Endocrine VID

43問 • 1年前

問題一覧

A patient is receiving the medication octreotide (Sandostatin) as a treatment for acromegaly. What should the nurse explain regarding this medication?

It suppresses the growth hormone

The major function of catecholamines is adaptation to stress:

Adaptation to stress

Regulation of endocrine activity is controlled by mechanisms called?

Hormone synthesis

A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic hormone (SIADH). The cient's serum sodium level is 114 mEq action would be appropriate?

Restrict the client's fluid intake to 600 mL/day

A patient states that he is confused because the physician told him that his diabetes insipidus (DI) is nephrogenic. What should the nurse state when describing the difference between nephrogenic DI and neurogenic DI?

Nephrogenic DI does not respond to ADH.

What is the cardinal indication of a pheochromocytoma?

Significant hypertension

A nurse includes in the discharge plan for a patient with Addison disease. "Potential for injury". What should measures to deal with this include?

Rising slowly from a lying position

When cushing syndrome is suspected which lab test is usually order?

24 hour urine for free cortisol

Which findings are expected when assessing a patient with Cushing syndrome?

Excess adipose tissue in the trunk, slender extremities, and moon face

Your patient with SIADH is complaining of muscle weakness, N/V and tiredness, What lab value should you assess?

Sodium Level

Two days after a hypophysectomy a patient complains of a headache and nuchal rigidity. Which action should the nurse take based on these assessments?

Report suspected meningitis to the head nurse.

A patient seen in the emergency department for severe headache and acute confusion has a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?

Antidiuretic hormone level

Patient with pheochromocytoma exhibit episode of (select all that apply)

hypermetabolism, hyperglycemia, Severe hypertension

The physician has ordered cortisol level testing for a patient. Which statement indicates that the patient accurately understands the nurse's teaching?

"I will have blood samples collected during the day and night."

The nurse is planning postoperative care for a patient who is being admitted to the surgical unit from the recovery room after transsphenoidal resection of a pituitary tumor. Which nursing action should be included?

Measure urine volume every hour

After suffering a head injuring, your client develops signs and symptoms of Diabetes Insipidus. What would you as the nurse expect to find during your.....

Polyuria

Vasopressin is administered to the client when ___________ hormone is inadequate or deficient.

ADH

Dopamine agonist are administered to the client in order to suppress the secretion of GH. Select the drug of choice below

Bromocriptine

You're a patient that recently had a hypophysectomy is showing signs of decreased alertness, slow pupil respond to light, and states that he/she is unable to… Likely the cause?

Intracranial bleeding or edema.

Patient with Addison disease are not at great risk for harmful side effects of steroids Therapy because the goal is only to restore the blood level to normal.

True

After teaching a client who is recovering from an endoscopic transsphenodial hypophysectomy the nurse assesses the clients understanding which statement… Client indicates a correct understanding of the teaching

"I'll keep food on an upper shelf so I do not have to bend over"

Addisonian crisis will have multiple manifestations including hyperkalemia. What should your patient have as a result of this condition

Water deprivation test

You're a patient with hyperpituitarism (INC, in GH) is at risk for developing which of the conditions/combidities? (Select all that apply)

Anxiety, Visual loss, Organmegaly, Diabetes, Cardiomegaly

H... mood changes, purple striae, truncal obesity are physiological changes associated with:

Cushing syndrome

The nurse is caring for a client with pheochromocytoma that is scheduled for an adrenalectomy. During the pre-operative… Monitor:

Monitor vital signs

When caring for a patient who has clear drainage from his nares after undergoing a transphenoidal/hypophysectomy. Which action by the nurse is appropriate?

Test for glucose

After your clients hypophysectomy, he complains of excessive thirst and the need to urinate. What should your nursing action include?

Check the specific gravity of the urine.

The nurse notes that her patient with Cushing's syndrome is experiencing fluid overload. What nursing action should she perform? (select all that apply).

Maintain a low sodium diet., Strict I/Os, Daily Weights, Monitor lower extremities for edema

Endocrine drugs are given to replace, supplement deficient or moans, to stimulate or suppress hormone secretion or to manage symptoms of endocrine.

True.

Which gland is the only Glenn that is both an endocrine gland and an exocrine gland?

Pancreas

A nurse assesses a female client who present with HIRSTUTISM. Which question would the nurse ask when assessing this client?

How do you feel about yourself?

The nurse is aware that the severe dehydration associated with diabetes insipidus (DI) can lead to which serious electrolyte imbalance?

Hypernatremia

The condition that results from excessive cortisol is called?

Cushing syndrome

Tapping the facial nerve leads to twitching, typically in the nose or mouth. What does this indicate?

Hypocalcemia

Which statement accurately describes endocrine glands?

Endocrine glands release secretion directly into the bloodstream.

Which gland secretes androgenic hormones?

Adrenal cortex

Which hormone(s) does the anterior pituitary secrete? (select all that apply)

growth hormone (GH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), thyroid-stimulating hormone (TSH)

A nurse is reviewing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) with assistive personnel which statement understanding of this client care

I will weigh the client carefully before breakfast and compare with yesterdays weight.

The part of the master gland that secretes ADH is that:

Posterior lobe

A 56 year old patient who is disoriented and report a headache and muscle cramps is hospitalized with possible syndrome of inappropriate antidiuretic hormone (SIADH). The nurse would expect the initial laboratory results to include a(n)

decreased serum sodium.

Select all the signs and symptoms commonly associated with Addison disease:

fatigue, Low blood pressure, Excessive thirst, Hyperpigmentation of the skin

Which of the following electrolyte imbalance are commonly seen in Addison disease?

Hyperkalemia

A patient will be schedule in the outpatient clinic for blood cortisol testing. Which instruction will the nurse provide?

"Come to the laboratory to have the blood drawn early in the morning."

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