Exam (elaborations)
Chapter 23 Endocrine Emergencies
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Chapter 23 Endocrine Emergencies Chapter 23 Endocrine Emergencies Chapter 23 Endocrine Emergencies
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Chapter 23 Endocrine EmergenciesUnlike hypothyroidism, hyperthyroidism: - verified answer causes an increase in oxygen demand.
Insulin resistance occurs when: - verified answer the pancreas produces enough insulin, but the body
cannot utilize it effectively.
A decrease in adrenal hormone production will result in all of the following, EXCEPT: - verified
answer hypertension.
The endocrine system comprises a network of ___________ that produce and secrete chemical
messengers called ____________. - verified answer glands, hormones
Secretion of the parathyroid hormone is regulated by blood levels of: - verified answer calcium.
The adrenal medulla secretes norepinephrine following stimulation from the: - verified answer
hypothalamus.
Prior to administering 50% dextrose (D50) via IV push, it is MOST important to: - verified answer
ensure that the IV line is patent and freely flowing.
A 30-year-old woman presents with 3 days of generalized weakness, dizziness, and excessive
urination. She is conscious but restless, and she tells you that she is extremely thirsty. Her blood
pressure is 96/66 mm Hg, her pulse is 110 beats/min and full, and her respirations are increased and
somewhat deep. On the basis of this patient's clinical presentation, she will MOST likely require
oxygen and: - verified answer crystalloid fluid hydration.
Thirty minutes of hypoglycemia in a patient: - verified answer is more dangerous than an equivalent
period of hyperglycemia.
Type 1 diabetes that is secondary to an autoimmune disorder occurs when: - verified answer the
body builds up antibodies that destroy the islets of Langerhans.
You are dispatched to a residence for an elderly woman who is "sick." When you arrive and assess
her, you note that she is responsive to pain only and has hot, moist skin and rapid, shallow
respirations. You find prednisone, Paxil, and multivitamins on her nightstand. Further assessment of
, this patient will MOST likely reveal: - verified answer hypoglycemia, hypotension, and ECG evidence
of hyperkalemia.
When the body's metabolic rate decreases: - verified answer the thyroid gland secretes thyroxine.
The release of glucagon into the bloodstream stimulates: - verified answer the liver to convert
glycogen to glucose.
Which of the following is an example of endocrine regulation via a negative feedback mechanism? -
verified answer The neural regulating mechanism decreases its signals to the adrenal medulla,
decreasing epinephrine release.
A patient with Cushing syndrome would MOST likely present with: - verified answer hypoglycemia.
A person with type 1 diabetes: - verified answer generally does not produce any insulin and requires
daily insulin injections.
The clinical presentation of a hypoglycemic patient would MOST likely resemble that of a patient
with: - verified answer alcohol intoxication.
Patients with hyperosmolar hyperglycemic nonketotic coma: - verified answer present with severe
dehydration and neurologic deficits.
Severe dehydration that commonly accompanies diabetic ketoacidosis is caused by: - verified answer
hyperglycemia-induced osmotic diuresis and vomiting.
A 68-year-old obese woman presents with a markedly decreased level of consciousness. She was
found in bed by her husband. Your primary assessment reveals that her respirations are slow and
shallow, her pulse is slow and weak, and her skin is cold and dry. According to the patient's husband,
she has had a recent infection, but he cannot remember what the doctor called it. You should be
MOST suspicious that this patient is experiencing: - verified answer myxedema coma.
Hyperglycemia is characterized by: - verified answer a gradual onset and warm, dry skin.
Diabetes is MOST accurately defined as: - verified answer a metabolic disorder in which the body's
ability to metabolize simple carbohydrates is impaired.
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