NUR 445 Exam 1 - Questions With Appropriate
Solutions
The function of the adrenal glands is under the control of what?
Correct Answer - anterior pituitary
What is secreted from the adrenal medulla Correct Answer -
epinephrine
What action is caused by secretion of mineralocorticoids Correct
Answer - sodium reabsorption
What disorder places a patient at risk for hypertensive crisis?
Correct Answer - pheochromocytoma
what causes pheochromocytoma? Correct Answer - over-
secretion of catecholamine
What is the nursing action for a patient with pheochromocytoma?
Correct Answer - control their BP
Which safety measure is the most important for the nurse to initiate
for a patient with Cushings disease? Correct Answer - using a
lift sheet to change the patients position
glucose in the urine Correct Answer - glucosuria
what is measured by the HbgA1c test? Correct Answer -
average blood glucose concentration over time
What is most likely the cause of somogyi effect? Correct Answer -
basal insulin injections before bed without a snack
, What is a key finding with DKA? Correct Answer - positive
anion gap
If administering insulin to decrease hyperglycemia, what other
medication is a priority to administer? Correct Answer -
sodium bicarbonate
a patient with Hyperosmolar Hyperglycemic state will present with
Correct Answer - blood glucose level of 600 or higher and high
serum osmolality
which has a higher mortality rate - HHS or DKA? Correct Answer -
HHS
what may be present with a patient in DKA? Correct Answer -
Kussmaul breathing, stupor, smell of acetone
what insulin would you administer to provide a stable level of blood
glucose? Correct Answer - insulin glargine
most common cause of DKA in adults Correct Answer -
infection
the use of sodium bicarbonate to correct acidosis can precipitate a
further drop in potassium levels Correct Answer - true
anion gap should be between Correct Answer - 4-12
What would be a positive response to insulin for a patient with
DKA? Correct Answer - a glucose level drop of 10% in the first
hour of insulin administration
The following may be present in HHS? Correct Answer - thirst,
tachycardia, hypotension
Solutions
The function of the adrenal glands is under the control of what?
Correct Answer - anterior pituitary
What is secreted from the adrenal medulla Correct Answer -
epinephrine
What action is caused by secretion of mineralocorticoids Correct
Answer - sodium reabsorption
What disorder places a patient at risk for hypertensive crisis?
Correct Answer - pheochromocytoma
what causes pheochromocytoma? Correct Answer - over-
secretion of catecholamine
What is the nursing action for a patient with pheochromocytoma?
Correct Answer - control their BP
Which safety measure is the most important for the nurse to initiate
for a patient with Cushings disease? Correct Answer - using a
lift sheet to change the patients position
glucose in the urine Correct Answer - glucosuria
what is measured by the HbgA1c test? Correct Answer -
average blood glucose concentration over time
What is most likely the cause of somogyi effect? Correct Answer -
basal insulin injections before bed without a snack
, What is a key finding with DKA? Correct Answer - positive
anion gap
If administering insulin to decrease hyperglycemia, what other
medication is a priority to administer? Correct Answer -
sodium bicarbonate
a patient with Hyperosmolar Hyperglycemic state will present with
Correct Answer - blood glucose level of 600 or higher and high
serum osmolality
which has a higher mortality rate - HHS or DKA? Correct Answer -
HHS
what may be present with a patient in DKA? Correct Answer -
Kussmaul breathing, stupor, smell of acetone
what insulin would you administer to provide a stable level of blood
glucose? Correct Answer - insulin glargine
most common cause of DKA in adults Correct Answer -
infection
the use of sodium bicarbonate to correct acidosis can precipitate a
further drop in potassium levels Correct Answer - true
anion gap should be between Correct Answer - 4-12
What would be a positive response to insulin for a patient with
DKA? Correct Answer - a glucose level drop of 10% in the first
hour of insulin administration
The following may be present in HHS? Correct Answer - thirst,
tachycardia, hypotension
