Patho Preview Quiz 10

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A diabetic client presents to a clinic for routine visit. Blood work reveals a HbA1C of 11.0% (high)? Which response by the patient may account for this abnormal lab result?

"My meter broke so I have not been checking my blood glucose levels for a while."

Which of the following factors is most strongly associated with the pathogenesis of gallstones?

Abnormalities or stasis of bile

Paracrine action involves which of the following characteristics?

Act locally on cells other than those that produce the hormone

Given the fact that acute pancreatitis can result in severe, life-threatening complications, the nurse should be assessing the client for which of the following complications?

Acute tubular necrosis

A client with type 1 diabetes has started a new exercise routine. Knowing there may be some increase risks associated with exercise, the health care provider should encourage the client to:

Carry a snack with carbs to prevent profound hypoglycemia

Addison disease is a temporary condition.

F

Hepatitis, inflammation of the liver, is of bacterial origin.

F

Hypothyroidism is evidenced by an increased metabolic rate, restlessness, irritability, tachycardia, diarrhea, and heat intolerance.

F

Jaundice results from an abnormally high accumulation of bile in the blood.

F

A diabetic client is controlled on Avandia (rosiglitazone), a thiazolidinedione medication that acts at the level of nuclear peroxisome proliferator-activated receptors (PPARs) to promote:

Glucose uptake

The immune suppressive and anti-inflammatory effects of cortisol cause:

Inhibition of prostaglandin synthesis

Which of the following pregnant women likely faces the greatest risk of developing gestational diabetes? A client who:

Is morbidly obese defined as greater than 100 pounds over ideal weight

A client presents to the emergency department with some vague symptoms. After history and physical exam, the physician is suspecting the client may have viral hepatitis. Which of the following clinical manifestations leads the nurse to suspect the client is in the prodromal period of viral hepatitis?

Muscle aches and pain along with fatigue

The most common cause of thyrotoxicosis is Graves disease. When assessing this client, the nurse should put priority on which of the following signs/symptoms?

Ophthalmopathy

One of the first signs that indicates an infant may have congenital hypothyroidism is:

Prolonged period of physiologic jaundice

Thyroid and steroid hormones, which exert their effect on target cells by way of nuclear receptors, have which of the following characteristics?

The ability to cross the cell membrane of target cells

All hormones can cross the cell membrane.

T

The brain is insulin independent.

T

The endocrine system uses chemical substances called hormones as a means of regulating and integrating body functions.

T

Type 2 diabetes is more common than type 1.

T


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