Adult Health Care 7th edition By Cooper
Adult Health Care 7th edition By Cooper
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Chapter 11: Care of the Patient with an Endocrine Disorder
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| a. | Fasting blood sugar (FBS) |
| b. | Oral glucose tolerance test (OGT) |
| c. | Glycosylated hemoglobin (HbA1c) |
| d. | Postprandial glucose test (PPBG) |
ANS: C
Glycosylated hemoglobin (HbA1c)—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
| 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 HgbA1c 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
| 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
| 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
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