Mary has been a diabetic for 10 years and is normally well controlled on 20 U of NPH insulin a day. She reports that she has a fever and is nauseated; her last three urine specimens had over 2% sugar and tested positive for acetone. Your evaluation of this situation is that

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Endocrine System Exam Questions and Answers Questions

Question 1 of 5

Mary has been a diabetic for 10 years and is normally well controlled on 20 U of NPH insulin a day. She reports that she has a fever and is nauseated; her last three urine specimens had over 2% sugar and tested positive for acetone. Your evaluation of this situation is that

Correct Answer: C

Rationale: Fever and illness can increase the body's insulin needs, potentially leading to elevated blood sugar and ketone production.

Question 2 of 5

You are preparing a 24-year-old patient with diabetes insipidus (DI) for discharge from the hospital. Which statement indicates that the patient needs additional teaching?

Correct Answer: D

Rationale: Patients with diabetes insipidus require lifelong vasopressin therapy, and the patient should not attempt to wean off the medication without medical guidance.

Question 3 of 5

Which endocrine gland secretes cortisol?

Correct Answer: C

Rationale: Cortisol is secreted by the adrenal cortex, a key hormone in the stress response and in regulating metabolism.

Question 4 of 5

Mr. Conrad is recovering from diabetic ketoacidosis (DKA). To evaluate the effectiveness of the treatment instituted, which of the following would be an expected outcome?

Correct Answer: C

Rationale: Increasing responsiveness is a sign of improvement, indicating that the patient is recovering from the acute phase of DKA.

Question 5 of 5

When teaching the patient with type 1 diabetes, what should the nurse emphasize as the major advantage of using an insulin pump?

Correct Answer: A

Rationale: The insulin pump allows for tight glycemic control with more precise adjustments in insulin delivery.

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