biochemical disturbances are corrected rapidly.
  • the danger of hemorrhage is minimal.
  • peritoneal dialysis is time intensive

Frage 5

Frage
The patient is admitted with upper GI bleeding following an episode of forceful retching following excessive alcohol intake. The nurse suspects a Mallory-Weiss tear and is aware that
Antworten
  • Mallory-Weiss tear is a longitudinal tear in the gastroesophageal mucosa
  • the bleeding, although impressive, is self-limiting with little actual blood loss
  • this type of bleeding is treated by giving chewable aspirin.
  • it is not usually associated with alcohol intake or retching.

Frage 6

Frage
Trends in nutritional management of the patient with pancreatitis are changing. As a result, the nurse understands that
Antworten
  • patients with pancreatitis must eat nothing in order to prevent release of secretin.
  • nasogastric suction is essential in treating patients with pancreatitis
  • nasogastric tube is no longer required to treat patients with ileus.
  • immediate oral feeding in patients with mild pancreatitis may help recovery.

Frage 7

Frage
When assessing bowel sounds, the nurse
Antworten
  • listens for 5 minutes before noting “absent bowel sounds
  • expects bowel sounds to be regular in rhythm.
  • uses the “bell” part of the stethoscope
  • listens at least 15 minutes

Frage 8

Frage
The nurse is assessing the patient and notices that the oral cavity is only slightly moist and contains a scant amount of thick saliva even though the patient’s fluid intake has been sufficient. The nurses realizes that the condition of the patient’s mouth is probably caused by
Antworten
  • sympathetic nerve stimulation
  • thoughts of food.
  • overstimulation of the sublingual glands
  • parasympathetic nerve stimulation

Frage 9

Frage
The nurse is caring for a patient with active GI bleeding. Estimated blood loss is 1,000 mL. Which of the following assessments would the nurse expect to find with this amount of blood loss?
Antworten
  • Heart rate 125 beats per minute
  • Oral temperature of 103°.
  • All vital signs would expect to be normal
  • Systolic blood pressure of 120 mm Hg.

Frage 10

Frage
The nurse is caring for a patient with severe ascites due to chronic liver failure. The patient is lying supine in bed and complaining of difficulty breathing. The nurse’s first action should be to
Antworten
  • administer diuretics
  • position the patient in a semi-Fowler’s position
  • prepare the patient for emergent paracentesis.
  • measure abdominal girth to determine the amount of fluid accumulation.

Frage 11

Frage
The term used to describe an increase in blood urea nitrogen (BUN) and serum creatinine is
Antworten
  • azotemia
  • prerenal disease.
  • acute kidney injury.
  • oliguria

Frage 12

Frage
A patient with newly diagnosed type 1 diabetes is being transitioned from an infusion of intravenous (IV) regular insulin to an intensive insulin therapy regimen of insulin glargine and insulin aspart. How should the nurse manage this transition in insulin delivery?
Antworten
  • Administer the insulin glargine and continue the IV insulin infusion for 24 hours.
  • Discontinue the IV infusion and administer the Lantus insulin at bedtime
  • Discontinue the IV infusion and administer the insulin aspart with the next meal.
  • Administer the insulin glargine and discontinue the IV infusion in several hours.

Frage 13

Frage
The nurse is caring for a patient who has sustained blunt trauma to the left flank area, and is evaluating the patient’s urinalysis results. The nurse should become concerned when
Antworten
  • red blood cells and albumin are found in the urine.
  • sodium and chloride are found in the urine.
  • creatinine levels in the urine are similar to blood levels of creatinine.
  • urine uric acid levels have the same values as serum levels.

Frage 14

Frage
The nurse is caring for an elderly patient who was admitted with renal insufficiency. An expected laboratory finding for this patient may be
Antworten
  • hypokalemia.
  • a normal serum creatinine level.
  • an increased glomerular filtration rate (GFR).
  • increased ability to excrete drugs.

Frage 15

Frage
The patient has been admitted to the hospital with nausea and vomiting that started 5 days earlier. Blood pressure is 80/44 mm Hg and heart rate is 122 beats/min; the patient has not voided in 8 hours, and the bladder is not distended. The nurse anticipates a prescription for “stat” administration of
Antworten
  • fluid replacement with 0.45% saline.
  • a blood transfusion
  • infusion of an inotropic agent.
  • an antiemetic

Frage 16

Frage
The nurse is caring for a patient who is receiving several cardiac medications designed to stimulate the sympathetic nervous system, vitamin B 12, and an H 2 blocker. The nurse should do which of the following?
Antworten
  • Evaluate for a decrease in potassium level.
  • Give the patient medications to prevent anemia.
  • Assess for signs of peptic ulcer.
  • Be watchful for increased saliva production

Frage 17

Frage
What psychosocial factors may potentially contribute to the development of diabetic ketoacidosis? ( Select all that apply.)
Antworten
  • Eating disorder
  • Exposure to influenza
  • Lack of financial resources
  • Altered sleep/rest patterns
  • High levels of stress

Frage 18

Frage
Which of the following would be seen in a patient with myxedema coma?
Antworten
  • Tachycardia
  • Hyperthermia
  • Decreased reflexes
  • Hyperventilation

Frage 19

Frage
The patient is admitted with acute kidney injury from a postrenal cause. Acceptable treatments for that diagnosis include: ( Select all that apply.)
Antworten
  • ureteral stenting.
  • increasing fluid volume intake
  • placement of nephrostomy tubes.
  • increasing cardiac output
  • bladder catheterization.

Frage 20

Frage
A patient presents to the emergency department with the following clinical signs: Pulse: 132 beats/min Blood pressure: 88/50 mm Hg Respiratory rate: 32 breaths/min Temperature: 104.8°F Chest x-ray: Findings consistent with congestive heart failure Cardiac rhythm: Atrial fibrillation with rapid ventricular response These signs are consistent with which disorder?
Antworten
  • Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
  • Thyroid storm
  • Adrenal crisis
  • Myxedema coma

Frage 21

Frage
The nurse is assigned to care for a patient who presented to the emergency department with diabetic ketoacidosis. A continuous insulin intravenous infusion is started, and hourly bedside glucose monitoring is ordered. The targeted blood glucose value after the first hour of therapy is
Antworten
  • a decrease of 35 to 90 mg/dL compared with admitting values.
  • 70 to 120 mg/dL.
  • a decrease of 25 to 50 mg/dL compared with admitting values
  • less than 200 mg/dL

Frage 22

Frage
Acute kidney injury from postrenal etiology is caused by
Antworten
  • hypovolemia or decreased cardiac output.
  • obstruction of the flow of urine.
  • conditions that act directly on functioning kidney tissue
  • conditions that interfere with renal perfusion.

Frage 23

Frage
Peritoneal dialysis is different from hemodialysis in that peritoneal dialysis
Antworten
  • is not indicated in cases of water intoxication.
  • is not useful in cases of drug overdose or electrolyte imbalance
  • uses the patient’s own semipermeable membrane (peritoneal membrane).
  • is more frequently used for acute kidney injury.

Frage 24

Frage
A patient is receiving hydrocortisone sodium succinate for adrenal crisis. What other medication does the nurse prepare to administer?
Antworten
  • Regular insulin
  • Propranolol
  • A proton pump inhibitor
  • Canagliflozin

Frage 25

Frage
In hyperosmolar hyperglycemic syndrome, the laboratory results are similar to those of diabetic ketoacidosis, with three major exceptions. What differences would you expect to see in patients with hyperosmolar hyperglycemic syndrome?
Antworten
  • Higher serum glucose, higher osmolality, and greater ketosis
  • Lower serum glucose, lower osmolality, and greater ketosis
  • Higher serum glucose, higher osmolality, and no ketosis
  • Lower serum glucose, lower osmolality, and milder ketosis
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