Nokea
To which diet should a patient with Cushing syndrome adhere?
- A. Less sodium
- B. More calories
- C. Less potassium
- D. More carbohydrates
Correct Answer: A
Rationale: The diet should be lower in sodium to help decrease edema.
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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.
When the nurse inflates the sphygmomanometer cuff exceeding the systolic blood pressure and observes a carpal spasm, this is a(n) ___ sign.
Correct Answer: Trousseau
Rationale: Trousseau's sign is a carpal spasm brought on by pressure of a cuff. This is an indicator for hypocalcemia and hypomagnesemia.
Which gland is the master gland of the endocrine system?
- A. Thyroid
- B. Parathyroid
- C. Pancreas
- D. Pituitary
Correct Answer: D
Rationale: The pituitary gland, located in the brain, is the master gland of the endocrine system. It has been called the 'master gland' because through the negative feedback inhibition, it exerts its control over the other endocrine glands.
For which reason would a patient with hyperthyroidism be prescribed the drug methimazole?
- A. To limit the effect of the pituitary on the thyroid.
- B. To destroy part of the hyperactive thyroid tissue.
- C. To stimulate the pineal gland.
- D. To block the production of thyroid hormones.
Correct Answer: D
Rationale: Medical management for hyperthyroidism may include administration of drugs that block the production of thyroid hormones, such as propylthiouracil or methimazole.
A patient has undergone tests that indicate a deficiency of the parathyroid hormone secretion. The nurse will inform the patient of which potential complication?
- A. Osteoporosis
- B. Lethargy
- C. Laryngeal spasms
- D. Kidney stones
Correct Answer: C
Rationale: Decreased parathyroid hormone levels in the bloodstream cause a decreased calcium level. Severe hypocalcemia may result in laryngeal spasm, stridor, cyanosis, and increased possibility of asphyxia.