Ch 50

Question 1

Untreated __ becomes a risk factor for CAD, indicating a need for cardiac stress testing and lipid level monitoring

Answer 1

Hypothyroidism

Question 2

Results when GH is over secreted after the epiphyses of the long bones have sealed.

Answer 2

Acromegaly

Question 3

___ disorders usually result from excessive or deficient production and secretion of specific hormones

Answer 3

Pituitary gland

Question 4

When overseeing of GH occurs before puberty __ results

Answer 4

Gigantism

Question 5

When secretion of GH during childhood is insufficient __ occurs

Answer 5

Dwarfism

Question 6

Oversecretion of GH during adulthood results in ___

Answer 6

Acromegaly

Question 7

An absence of pituitary hormonal activity causes ___ or ___ disease

Answer 7

Panhypopituitarism
Simmonds

Question 8

Acromegaly results when GH is oversecreted after epiphyses of the long bones have sealed. GH is over produced when the pituitary gland is insensitive to feedback inhibit hormones such as ____, a hypothalamic hormone, and insulin like growth factor (IGF-1)

Answer 8

Somatostatin

Question 9

___ in combination with a __ is the most reliable method of confirming acromegaly

Answer 9

Glucose tolerance test
GH measurement

Question 10

Acromegaly
The Tx of choice is ___ (surgical removal of pituitary gland)

Answer 10

Hypophysectomy

Question 11

Pituitary gland lies within the __, a saddle shaped depression of the __ bone

Answer 11

Sella turcica
Sphenoid

Question 12

A GH receptor antagonist, is the newest and most effective drug for treating acromegaly. Injected subcut once a day

Answer 12

Pegvisomant

Question 13

A rare disorder caused by destruction of the pituitary gland followed by cessation of pituitary hormonal activity (complete stop of the pituitary hormone)

Answer 13

Panhypopituitarism (simmonds disease)

Question 14

The __ and __ atrophy because of the impaired pituitary stimulus, the thyroid and adrenals fail to secreted adequate hormone

Answer 14

Gonads
Genitalia

Question 15

The __ and __ atrophy because of the impaired pituitary stimulus, the thyroid and adrenals fail to secreted adequate hormone

Answer 15

Gonads
Genitalia

Question 16

Signs and symptoms of hypothyroidism, hypoglycemia, and adrenal insufficiency are apparent, the client agen prematurely

Answer 16

Panhypopituitarism (simmonds disease)

Question 17

Nursing management with panhypopituitarism (simmonds disease)

Answer 17

Administer all HRT as prescribed. Teach pt to adhere to the med schedule and never omit a dose

Question 18

A disorder characterized by the excretion of extremely large volumes of urine.

Answer 18

Diabetes insipidus

Question 19

Requested the reabsorption of water in the kidney tubules. It’s function is to increase circulating fluid volume

Answer 19

ADH

Question 20

Released as a response to thirst, fluid losses (hemorrhage), which lowers BP

Answer 20

ADH

Question 21

Lack of __ or ineffective response to it causes the client to produce large volumes of dilute urine

Answer 21

ADH

Question 22

Urine output may be as night as 20 L/24 hr. Urine is dilute with a spec gravity of 1.002 or less

Answer 22

Diabetes insipidus (DI)

Question 23

At the completion of the fasting phase of the test, the pt received an infusion of desmopressin acetate (DDAVP), a synthetic analogue of vasopressin

Answer 23

Diabetes insipidus (DI)

Question 24

The provider restricts the client’s use of dietary sodium and prescribes a thiazide diuretic such as hydrochlorothiazide (hydroDIURIL)

Answer 24

Diabetes insipidus (DI)

Question 25

Characterized by renal reabsorption of water rather than its normal excretion

Answer 25

Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Question 26

In SIADH, the continues release of ADH increased fluid volume and causes ___

Answer 26

Hyponatremia

Question 27

SIADH =

Answer 27

Weight gain