Endocrine Nursing Flashcards
7 cards from real MSNCB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Endocrine Nursing flashcards as text
A patient with SIADH would be expected to have which serum sodium level?
Answer: 122 mEq/L
SIADH causes water retention without sodium retention, diluting serum sodium below 135 mEq/L, often significantly lower.
Which intervention is the PRIORITY for a patient in thyroid storm (thyrotoxic crisis)?
Answer: Administer propylthiouracil (PTU) and propranolol
Thyroid storm treatment prioritizes blocking new thyroid hormone synthesis with PTU and controlling sympathetic symptoms with propranolol.
A patient with type 2 diabetes is ordered a fasting lipid panel. The nurse knows the patient's LDL target should be less than:
Answer: 100 mg/dL
ADA guidelines recommend LDL <100 mg/dL for most patients with diabetes, or <70 mg/dL for those with cardiovascular disease.
Which sign/symptom is MOST specific to a pheochromocytoma?
Answer: Episodic hypertension with headache, diaphoresis, and palpitations
Pheochromocytoma classically presents with paroxysmal episodes of hypertension, severe headache, diaphoresis, and palpitations due to catecholamine surges.
A nurse is caring for a patient receiving insulin glargine. Which statement about this insulin is CORRECT?
Answer: It provides a steady, peakless 24-hour basal coverage
Insulin glargine (Lantus) is a long-acting basal insulin with no pronounced peak, providing approximately 24 hours of steady glucose control.
A patient with adrenal insufficiency (Addison's disease) is scheduled for surgery. The nurse should anticipate which perioperative intervention?
Answer: Providing stress-dose corticosteroid coverage
Patients with adrenal insufficiency cannot mount a normal cortisol stress response, requiring supraphysiologic 'stress-dose' steroids during surgical stress.
Which instruction is MOST important for a patient newly diagnosed with diabetes insipidus being discharged on desmopressin (DDAVP)?
Answer: Monitor daily weight and report gains of more than 2 lbs
DDAVP can cause fluid retention and dilutional hyponatremia; daily weight monitoring helps detect early signs of water intoxication.