ena endocrine
To appropriately treat a conscious patient with hypoglycemia, the nurse should select which item to provide roughly 10 to 15 grams of fast-acting carbohydrate?
5 or 6 Life Savers&#-62;&#-82; candies
Which intervention is indicated to treat a patient with diabetic ketoacidosis?
Administration of 5% dextrose in normal saline (D5NS) solution for a glucose level of 250 to 300 mg/dL
A patient with Addison's disease is at risk for which endocrine emergency?
Adrenal crisis
Hydrocortisone (Solu-Cortef) is used to treat which endocrine emergency?
Adrenal crisis
Which medication can induce hyperthyroidism?
Amiodarone (Cordarone)
In geriatric patients, which dysrhythmia is associated with hyperthyroidism?
Atrial fibrillation
Which laboratory test result should the nurse expect in a patient with alcoholic ketoacidosis?
Below normal to slightly elevated serum glucose level
Which finding is not consistent with thyroid storm?
Bradydysrhythmias
When managing diabetic ketoacidosis, which intervention is appropriate?
Correct hyperglycemia with a continuous infusion of regular insulin (Humulin R).
In a patient with diabetic ketoacidosis, the nurse should expect which laboratory finding?
Decreased serum bicarbonate level
A patient presents with extraordinary thirst, dry skin, frequent urination, and constipation. These signs and symptoms suggest which endocrine emergency
Diabetes insipidus
Which endocrine disorder is most frequently seen in the emergency department?
Diabetes mellitus
Which disorder may result from diabetic ketoacidosis treatment?
Dysrhythmias
When a stressor adversely affects a patient with type 1 diabetes mellitus, which action occurs first?
Gluconeogenesis
Alcoholic ketoacidosis causes which effect?
Glycogen stores are used.
Which signs and symptoms are consistent with pheochromocytoma?
Hypertension, headache, irregular heart rate, and diaphoresis
Which electrolyte imbalance is associated with syndrome of inappropriate antidiuretic hormone?
Hyponatremia
In patients with type 1 diabetes mellitus, what is the most common cause of hypoglycemia?
Iatrogenic insulin effects
In diabetic ketoacidosis, hyperosmolarity causes which effect?
Insulin resistance
Which medication can precipitate hyperthyroidism and hypothyroidism?
Lithium (Lithobid)
In which endocrine emergency is tongue edema a presenting sign?
Myxedema coma
Which medication is indicated for a patient with a pheochromocytoma
Nitroprusside (Nitropress
A patient with hyperosmolar hyperglycemic state is likely to have which laboratory test result?
Normal blood pH
Which complication is associated with prolonged exposure to elevated glucocorticoid levels?
Osteoporosis
Which assessment finding differentiates hyperosmolar hyperglycemic state from diabetic ketoacidosis?
Presence of ketones
Which assessment finding is likely in a patient with hypothyroidism?
Pronounced fatigue
Which physiologic effect results from hypoglycemia?
Release of epinephrine
Which finding is most closely associated with syndrome of inappropriate antidiuretic hormone?
Seizures
Which finding should the nurse expect in a patient with hyperosmolar hyperglycemic state?
Severe dehydratio
Which patient complaint is associated with syndrome of inappropriate antidiuretic hormone?
Sudden weight gain
The inadequate or impaired secretion of antidiuretic hormone (ADH [vasopressin]) causes which endocrine emergency
Syndrome of inappropriate antidiuretic hormone
Which disease causes water retention, high urine osmolarity, low serum osmolarity, and a low serum sodium level?
Syndrome of inappropriate antidiuretic hormone
Which statement correctly characterizes endocrine function?
The endocrine system affects most body systems.
Which intervention is indicated for a patient with alcoholic ketoacidosis?
Thiamine administration
Which finding is associated with thyroid storm?
Tremors
Which condition results from the absolute depletion of circulating insulin?
Type 1 diabetes mellitus
Which abnormality is associated with acute adrenal insufficiency?
hypoglycemia
Which factor can precipitate hypoglycemia?
pancreatic tumors
