Which patient is MOST likely to develop Diabetic Ketoacidosis?

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Medical Surgical Endocrine Practice Quiz Questions

Question 1 of 5

Which patient is MOST likely to develop Diabetic Ketoacidosis?

Correct Answer: B

Rationale: Type 1 DM patient missing insulin during illness is at highest DKA risk due to absolute insulin deficiency.

Question 2 of 5

The nurse has instructed a client who has hyperthyroidism and been prescribed propylthiouracil. Which of the following client statements would indicate a correct understanding of the teaching?

Correct Answer: B

Rationale: Propylthiouracil can cause liver toxicity; dark urine may indicate liver issues, requiring PHCP notification.

Question 3 of 5

The nurse is caring for a client who requires treatment for hyperglycemic-hyperosmolar state (HHS). Which of the following interventions should the nurse be prepared to implement first?

Correct Answer: C

Rationale: Fluid resuscitation is the first step in HHS to correct severe dehydration.

Question 4 of 5

A client has undergone a transsphenoidal hypophysectomy. Which intervention does the nurse implement to avoid increasing ICP in the client?

Correct Answer: B

Rationale: Straining increases ICP; coughing and nose blowing also risk CSF leak.

Question 5 of 5

A client recently admitted with hyperparathyroidism has a very high urine output. What does the nurse do first?

Correct Answer: B

Rationale: High urine output in hyperparathyroidism (from hypercalcemia) requires baseline I&O monitoring first.

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