Nokea
Which information will the nurse provide a patient with type I diabetes regarding excessive exercise?
- A. It can increase the need for insulin and may result in hyperglycemia.
- B. It can decrease the need for insulin and may result in hypoglycemia.
- C. It can increase muscle bulk and may result in malabsorption of insulin.
- D. It can decrease metabolic demand and may result in metabolic acidosis.
Correct Answer: B
Rationale: The patient with diabetes should exercise regularly. 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.
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The use of radioactive iodine in the treatment of hyperthyroidism is for which purpose?
- A. stimulate the thyroid gland.
- B. depress the pituitary.
- C. destroy some of the thyroid tissue.
- D. alter the stimulus from the pituitary.
Correct Answer: C
Rationale: Radioactive iodine 131 destroys some of the hyperactive thyroid gland to produce a more normally functioning gland.
Only ___ insulin can be administered intravenously.
Correct Answer: regular
Rationale: Insulin is given subcutaneously, although intravenous (IV) administration of regular insulin can be done when immediate onset of action is desired.
___ 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.
A patient has come to the clinic because of enlarged hands and feet, amenorrhea, and increased hair growth. These symptoms most likely indicate problems with which endocrine gland?
- A. pituitary gland.
- B. adrenal glands.
- C. thyroid gland.
- D. pancreas.
Correct Answer: A
Rationale: The pituitary gland may produce an overabundance of growth hormone. This overproduction of hormones may cause changes throughout the patient's body, including enlargement of the pituitary gland and hands and feet. Female patients may develop a deepened voice, increased facial hair growth, and amenorrhea. In a fully grown adult, this condition is acromegaly.
In which manner will the nurse administer insulin to prevent lipohypertrophy?
- A. At room temperature
- B. At body temperature
- C. Straight from the refrigerator
- D. After rolling bottle between hands to warm
Correct Answer: A
Rationale: In fact, it is now believed that insulin should be administered at room temperature, not straight from the refrigerator, to help prevent insulin lipohypertrophy.