Term
| What does a patient with enlarged hands and feet have? |
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Definition
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Term
| A patient comes in and states they have been craving cold beverages and that there urine is very clear. What do you expect them to have? |
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Definition
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|
Term
| For a patient with neurogenic DI, what would you expect to give them to treat it? |
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Definition
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Term
| What does a patient have when they have ADH but their kidneys don't respond to it? |
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Definition
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Term
| A patient comes in that has a history of small cell lung cancer. They are also retaining fluid, have had muscle cramps and low urine output. Their lab values also show their sodium level is 115. What do you expect them to have? |
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Definition
|
|
Term
| What test do you perform to diagnose DI? |
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Definition
|
|
Term
| What is used in the management of SIADH? |
|
Definition
Lasix
Restrict fluids
Monitor I&O |
|
|
Term
| What is the most common cause of hypothyroidism? |
|
Definition
|
|
Term
| What is used to treat hypothyroidism? |
|
Definition
| Syntgroid and levothyroid. |
|
|
Term
| What is the most common type of hyperthyroidism? |
|
Definition
|
|
Term
| A patient comes in with severe tachycardia, a temp of 102, and are restless. What do you suspect? |
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Definition
|
|
Term
| What do you want to educate the patient with hyperthyroidism about on the medications PTU and tapazole? |
|
Definition
Block conversion of t4 to t3
Take several weeks to see relief of symptoms
Stop the medications if you notice fever or mouth ulcers. |
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|
Term
| What would you do with a patient after a hypophysectomy? |
|
Definition
| Elevate the head of the bed. |
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|
Term
| What would you want to monitor a patient with hyperparathyroidism for? |
|
Definition
|
|
Term
| What would you want to educate a patient with hyperparathyroidism about? |
|
Definition
|
|
Term
| A patient with hypoparathyroidism would experience what signs and symptoms? |
|
Definition
| Increased muscle activity, tingling, muscle cramps |
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|
Term
| What lab values indicate addisons disease? |
|
Definition
| High ACTH and low cortisol |
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|
Term
| What time would you tell the patient is the best time to take corticosteroids? |
|
Definition
|
|
Term
| What are the signs and symptoms of cushings? |
|
Definition
| Hyperglycemia, thin extremeties, buffalo hump. |
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|
Term
| What is a priority nursing diagnosis for a patient with cushings? |
|
Definition
|
|
Term
| What education would you give a patient about the dexamethasan suppression test? |
|
Definition
| Take 1 mg at 11pm and they will draw the levels at 8 am. |
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|
Term
| If you have 35 units of NPH insulin to draw up and 15 units of regular insulin to draw up, how would you draw them up? |
|
Definition
| Inject 35 units of air into the NPH, then 15 into the regular, draw up the regular then the NPH |
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Term
| Which of the following indicates that a patient needs further teaching? |
|
Definition
| Stick in the middle of the finger for glucose test. |
|
|
Term
| what is an important indicator in type 2 diabetes? |
|
Definition
| Gradual onset and being overweight |
|
|
Term
| What is the test that is done to show an average glucose reading over 3 months? |
|
Definition
| Glycosylated hemoglobin A1c |
|
|
Term
| What do they encourage patients with type 2 diabetes to do? |
|
Definition
| Exercise, because it has many benefits. |
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Term
| A patient is given humalog, when would you expect it to peak? |
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Definition
|
|
Term
| What insulin is allowed IV? |
|
Definition
|
|
Term
| When taking D-Phenylalanine derivative (starlix), what should you do? |
|
Definition
| Take it with a meal (if meal skipped, cant take it). |
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|
Term
| When taking glucophage what should you do before a test containing dye? |
|
Definition
| Hole the medicine 48 hours before and after test. |
|
|
Term
| which of the following would you use Byetta for? |
|
Definition
|
|
Term
| What are the calirie recommendations for someone with diabetes? |
|
Definition
| Carbs 50-60%, protein 10-30%, fiber 25g |
|
|
Term
| In a patient who is insulin dependent and wants to exercise, which of the following is recommended for him? |
|
Definition
| Check blood glucose before, during and after exercise. |
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|
Term
| In a patient who is hypoglycemic, what should you give him? |
|
Definition
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|
Term
| A patients family is educated that if the patient is hypoglycemic and unconscious, you should give them what drug? |
|
Definition
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|
Term
| A patient comes in with DKA. What would be the first intervention you would perform on them? |
|
Definition
| Hydrate them with .9% NS. |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Dexamethisone, low dose given initially. |
|
|
Term
| Addison's disease patients |
|
Definition
| Daily glucocorticoid replacement, 2/3 in the morning and 1/3 in the evening because it mimics what body normally does. |
|
|
Term
|
Definition
| Give minipress preop, adrenal medulla tumor produces too much epi and norepi causing severe htn. |
|
|
Term
|
Definition
| Hormone produced by basal cells in the pancreas, pulls glucose from blood to cell and stabilizes glucose 70-120, everytime we eat we get a bolus to control glucose. |
|
|
Term
|
Definition
| Polydipsia, polyuria and polyphagia |
|
|
Term
|
Definition
| Impaired glucose tolerance, decreased ability to produce insulin, blood glucose increases but not high enough to diagnose. |
|
|
Term
|
Definition
| Increased risk for developing diabetes 10 years later. |
|
|
Term
| Male patient with 40 inch waist, BP 140/90, triglycerides 200? |
|
Definition
|
|
Term
| Patient has fasting blood glucose of 130 |
|
Definition
| Want to come back into retest |
|
|
Term
|
Definition
| Best indicator of control. |
|
|
Term
| PAtient has a 7.1% A1C. What do you do? |
|
Definition
| Nothing, this is good control. |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Give regular insulin at 7:30 to NPO patient when will hypoglycemia most likely occur? |
|
Definition
|
|
Term
| Patient understands type 2 when they state? |
|
Definition
| They must have some insulin for oral agents to work. |
|
|
Term
| How does sulfonylureas (amaryl) work? |
|
Definition
| Increase insulin production from pancreas, increase cell sensitivity to insulin. |
|
|
Term
| Patient is on two insulin in the morning and runs one mile in AM |
|
Definition
| Give injection in abdomen. |
|
|
Term
| Thiazolidindiones (actose, avandia)? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Patient needs further teaching when says |
|
Definition
|
|
Term
| When performing finger sticks |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Kussamal respirations (rapid and deep with dyspnea) |
|
|
Term
|
Definition
| When blood glucose is less than or =250 |
|
|
Term
|
Definition
| Life threatening syndrome that occurs in patients with diabetes who produce enough insulin to prevent DKA but not enough to prevent hyerglycemia. |
|
|
Term
| Unconscious patient with hypoglycemia? |
|
Definition
| Tachycardia and diaphoretic |
|
|
Term
| Patient with nephropathy? |
|
Definition
| Give ACE inhibitors, have protective effect on kidneys |
|
|
Term
|
Definition
| More susceptible to infection. |
|
|
Term
|
Definition
| Results from excessive GH production in adulthood. |
|
|
Term
| Transphenoidal hypophysectomy? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| How do you know meds are working for SIADH? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| To inhibit thyroid hormone |
|
|
Term
|
Definition
|
|
Term
| Manage airway postop and suction PRN |
|
Definition
|
|
Term
| Have O2, trach tray and calcium gluconate ready for? |
|
Definition
| Patient who just had hyperthyroidism. |
|
|
Term
|
Definition
| Low calorie diet, increased H2O, and fiber. |
|
|
Term
|
Definition
| Low calorie diet, increased H2O, and fiber. |
|
|
Term
|
Definition
| Assess for hoarseness every 2 hours. |
|
|
Term
|
Definition
| Don't brush teeth for 7-10 days. |
|
|
Term
|
Definition
| Specific gravity of 1.002 |
|
|
Term
| Unconscious hypoglycemic? |
|
Definition
|
|
Term
| NPH peaks at what time if given at 7? |
|
Definition
|
|
Term
|
Definition
| Decrease insulin requirement |
|
|
Term
|
Definition
|
|
Term
| What is the difference b/w DKA and HHNK? |
|
Definition
| HHNK needs more fluid replacement. |
|
|
Term
| Triad of pheochromocytoma? |
|
Definition
| Pounding headache, profuse sweating and hypertension |
|
|
Term
| Pt. Diagnosed with DM comes in with a fasting glucose of 120 mg/dl. |
|
Definition
|
|
Term
|
Definition
| Nursing indication is bruises, patho=fractures. |
|
|
Term
| Pt. has DI, what indication to nurse that he is DI? |
|
Definition
| Urine specific gravity under 1.005 (1.003). |
|
|
Term
|
Definition
|
|
Term
| Myxedema, nurse does not give?? |
|
Definition
|
|
Term
| Pt. with hypoparathyroidism at home, how do you tell him to treat? |
|
Definition
|
|
Term
| Pt. with parathyroid removed, what do you tell him? |
|
Definition
| Calcium replacement for life. |
|
|
Term
| What do you assess immediately after a thyroidectomy? |
|
Definition
|
|
Term
|
Definition
| Takes glucose from blood to cell membranes. |
|
|
Term
|
Definition
| Increases pancreas release of insulin and gets cell to recieve insulin. |
|
|
Term
| What do you tell a pt. with micro angioplasty? |
|
Definition
| Affects kidneys, eyes, skin and small vessels. |
|
|
Term
|
Definition
| PTU before surgery to decrease thyroid size for safety during surgery. |
|
|
Term
| When does a person post surgery start insulin? |
|
Definition
| When they start to eat adequately |
|
|
Term
| What must a nurse assess when giving synthroid? |
|
Definition
|
|
Term
| Pt. sweating, irritable, and confused? |
|
Definition
|
|
Term
| Pt with HHNK what is initally given? |
|
Definition
|
|
Term
| Pt just got back from throidectomy with laryngeal stridor and cramp in right hand |
|
Definition
|
|
Term
|
Definition
| Below normal body temp, hypotension and hypoventilation |
|
|
Term
| What makes a person acidic in DKA? |
|
Definition
| Fat metabolism turns into ketones. |
|
|
Term
| Pt comes from hypophysectomy Clear liquid drainage what do you do initially? |
|
Definition
| Check glucose and call the Dr. |
|
|
Term
| Pt. with DM states that he should never go without sock and shoes with soles? |
|
Definition
| This is good. No more teaching needed. |
|
|
Term
| Ineffective management of treatment? |
|
Definition
| Pt. States if I am n/v decrease insulin dose a little |
|
|
Term
| What do you do for addisons preop? |
|
Definition
|
|
Term
| What do CHO do with glucose? |
|
Definition
| Restore glycogen to prevent hypoglycemia |
|
|
Term
|
Definition
| Sleep pattern disturbances r/t nocturia |
|
|
Term
| Person diagnosed with DM for 3 monts what test do you give to check if it's controlled? |
|
Definition
|
|
Term
| Pt with cushings, what does the nurse say? |
|
Definition
| Symptoms will gradually decrease after treatment. |
|
|
Term
|
Definition
|
|
Term
|
Definition
| 1-2 hr onset, 4-8 hr peaks. |
|
|
Term
|
Definition
| Give 5-15 min before meals |
|
|
Term
|
Definition
| Hyperglycemia and hypokalemia |
|
|
Term
|
Definition
| risk for impaired wound healing. |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Do no need to assess foor pressure. |
|
|
Term
| To decrease symptoms of feet problems with neuropathy? |
|
Definition
|
|
Term
|
Definition
| Increase insulin secretion from pancreas |
|
|
Term
| DMII insufficient insulin |
|
Definition
| Not at risk for DKA, but at risk for HHNK |
|
|
Term
|
Definition
|
|
