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EAQ NCLEX: Endocrine Questions and Answers 100% Solved
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EAQ NCLEX: Endocrine Questions and Answers 100% Solved
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EAQ NCLEX: Endocrine Questions and Answers 100%Solved
Which medication can cause diabetes insipidus?
- Cabergoline
- Metyrapone
- Demeclocycline
- Aminoglutethimide Correct Ans-Prolonged administration of demeclocycline may cause
diabetes insipidus, because this medication decreases the production of antidiuretic hormone
by the kidneys. Cabergoline inhibits the release of growth hormone and prolactin by
stimulating dopamine receptors in the brain. Metyrapone and aminoglutethimide decrease
cortisol production.
Which cells produce the thyrocalcitonin hormone?
- Islet cells
- Adrenal cells
- Pituitary cells
- Parafollicular cells Correct Ans-Parafollicular cells produce thyrocalcitonin hormone. This
hormone helps in the regulation of serum calcium levels. Islet cells are responsible for the
production of hormones such as insulin and glucagon. Adrenal cells are responsible for the
production of hormones such as cortisol and aldosterone. Pituitary cells are responsible for
the production of growth hormone, prolactin, and adrenocorticotropic hormone.
Which information would the nurse provide to a client taking dulaglutide?
- Give with insulin.
, EAQ NCLEX: Endocrine Questions and Answers 100%
Solved
- Administer medication orally.
- Works without exercise.
- Perform self-injection weekly. Correct Ans-Dulaglutide is an injection that, unlike insulin,
is only administered subcutaneously once a week. It is not administered with insulin, it is not
an oral medication, and it works with modified diet and exercise.
The nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes.
Which interventions would the nurse include to decrease the risk of complications? Select all
that apply. One, some, or all responses may be correct.
- Examine the feet daily.
- Wear well-fitting shoes.
- Perform regular exercise.
- Powder the feet after showering.
- Visit the primary health care provider weekly.
- Test bathwater with the toes before bathing. Correct Ans-Clients with diabetes often
have peripheral neuropathies and are unaware of discomfort or pain in the feet; the feet
should be examined every night for signs of trauma. Well-fitting shoes prevent pressure and
rubbing that can cause tissue damage and the development of ulcers. Daily exercise increases
the uptake of glucose by the muscles and improves insulin use. Powdering the feet after
showering may cause a paste-like residue between the toes that may macerate the skin and
promote bacterial and fungal growth. Generally, visiting the primary health care provider
weekly is unnecessary. Clients with diabetes often have peripheral neuropathy and are unable
to accurately evaluate the temperature of bathwater, which can result in burns if the water is
too hot.
, EAQ NCLEX: Endocrine Questions and Answers 100%
Solved
Which intervention would the nurse implement for a client who has type 1 diabetes and has
an elevated blood glucose?
- Administer an oral hypoglycemic.
- Institute urine glucose monitoring.
- Give supplemental doses of regular insulin.
- Decrease the rate of the intravenous infusion. Correct Ans-The blood glucose level needs
to be reduced; regular insulin begins to act in 30 to 60 minutes. The client has type 1, not type
2, diabetes, and an oral hypoglycemic will not be effective. Blood glucose levels are far more
accurate than urine glucose levels. The rate may be increased because polyuria often
accompanies hyperglycemia.
In which order do the events of antidiuretic hormone (ADH) secretion stimulated by plasma
osmolarity occur?
1. Osmoreceptors are activated.
2. Water is reabsorbed from renal tubules.
3. Plasma osmolarity is increased.
4. Antidiuretic hormone (ADH) is released.
5. Extracellular fluid is decreased. Correct Ans-Decrease in extracellular fluid increases the
plasma osmolarity. This increased plasma osmolarity activates the osmoreceptors. These
osmoreceptors stimulate the release of ADH. The water is reabsorbed from the renal tubules
and urine becomes more concentrated when ADH is released.
In which order do the events of the positive feedback mechanism of estradiol chronologically
occur?
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