Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medical-Surgical Nursing > Endocrine disorders > Flashcards

Endocrine disorders Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

In acromegaly, what is the purpose of the glucose-tolerance test? what does it measure

A

growth hormone concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the pre-operative teaching for a patient scheduled for transphenoidal hypophysectomy?

A

a pituitary tumor will be removed - no sneezing after the procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

An excess of what hormone causes the large flattened features of the patient with acromegaly?

A

growth hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the classic signs and symptoms of diabetes insipidus?

A

problem with posterior pituitary

massive diuresis, excessive thirst, very dilute urine. Massive dehydration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

why must a patient with Addison Disease take hydrocortisone?

A

regulate the excretion of potassium and sodium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is nephrogenic DI and how does it differ from neurogenic DI?

A

nephrogenic does not respond to ADH and is inherited. Neurogenic is caused by a tumor, or cancer, or trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why would a patient with Addison disease have a disturbed body image related to the color of their skin?

A

hyperpigmentation. bronze or smoky color skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the cardinal indication of pheochromocytoma?

A

its a tumor in the adrenal glands, usually benign, excessive secretion of catecholamines. epinephrine and norepinephrine. Diastolic BP over 115

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the signs and symptoms of an Adrenal crisis for a patient with Addison’s disease?

A

confusion, it is life threatening. electrolyte imbalances, hypoglycemia, tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the purpose of the lab test to measure the serum level of adrenocorticotropic hormone (ACTH)?

A

it is measured to detect elevations of deficiencies in pituitary hormones. Making sure the pituitary gland is sending the right message to the adrenaline gland to release the correct level of ACTH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what would be included in the discharge plan for a patient with Addison Disease related to risk for injury?

A

if they are dizzy, arise slowly, call for help before getting out of bed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

why would a patient in adrenal crisis, after receiving the initial dose of IV Solu Cortef, need continued IV Solu Cortef?

A

to maintain blood levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what would the nurse include in the teaching plan for a patient who has Addison Disease?

A

wear a medical alert bracelet.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What medication would cause a long term asthma patient to develop Cushing Syndrome?

A

corticosteroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the expected findings when assessing a patient with Cushing Syndrome?

A

moon face, trunk obesity, extremity wastng, buffalo hump, swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What instructions would the nurse give a patient with Cushing Syndrome regarding self care?

A

avoid people with infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what should a nurse anticipate when assessing a patient with Simmonds Cachexia, related to hypopituitarism?

A

muscle and organ wasting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

in documenting a care plan for a 10 year old boy with hyperpituitarism, know what the nurse would tell the patient related to disturbed self image

A

they will continue to grow, increased growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the nursing care for a patient who had a hypophysectomy, in which the whole pituitary was removed?

A

hormone replacement for life

20
Q

What are the caused for an Addisonian Crisis?

A

adrenal surgery, pituitary destruction, stress and abrupt steroid removal

21
Q

what is the discharge planning for the patient who underwent a hypophysectomy is focused on?

A

avoid straining, heavy lifting, self care

22
Q

What nursing responses from the nurse would be best for the patient’s family and the patient if the patient has gigantism

A

hyper pituitary acceptance

23
Q

for a patient with hypopituitarism, who must take medications for the rest of their life, what would the teaching plan include?

A

to be educated on signs and symptoms to know if meds are working affectively. Medical alert bracelet, signs of water toxicity

24
Q

what is the drug Sandostatin for and how does it work?

A

acromegaly and it suppresses the growth hormone

25
Q

If a patient complains of headache and nuchal rigidity after a hypophysectomy, based on these assessments, what should the nurse do?

A

meningeal irritation, report it to the physician

26
Q

If a physician orders a T3 and T4, know what levels of these tests would indicate hypothyroidism?

A

decreased/low

27
Q

if a patient starts taking potassium iodide SSKI, know what the nurse should instruct the patient to do?

A

use a straw - to prevent staining teeth

28
Q

if a patient with hyperthyroid, cannot get to sleep, know what the nurse should suggest?

A

encourage bedtime rituals

29
Q

know what significant instructions to give a patient who is scheduled for a thyroid scan?

A

wash hands with soap and water every time you go to the bathroom for 24 hours because of the radiation

30
Q

if a patient had a lab test that showed a high level of thyroid-stimulating hormone (TSH) and a low level of T4, know what that would indicate?

A

hypothyroidism

31
Q

know what “exophthalmos” is and when it goes away?

A

bulging eyes, goes away after treatment

32
Q

know the pathophysiology of Graves Disease and how to explain that to a patient?

A

hyperthyroidism - subtotal thyroidectomy, remove most of it. Lifelong medications

33
Q

if a patient was 1 day post-op after subtotal thyroidectomy and noted the patient’s color was poor, pulse and respirations were rapid and the patient felt war to touch, know what the nurses initial implementation should be

A

thyroid storm

34
Q

if a patient had been given the drug “propylthiouracil” know what nursing implementations should include

A

used for hyperthyroidism, watch for hypothyroidism, weight gain and fatigue

35
Q

know what an appropriate nursing diagnosis for a patient recently diagnosed with hyperthyroidism would be

A

decreased cardiac output, disturbed sleep pattern, hyperthermia, imbalanced nutrition: less than body requirement, risk for injury, disturbed sensory perception, diarrhea

36
Q

a newly diagnosed patient with hypothyroidism begins a drug regimen, know what nurse instructions should be given relative to hormone replacement

A

watch for hyperthyroidism

37
Q

what pre-surgical teaching is included for a patient scheduled for a sub-total thyroidectomy

A

demonstrate how to avoid straining the neck
support the head and neck during position changes
cough and deep breathe

38
Q

after a patient undergoes thyroidectomy, know what explanation you would give the patient for the tracheostomy tray on the bedside table

A

in case of an emergency, the larynx can spasm and close the airway

39
Q

How should a nurse asses for hemorrhage in a post thyroidectomy patient?

A

assess dressing,
check back of the neck for seeping blood
put in high fowlers to prevent swelling

40
Q

how do foods such as soybeans, turnips and rutabagas have an effect on a person with a thyroid disorder?

A

suppresses the thyroid

41
Q

why might an older persons daily dose of thyroid hormone, taken for many years, need to be decreased?

A

metabolism may decrease, so decrease hormone

42
Q

a patient who is 2 days post-op total thyroidectomy, has a carpopedal spasm of the hand. know why this would occur and what the spasm is called

A

low calcium, hypocalcemia

43
Q

how does the nurse initiate “chvostek sign” and what does it indicate?

A

facial nerve, spasm of facial muscle, hypocalcemia

44
Q

what would a patient with hyperparathyroidism exhibit in their history

A

impaired urinary elimination due to renal calculi

45
Q

if a patient who has hyperparathyroidism is to receive the drug Calcitonin (calcimar), know what the patient should be tested for, before receiving this drug

A

sensitivity

46
Q

what is an appropriate nursing diagnosis for a patient with hyperparathyroidism?

A

impaired urinary elimination related to urinary calculi

Medical-Surgical Nursing (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions