Emergency Nursing Orientation 3.0:
Endocrine Emergencies - ENA-ENO-C35
Exam/24 Q’s and A’s
Which laboratory test result should the nurse expect in a patient with
alcoholic ketoacidosis? - -Below normal to slightly elevated serum glucose
level
-In a patient with diabetic ketoacidosis, the nurse should expect to find
which effect of ketoacidosis? - -Tachycardia
-A patient with hyperosmolar hyperglycemic state is likely to have which
laboratory test result? - -Normal blood pH
-Which finding is most closely associated with syndrome of inappropriate
antidiuretic hormone? - -Seizures
-Which medications can precipitate a hyperosmolar hyperglycemic state? - -
Diuretics
-The inadequate or impaired secretion of antidiuretic hormone (ADH
[vasopressin]) causes which endocrine emergency? - -Diabetes insipidus
-In a patient with diabetic ketoacidosis, the nurse should expect which
laboratory finding? - -Decreased serum bicarbonate level
-When a stressor adversely affects a patient with type 1 diabetes mellitus,
which action occurs first? - -Gluconeogenesis
-Which intervention is indicated to treat a patient with diabetic ketoacidosis?
- -Administration of 5% dextrose in normal saline (D5NS) solution for a
glucose level of 250 to 300 mg/dL
-Which effect is associated with Cushing's syndrome? - -Delayed wound
healing
-Alcoholic ketoacidosis causes which effect? - -Glycogen stores are used.
-Which intervention is indicated for a patient with alcoholic ketoacidosis? - -
Thiamine administration
-Which imbalance should the nurse expect in a patient with acute adrenal
insufficiency? - -Hypoglycemia
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