RN101
Home of the Registered Nurses (RN) and
Licensed Practical Nurses (LPN)
ENDOCRINE DISORDER
QUESTIONS
CASE I
A hospitalized patient with type 1 diabetes mellitus received NPH and regular insulin 2 hours ago (at 7:30 AM). The patient calls you and reports that he is feeling hungry, shaky and weak. The patient ate breakfast at 8 AM and is due to eat lunch at noon.
Question 1:
What could be the possible cause of the patient’s symptoms?
1. ______________________________________________________________________________________________________________________________________________________.
Question 2:
What is your initial intervention?
1. ______________________________________________________________________________________________________________________________________________________.
CASE II
You are a nurse working in a walk in clinic. You note that Mr. B’s glycosylated hemoglobin result (HbA1C) is 8.2% (normal <6%).
Question 1:
What is your interpretation of this result?
1. ______________________________________________________________________________________________________________________________________________________.
CASE III
A patient with Addison’s disease has a daily dose of prednisone (Deltasone) prescribed for him.
Question 1:
You provide instructions to the patient regarding administration of the medication and instruct the patient that the best time to take this medication is:
1. _______________________________________________________________________________________________________________________________________________________.
Question 2:
What is your rationale for your answer in question number 1?
1. Rationale: ____________________________________________________________________________________________________________________________________________.
CASE IV
You are a nurse taking care of the patient who undergone thyroidectomy.
Question 1:
For the first 72 hours after thyroidectomy surgery. You should assess the patient for Chvostek’s sign and Trousseau’s sign because they indicate what?
1. _______________________________________________________________________________________________________________________________________________________.
CASE VI
You're assessing a patient after thyroidectomy. Your assessment reveals muscle twitching and tingling, along with numbness in the fingers, toes, and mouth area.
Question 1:
What complication do you suspect?
1. _______________________________________________________________________________________________________________________________________________________.