Endocrine

Daily Humulin R insulin has been prescribed for a client with type 1 diabetes. The nurse administers the insulin at 8 am. When should the nurse monitor the client for a potential insulin reaction?

2-4 hours

Normal serum potassium level

3.5-5.0 mEq/L

Normal Serum Calcium Level

8.5-10.5 mg/dL

Clinical Manifestations of Hypothyroidism

Cool skin, constipation, decreased appetite

A nurse is assessing a client and suspects diabetic ketoacidosis (DKA). What clinical findings support this conclusion?

Deep respirations and acetone odor to breath

Causes of HYPERthyroidism

Graves disease or too much iodine

Causes of HYPOthyroidism

Hashimotos, pituitary tumor, not enough iodine

A nurse is caring for a newly admitted client with a diagnosis of Graves disease. In preparing a teaching plan, the nurse anticipates which diet will be prescribed for this client? High-calorie diet Low-sodium diet High-roughage diet Mechanical-soft diet

High calorie diet (increased metabolic rate)

meds for hypoPTH

Iv calcium gluconate, oral calcium and vit d

A client's parathyroid glands are removed. What clinical manifestation is indicative of the fluid and electrolyte imbalance associated with this surgery?

Muscle spasms

Life threatening condition caused by hypothyroidism

Myxedema (swelling of eyes and face, waxy)

S/S hypoPTH

Positive C and T signs Tetany Hypocalcemia and Hyperphosphatemia

A nurse is assessing a client with a suspected pituitary tumor. Which assessment finding is consistent with a pituitary tumor?

Seizures

Meds for Hypothyroid

Synthroid (No narcotics)

Life threatening condition caused by hyperthyroidism

Thyroid Storm

S/S hyperPTH

bone fractures, constipation, kidney stones, n/v

meds for hyperPTH

calcatonin, lasix, NS

hyPO or hyPER thyroidism? weight loss

hyper

hypo or hyper thyroidism? increased heart rate

hyper

hypo or hyper thyroidism? oily skin

hyper

hyPO or hyPER thyroidism? cold intolerance

hypo

hypo or hyper thyroidism? constipation

hypo

hypo or hyper thyroidism? thin hair

hypo

hypo or hyper thyroidism? weight gain

hypo

Meds for hyperthyroidism

methimazole, PTU, beta blockers

cause of hyperparathyroidism

primary: problem with parathyroid secondary: renal failure, hypocalcemia, vit d deficiency

A nurse is teaching a client with type 1 diabetes about assessing for signs and symptoms of hypoglycemia as a result of excessive insulin. For what response should the nurse instruct the client to monitor in addition to nervousness and hunger?

sweating

Cause of hypoparathyroidism

thyroidectomy, hypomagnesemia, auto immune disorders