ECCO: Endocrine Disorders Questions and Answers Rated A+

ECCO: Endocrine Disorders Questions and Answers Rated A+ A patient taking tricyclic antidepressants is admitted after a CABG; UO was low in surgery. After anesthesia reversal, the patient is very lethargic. Administration of which should the nurse anticipate? 3% saline A patient with TBI is lethargic with poor skin turgor. Which should the nurse anticipate? Desmopressin and vasopressin A patient with history of osteoporosis and bone pain is admitted with symptomatic bradycardia and reports recent onset of forgetfulness, loss of appetite, and depression; Ca++ 14.5. Administration of which should the nurse anticipate? isotonic fluids and lasix A patient with bronchogenic carcinoma is admitted with lethargy and confusion. Serum sodium is 118. Which intervention should the nurse anticipate? Na increase by 0.5 mEq/L/hr with hypertonic saline solution Which of the following interventions in a critically ill patient can contribute to insulin resistance? Epinephrine infusion What priority intervention is essential for managing a patient with DI? Infusing IV hypotonic fluids Following a patient's carotid artery surgery, the nurse observes new-onset atrial fibrillation, HR 155, BP 148/92, temp 38.6, RR 24, and TSH 0.04. The nurse should expect administration of which to control the atrial fibrillation? Beta blockers or calcium channel blockers A 75-year-old patient admitted from a chronic care facility with HHS is semi-comatose with severe dehydration. Fluids and IV regular insulin 0.1 units/kg/hr? Blood glucose 285 mg/dL A patient with a history of diabetes is treated for DKA. The patient is receiving a continuous infusion of IV insulin. The presence of which criteria indicates the patient can be changed to subQ insulin? Blood glucose 198, pH 7.35, anion gap 12 A patient is admitted after brain aneurysm clipping with BP 90/54, HR 110, CVP 1 mm Hg, UO 1,400 mL in four hours, serum Na+ 155, and serum osmolality 320. Which should the nurse anticipate? 0.45% NS bolus and infusion A patient with history of osteoporosis and bone pain is admitted with symptomatic bradycardia and reports recent onset of forgetfulness, loss of appetite, and depression; serum Ca++ 14.5. Administration of which should the nurse anticipate? Isotonic fluids with diuretics to increase renal excretion of calcium in patients with hypercalcemia. Following anesthesia, a patient is disoriented and feels cold despite a blanket, with BP 86/44, temp 35 C, HR 52 sinus bradycardia, RR 10, and TSH 7.4. What initial three interventions should the nurse anticipate? Glucocorticoids, respiratory support, levothyroxine A patient with diabetes who uses an insulin pump is concerned about not managing it during and after surgery. What explanation should the nurse provide about glucose management during and following surgery? We will discontinue your pump and transition to IV regular insulin infusion A patient, without diabetes, is 3 days post-coronary bypass surgery and is on a subcutaneous corrective insulin scale. The blood glucose decreased from 135 mg/dL to 48 mg/dL. 25 mL IV D50 was administered. What response indicates correction of hypoglycemia? Blood glucose is at or above 70 What requirements must be met before transitioning a critically ill patient from continuous regular IV insulin to basal and prandial subcutaneous insulin? Regular insulin is being infused at a low rate. Patient's glucose is stable. Patient's glucose is at a target level. An 85-year-old patient is admitted with dehydration. Fluid resuscitation has been initiated. Serum glucose is 250, and blood ketones are negative. What is this patient's target serum glucose level? 140-180 mg/dL A patient with bronchogenic carcinoma is admitted with lethargy and confusion. Serum sodium is 118. Which intervention should the nurse anticipate? Na+ increase by 0.5 mEq/L/hr with hypertonic saline A patient with a history of Addison's disease is admitted. The patient reports nausea, vomiting, and abdominal pain. Which intervention should the nurse anticipate as the highest priority? Administer dexamethasone A patient with type 2 diabetes who is receiving TPN is started on continuous regular IV insulin. Which treatment priority should the nurse anticipate? Vigilant monitoring of blood glucose What interventions should the nurse be prepared to perform for a patient who is receiving an epinephrine infusion? Regular insulin infusion for blood glucose greater than 180 mg/dL Hourly blood glucose checks Which of the following patients with a history of diabetes is at the highest risk for development of hyperglycemia? A patient admitted with: Sepsis receiving norepinephrine A patient with TBI has BP 96/50, HR 108, UO 525 mL/hr, Na 154. Patient is lethargic with poor skin turgor. Which should the nurse anticipate? Desmopressin and vasopressin A patient with diabetes is admitted with sepsis. Administration of which should the nurse anticipate? Regular insulin Which intervention is needed for a patient on a continuous IV insulin infusion at 6 units/ hour and whose current glucose is 68 mg/ dL; last hourly glucose check was 142 mg/dL. Stop the insulin infusion and administer IV D50 emergently Which intervention should the nurse perform for a postsurgical patient who is receiving IV insulin? Evaluate potassium at regular intervals A patient with diabetes is admitted with DKA. After 1 hour of 0.9% NS with 20 mEq KCl/L and continuous infusion of IV regular insulin, the patient is reevaluated. What should the nurse anticipate> IV 1/2 NS with 20 mEq KCl/ L at 250 mL/hour A patient with type 2 diabetes managed with diet and exercise who takes metoprolol (Lopressor) is admitted for trauma after a motor vehicle crash. Medication reconciliation in collaboration with the pharmacist is complete. What intervention should the nurse anticipate? Monitor for symptoms of hypoglycemia An alert patient who had a hypoglycemic episode was given 4 oz of orange juice. The nurse checks the patient's symptoms and blood glucose. What priority intervention should the nurse anticipate? If no improvement in 10 minutes, give 15-20 grams of glucose/ carbohydrates. An intubated patient, IV 0.45% NS with 20 meq KCl/L, with liver failure has a blood glucose of 55 mg/dl. What initial interventionn should the nurse anticipate? 25ml of d 50 IV A patient with a history of diabetes is receiving a continuous infusion of IV insulin. Labs are being monitored at regular intervals. For which of the following should the nurse observe? K 3.0 After a subarachnoid hemorrhage, a patient is agitated and has a headache. The patient's UO was 1,500 ml in four hours, with BP 86/50 (62), HR 108, and serum Na 118. What two interventions should the nurse anticipate? Fluid bolus of 0.9% NS Admin hypertonic saline A nurse noted a high urine output, blood glucose of 650, and hypokalemia in a patient recovering from MI. Which other assessment led the nurse to anticipate treatment for HHS? negative blood ketones A patient with diabetes is admitted with sepsis Na 135, K 4.4, Phos 2.5 BUN 33 Cr 1.2 glucose 625, pH 7.15, HCO3 9.8 blood ketones positive. administration of which should the nurse anticipate? regular insulin infusion