N4 Endocrine Quiz

Open-Book Quizzes Chapter 17
Sole: Introduction to Critical Care Nursing, 4th Edition

1. Which of the following is not a symptom of SIADH?
A. Low serum osmolality
B. Low urine osmolality
C. Low urine sodium
D. Serum hyponatremia

2. Indicators indicating primary hyperthyroidism would include:
A. High TSH, Elevated T3, T4
B. High TSH, Low T3, T4
C. Normal TSH, Elevated T3, T4
D. Normal TSH, Normal T3, T4

3. A hallmark of diabetic ketoacidosis is metabolic acidosis. The primary treatment of this metabolic acidosis is:
A. Dialysis
B. Insulin
C. Normal saline IV
D. Sodium bicarbonate

4. While the patient is receiving continuous infusion of intravenous insulin, treatment includes:
A. Fluid restriction
B. Kayexalate to prevent potassium buildup
C. Serum glucose levels monitoring every 1 to 2 hours
D. Sodium bicarbonate infusions

5. In DKA, arterial blood gas analysis reflects metabolic acidosis (low pH and low bicarbonate). The partial pressure of arterial carbon dioxide (PaCO2) may also be low. The decrease in PaCO2 may be the result of:
A. Dehydration
B. The body's attempt at maintaining pH
C. The body's way of creating a respiratory acidosis
D. The formation of ketones

6. __________________________ is similar to diabetic ketoacidosis but with higher levels of hyperglycemia, hyperosmolality, and severe dehydration and significantly lower levels of free fatty acids, and a lack of ketosis.

7. In diabetic ketoacidosis, increases in the rate and depth of breathing, called ____________________, are common as the patient attempts to compensate for the metabolic acidosis.

8. Patients experiencing acute adrenal insufficiency are most commonly those who are currently receiving, or have recently been withdrawn from, ______________ therapy.

9. Thyroid storm has an abrupt onset and is best characterized as a state of unregulated ________________.

10. Match each description to the correct following term related to endocrine alterations.
1. Hyperosmolar nonketotic coma (HHNC)
2. Glucose
3. Myxedema coma
4. Diabetes mellitus
5. Graves' disease
6. Addison's disease
7.Hormones

A. Control and regulate metabolic processes

B. Destruction of the adrenal gland itself

C. Hypothyroidism

D. More commonly seen in patients with newly diagnosed type 2 diabetes mellitus

E. Results from alterations in insulin secretion, insulin action, or both

F. The most frequent form of hyperthyroidism

G. The preferred energy source for the brain