Alyssa Magill
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Alyssa Magill
Created by Alyssa Magill about 4 years ago
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Endocrine

Question 1 of 9

1

clinical manifestations of diabetic ketoacidosis include

Select one of the following:

  • hyperglycemia, hypo-osmolality, anion gap acidosis

  • hyperglycemia, hyper-osmolality, hypernatremia

  • hyperglycemia, hypo-osmolality, ketone production

  • hyperglycemia, hyper-osmolality, anion gap acidosis

Explanation

Question 2 of 9

1

18 yo with type 1 diabetes is admitted with a hyperglycemic emergency. her initial glucose was 520 with a K of 6.2. your priority is

Select one of the following:

  • correcting glucose levels

  • lowering K level

  • restarting home SQ insulin

  • correcting fluid deficit

Explanation

Question 3 of 9

1

4 hours after starting an insulin infusion in a pt with DKA the pt's blood glucose is 235. which of the following fluids should be administered?

Select one of the following:

  • hypertonic solution to hydrate the cell

  • D5 45 or D5 NS with a glucose source

  • isotonic saline bolus to maintain extracellular hydration

  • hypotonic saline to provide cellular hydration

Explanation

Question 4 of 9

1

a cardinal sign of hyperosmolar hyperglycemic state (HHS) is

Select one of the following:

  • ketones present in serum & urine &increased serum osmolality

  • decreased serum osmolality & rapid shallow breathing

  • markedly elevated serum glucose & altered mental status

  • volume overload and metabolic acidosis

Explanation

Question 5 of 9

1

commonn lab finding in a pt with diabetes insipidus (DI) is

Select one of the following:

  • decreased serum osmolality

  • decreased urine output

  • elevated urine specific gravity

  • elevated serum osmolality

Explanation

Question 6 of 9

1

you would expect which of the following lab findings in a pt with diabetes insipidus

Select one of the following:

  • increased serum osmo, decreased serum Na, increased urine osmo

  • increased serum osmo, increased serum Na, decreased urine osmo

  • decreased serum osmo, increased serum Na, decreased urine osmo

  • decreased serum osmo, decreased serum Na, decreased urine osmo

Explanation

Question 7 of 9

1

A 56 year old suffered a cardiopulmonary arrest and received 45 minutes of chest compressions. On day 2 of hospital stay you notice his urine drainage bag is suddenly full. urine is clear without color, he continues with urine output of 700-1000ml/hr x 2 hrs. which assessment would you expect?

Select one of the following:

  • serum sodium level of 126

  • serum osmolality of 320

  • urine specific gravity of 1.025

  • serum K of 3.5

Explanation

Question 8 of 9

1

pt from psych unit was admitted for close monitoring after drinking 8 liters of water in an hour. you would expect which of the following

Select one of the following:

  • hyponatremia

  • hypernatremia

  • hypokalemia

  • elevated serum osmolality

Explanation

Question 9 of 9

1

severely depressed diabetic pt is admitted after taking a large amount of insulin in an attempt to commit suicide. asking about suicidal thoughts will help you ascertain

Select one of the following:

  • if they have a specific plan to attempt suicide again

  • place the patient on suicide watch

  • give them ideas for successful suicide

  • if they are more depressed

Explanation

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