Chapter 11: Care of the Patient with an Endocrine Disorder

Chapter 11: Care of the Patient with an Endocrine Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse explains that the negative feedback system controls hormone release by communication between:

a.	the pituitary and the target organ.
b.	the thymus and the blood stream.
c.	lymphatic system and the target organ.
d.	central nervous system and the blood stream.

 

 

ANS:  A

The amount of hormone released is controlled by a negative feedback system. When the level of the particular hormone is appropriate, the target organ signals the pituitary to stop the stimulation of the target organ.

 

DIF:    Cognitive Level: Implementation     REF:   Page 500        OBJ:   2

TOP:   Anatomy        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

2. Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks?

a.	Fasting blood sugar (FBS)
b.	Oral glucose tolerance test (OGT)
c.	Glycosylated hemoglobin (HbA1c)
d.	Postprandial glucose test (PPBG)

 

 

ANS:  C

Glycosylated hemoglobin (HbA_1c)—This blood test measures the amount of glucose that has become incorporated into the hemoglobin within an erythrocyte. Because glycosylation occurs constantly during the 120-day life span of the erythrocyte, this test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 539, Box 11-2

OBJ:   8                    TOP:   Glucose monitoring

KEY:  Nursing Process Step: Assessment   MSC:  NCLEX: Physiological Integrity

 

3. Which test  will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?

a.	Fasting blood sugar (FBS)
b.	Glycosylated hemoglobin (HgbA1c)
c.	Oral glucose tolerance test (OGTT)
d.	Clinitest

 

 

ANS:  A

Diabetics should do a fingerstick blood glucose level test before each meal and at bedtime each day until their disease is under control. The HgbA_1c serum test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 539, Box 11-2

OBJ:   9                    TOP:   Diabetes mellitus

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Physiological Integrity

 

4. To which diet should a patient with Cushing syndrome adhere?

a.	Less sodium
b.	More calories
c.	Less potassium
d.	More carbohydrates

 

 

ANS:  A

The diet should be lower in sodium to help decrease edema.

 

DIF:    Cognitive Level: Analysis                REF:   Page 524, Table 11-3

OBJ:   5                    TOP:   Cushing syndrome

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Physiological Integrity

 

5. The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information?

a.	Time the morning insulin injection so that the peak action will occur during swimming class.
b.	Delete normal walks on swimming class days.
c.	Delay the meal before the swimming class until the session is over.
d.	Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin.

 

 

ANS:  D

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.

 

DIF:    Cognitive Level: Analysis                REF:   Page 530        OBJ:   11

TOP:   Diabetes mellitus                             KEY:  Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity