Nokea
___ is the term that describes a condition of normal thyroid function.
Correct Answer: Euthyroid
Rationale: Euthyroid is the term that describes a condition of normal thyroid function.
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Which disorder is a long-term complication of diabetes mellitus?
- A. Diverticulitis
- B. Renal failure
- C. Hypothyroidism
- D. Hyperglycemia
Correct Answer: B
Rationale: Long-term complications of diabetes include blindness, cardiovascular problems, and renal failure.
A condition with a deficiency in growth hormone is called ___ dwarfism.
Correct Answer: hypopituitary
Rationale: A condition with a deficiency in growth hormone is called hypopituitary dwarfism. Most cases are idiopathic, but a small number can be attributed to an autosomal-recessive trait. In some cases, there is also a lack of adrenocorticotropic hormone (ACTH), TSH, and the gonadotropins.
The nurse would instruct a patient with hypocalcemia from hypoparathyroidism about a diet that should include which item?
- A. high phosphorus foods.
- B. canned fish with the bones.
- C. cucumbers.
- D. tofu.
- E. bananas.
- F. Tomatoes
Correct Answer: B,C,D,F
Rationale: The hypocalcemic patient should eat a high-calcium, low-phosphorus diet that includes canned fish, cucumbers, tofu, and tomatoes as an aid to the absorption of the calcium.
The health care provider orders an 1800-calorie diabetic diet and 40 units of NPH insulin subcutaneously daily for a patient with diabetes mellitus. For which reason will a mid-afternoon snack of milk and crackers be given?
- A. To improve nutrition.
- B. To improve carbohydrate metabolism.
- C. To prevent hypoglycemia
- D. To prevent diabetic coma.
Correct Answer: C
Rationale: NPH insulin peaks in 6-10 hours. The nurse should be alert for signs of hypoglycemia (low blood glucose) at the peak of action of whatever type of insulin the patient is receiving.
The nurse should observe the patient for which major life-threatening complication postoperatively of a thyroidectomy?
- A. Hemorrhaging
- B. Seizures
- C. Tetany
- D. Hypoglycemia
- E. Thyroid crisis (storm)
- F. SIADH
Correct Answer: A,C,E
Rationale: The nurse must be alert for signs of internal or external bleeding. In addition to hemorrhage, two significant postoperative complications exist after thyroidectomy. The first is tetany. The second is thyroid crisis. Manipulation of the thyroid during surgery may cause the release of large amounts of thyroid hormones into the bloodstream, creating a thyroid crisis (storm).