Chapter 11: Care of the Patient with an Endocrine Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The amount of hormone released by any gland is controlled by

a.	a negative feedback system.
b.	a positive feedback system.
c.	exogenous stimuli.
d.	the nervous system.

 

 

ANS:   A

The amount of hormone released is controlled by a negative feedback system.

 

DIF:    Cognitive Level: Knowledge             REF:    Page 485         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
c.	Glycosylated hemoglobin (HbA1c)
d.	Postprandial glucose test

 

 

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 512, Box 11-2

OBJ:    12                    TOP:    Glucose monitoring

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

 

3. The patient is a newly diagnosed diabetic. Until he has his diabetes under control, which test will furnish valuable immediate feedback information?

a.	BS
b.	HgbA1c
c.	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.  HgbA_1c serum test reveals the effectiveness of diabetes therapy for preceding 8-12 weeks.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 511, Box 11-2

OBJ:    12                    TOP:    Diabetes mellitus

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

 

4. A 63-year-old patient on the medical floor has a diagnosis of adrenal hyperfunction (Cushing’s syndrome). She will probably have to adhere to a diet that contains

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 505         OBJ:    6

TOP:    Cushing’s 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 her exercise regimen. She now plans to enroll in a swimming class to meet her physical education requirement. Which adjustment in her treatment plan will the nurse help this patient make?

a.	Time her morning insulin injection so that the peak action will occur during her swimming class.
b.	Delete her normal walks on days she has swimming class.
c.	Delay the meal before the swimming class until the session is over.
d.	Monitor her 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 512         OBJ:    14

TOP:    Diabetes mellitus                                KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity