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Chapter 11 Care of the Patient with an Endocrine Disorder
Complete chapter Questions And Answers
Sample Questions
MULTIPLE CHOICE
1. The amount of hormone released by any gland is controlled by
ANS: A
The amount of hormone released is controlled by a negative feedback system.
DIF: Cognitive Level: Knowledge REF: Page 485 OBJ: 2 TOP: Anatomy KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2. Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?
ANS: C
Glycosylated hemoglobin (HbA1c)—This blood test measures the amount of glucose that has become incorporated into the hemoglobin within an erythrocyte. Because glycosylation occurs constantly during the 120-day life span of the erythrocyte, this test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks.
DIF: Cognitive Level: Knowledge REF: Page 512, Box 11-2
OBJ: 12 TOP: Glucose monitoring
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3. The patient is a newly diagnosed diabetic. Until he has his diabetes under control, which test will furnish valuable immediate feedback information?
a. BS
b. HgbA1c
c. OGTT d. Clinitest
ANS: A
Diabetics should do a fingerstick blood glucose level test before each meal and at bedtime each day until their disease is under control. HgbA1c serum test reveals the effectiveness of diabetes therapy for preceding 8-12 weeks.
Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Test Bank 11-2
DIF: Cognitive Level: Analysis REF: Page 511, Box 11-2 OBJ: 12 TOP: Diabetes mellitus
KEY: Nursing Process Step: Planning MSC:
NCLEX: Physiological Integrity
4. A 63-year-old patient on the medical floor has a diagnosis of adrenal hyperfunction (Cushing’s syndrome). She will probably have to adhere to a diet that contains
ANS: A
The diet should be lower in sodium to help decrease edema.
DIF: Cognitive Level: Analysis REF: Page 505
TOP: Cushing’s syndrome KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
5. The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of her exercise regimen. She now plans to enroll in a swimming class to meet her physical education requirement. Which adjustment in her treatment plan will the nurse help this patient make?
need for alterations in food or insulin.
ANS: D
Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours as well as reducing blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including hypoglycemia.
DIF: Cognitive Level: Analysis REF: Page 512 OBJ: 14
TOP: Diabetes mellitus KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
6. A long-term complication of diabetes mellitus is a. Cushing’s disease.
b. renal failure.
c. hypothyroidism.
d. hyperglycemia.
ANS: B
Long-term complications of diabetes include blindness, cardiovascular problems, and renal failure.
Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
OBJ: 6
Test Bank 11-3
DIF: Cognitive Level: Analysis
TOP: Diabetes mellitus
Assessment
MSC: NCLEX: Physiological Integrity
REF: Page 526 OBJ: 20 KEY: Nursing Process Step:
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