Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 42- Anatomy and Physiology of the Endocrine System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A patient has just suffered a serious traumatic injury, resulting in the release of high levels of endogenous catecholamines. As part of the admission laboratory assessment, the nurse notices a high serum glucose level. What is the most appropriate nursing assessment? | |
| A) | Assume the patient is diabetic. | |
| B) | Restrict caloric intake. | |
| C) | Reassess glucose levels. | |
| D) | Assume the result is a laboratory error. | |
| 2. | Patients being cared for in ICUs secrete increased amounts of glucocorticoids in response to stress. What laboratory test result is most indicative of the development of a life-threatening complication secondary to the increased secretion of glucocorticoids? | |
| A) | Increased blood glucose | |
| B) | Increased neutrophils | |
| C) | Decreased lymphocytes | |
| D) | Decreased serum myoglobin | |
| 3. | A patient is found to have a vitamin D deficiency, putting her at risk for bone demineralization. What factors would contribute to this deficiency? Select all that apply. | |
| A) | Lack of exposure to sunlight | |
| B) | Lack of exercise | |
| C) | Tumor of the posterior pituitary | |
| D) | Dietary deficiency | |
| E) | Insulin resistance | |
| F) | Presence of 7-dehydrocholesterol provitamins in the skin | |
| 4. | A patient has a plasma calcium level of 10.5 mg/dL due to excessive intake of vitamin D–enriched foods. In response, the nurse should expect to see which of the following? | |
| A) | Decreased parathyroid hormone | |
| B) | Vitamin C deficiency | |
| C) | Increased serum phosphate | |
| D) | Increased serum calcitonin | |
| 5. | A patient with poorly controlled type 2 diabetes demonstrates high levels of serum C-peptide. What other findings should the nurse expect in this patient? Select all that apply. | |
| A) | High levels of serum insulin | |
| B) | High levels of blood glucose | |
| C) | Decreased pancreatic activity | |
| D) | Low body weight | |
Answer Key
| 1. | C |
| 2. | C |
| 3. | A, D |
| 4. | D |
| 5. | A, B |
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