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NURS1220 Exam 2- F.A Davis success level- Endocrine System Meds Latest Update
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NURS1220 Exam 2- F.A Davis success level- EndocrineSystem Meds Latest Update
The LPN/LVN is assigned to assist in the care of a patient who has type 1 diabetes. The
patient receives regular insulin coverage on a sliding scale. The health-care provider
(HCP) prescribes 2 units for blood sugar (BS) level of 150 to 185; 4 units for BS of 186 to
215; and 6 units for BS of 216 to 225. Which dose would the LPN/LVN give if the patient's
blood glucose is 149?
1.
0 units
2.
2 units
3.
4 units
4.
6 units1
When the HCP orders sliding-scale coverage, the insulin is administered for specifically
ordered levels. At 149, no insulin coverage is required.
A patient is receiving care following a closed head injury. The LPN/LVN observes an
excessively high amount of urine output and the patient appears dehydrated. What type
of disorder would the patient's injury be related to?
1.
The posterior portion of the pituitary gland is secreting too much hormone.
2.
Secretion of antidiuretic hormone (ADH) affects the permeability of the kidneys.
3.
,Trauma to the posterior pituitary gland is causing a hormone elevation.
4.
The ADH level is providing action to decrease cardiac workload.
3
The posterior pituitary gland secretes ADH. Undersecretion can occur post-brain injury,
which leads to diabetes insipidus. Far too much fluid will be lost within the urine and
dehydration will set in.
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The LPN/LVN is caring for a client who is in the family's home and is seriously debilitated
with AIDS. The client is placed on nandrolone decanoate. For which therapeutic effect
could the LPN/LVN expect with this therapy?
1.
,Evidence of medication abuse
2.
An enhancement in interpersonal relationships
3.
A measurable reduction in muscle wasting
4.
Increased physical capability to live independently 3
Anabolic steroids are indicated to alter the normal balance between tissue catabolism
and anabolism. They are given to prevent muscle wasting in clients with AIDS
A client is taking corticosteroids for a history of multiple sclerosis (MS). The health-care
provider will schedule regular follow-up visits for the patient after abdominal surgery for
what purpose?
1.
To evaluate surgical wound healing
2.
To document a history of blood glucose levels
, 3.
To prevent the onset of severe constipation
4.
To diagnose an exacerbation of the underlying disease
1
The patient being treated with corticosteroids will be susceptible to delayed wound
healing and the onset of infection. The patient should be followed-up as an outpatient
closely to watch for these side effects.
A patient is diagnosed with Graves' disease. Which manifestation(s) would cause the
LPN/LVN to recognize that the patient is developing a life-threatening crisis? Choose all
that apply.
1.
The patient exhibits exophthalmos.
2.
The patient is also tachycardic with chest pain.
3.
The patient's test results indicate hyperthyroidism.
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