Leonora C
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Quiz on CC endocrine, created by Leonora C on 12/07/2018.

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CC endocrine

Question 1 of 25

1

Renin plays a role in blood pressure regulation by

Select one of the following:

  • activating the renin-angiotensin-aldosterone cascade.

  • decreasing sodium reabsorption

  • suppressing angiotensin production

  • inhibiting aldosterone release

Explanation

Question 2 of 25

1

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

Select one of the following:

  • a shift in potassium levels.

  • dialyzer membrane incompatibility.

  • hypothermia

  • dialysis disequilibrium syndrome

Explanation

Question 3 of 25

1

Slow continuous ultrafiltration is also known as isolated ultrafiltration and is used to

Select one of the following:

  • 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.

Explanation

Question 4 of 25

1

An advantage of peritoneal dialysis is that

Select one of the following:

  • a decreased risk of peritonitis exists.

  • biochemical disturbances are corrected rapidly.

  • the danger of hemorrhage is minimal.

  • peritoneal dialysis is time intensive

Explanation

Question 5 of 25

1

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

Select one of the following:

  • 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.

Explanation

Question 6 of 25

1

Trends in nutritional management of the patient with pancreatitis are changing. As a result, the nurse understands that

Select one of the following:

  • 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.

Explanation

Question 7 of 25

1

When assessing bowel sounds, the nurse

Select one of the following:

  • 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

Explanation

Question 8 of 25

1

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

Select one of the following:

  • sympathetic nerve stimulation

  • thoughts of food.

  • overstimulation of the sublingual glands

  • parasympathetic nerve stimulation

Explanation

Question 9 of 25

1

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?

Select one of the following:

  • 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.

Explanation

Question 10 of 25

1

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

Select one of the following:

  • 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.

Explanation

Question 11 of 25

1

The term used to describe an increase in blood urea nitrogen (BUN) and serum creatinine is

Select one of the following:

  • azotemia

  • prerenal disease.

  • acute kidney injury.

  • oliguria

Explanation

Question 12 of 25

1

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?

Select one of the following:

  • 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.

Explanation

Question 13 of 25

1

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

Select one of the following:

  • 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.

Explanation

Question 14 of 25

1

The nurse is caring for an elderly patient who was admitted with renal insufficiency. An expected laboratory finding for this patient may be

Select one of the following:

  • hypokalemia.

  • a normal serum creatinine level.

  • an increased glomerular filtration rate (GFR).

  • increased ability to excrete drugs.

Explanation

Question 15 of 25

1

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

Select one of the following:

  • fluid replacement with 0.45% saline.

  • a blood transfusion

  • infusion of an inotropic agent.

  • an antiemetic

Explanation

Question 16 of 25

1

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?

Select one of the following:

  • 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

Explanation

Question 17 of 25

1

What psychosocial factors may potentially contribute to the development of diabetic ketoacidosis? ( Select all that apply.)

Select one or more of the following:

  • Eating disorder

  • Exposure to influenza

  • Lack of financial resources

  • Altered sleep/rest patterns

  • High levels of stress

Explanation

Question 18 of 25

1

Which of the following would be seen in a patient with myxedema coma?

Select one of the following:

  • Tachycardia

  • Hyperthermia

  • Decreased reflexes

  • Hyperventilation

Explanation

Question 19 of 25

1

The patient is admitted with acute kidney injury from a postrenal cause. Acceptable treatments for that diagnosis include: ( Select all that apply.)

Select one or more of the following:

  • ureteral stenting.

  • increasing fluid volume intake

  • placement of nephrostomy tubes.

  • increasing cardiac output

  • bladder catheterization.

Explanation

Question 20 of 25

1

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?

Select one of the following:

  • Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)

  • Thyroid storm

  • Adrenal crisis

  • Myxedema coma

Explanation

Question 21 of 25

1

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

Select one of the following:

  • 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

Explanation

Question 22 of 25

1

Acute kidney injury from postrenal etiology is caused by

Select one of the following:

  • 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.

Explanation

Question 23 of 25

1

Peritoneal dialysis is different from hemodialysis in that peritoneal dialysis

Select one of the following:

  • 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.

Explanation

Question 24 of 25

1

A patient is receiving hydrocortisone sodium succinate for adrenal crisis. What other medication does the nurse prepare to administer?

Select one of the following:

  • Regular insulin

  • Propranolol

  • A proton pump inhibitor

  • Canagliflozin

Explanation

Question 25 of 25

1

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?

Select one of the following:

  • 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

Explanation