Author Question: A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To maintain nutrition, ... (Read 44 times)

renzo156 · **on:** Jun 25, 2018

A pancreatitis patient is admitted with weight loss, nausea, and vomiting. To maintain nutrition, the physician orders parental nutrition to be started.

Knowing that a major side effect of parenteral nutrition is a hyperosmolar hyperglycemic state, the nurse should assess the patient for which clinical manifestation (listed below)?
A)
Dry lips, excess urine output, and seizures
B)
Facial tics, shuffling gait, and stiff joints
C)
Fever, chills, and elevated BP of 170/101
D)
Irritability, bradycardia, and wheezing noted on inspiration

Question 2

A 21-year-old female is suspected of having inadequate function of her hypothalamic-pituitary-thyroid system.

Her care provider is planning to inject thyrotropin-releasing hormone (TRH) and then measure her levels of TSH. Which of the following diagnostic tests is being performed?
A)
Suppression test
B)
Radioimmunoassay (RIA) test
C)
Stimulation test
D)
Metabolite excretion test

joewallace · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A

Feedback:

Hyperosmolar hyperglycemic state is characterized by high blood glucose (>600 mg/dL), dehydration (dry lips), depression of sensorium, hemiparesis, seizures, and coma, and also weakness, polyuria, and excessive thirst. HHS may occur in various conditions, including type 2 diabetes, acute pancreatitis, severe infection, MI, and treatment with oral or parenteral nutrition solutions.

Answer to Question 2

Ans:
C

Feedback:

A stimulation test involves the introduction of an element that stimulates the production of another factor or hormone followed by measurement of that hormone. This is not the case in a suppression test, RIA test, or metabolite excretion test.