Hormonal Regulation Qs Flashcards
Which hormonal responses can the nurse anticipate when a patient presents with hyponatremia?
A Inhibition of ADH
B Release of renin
C Increased aldosterone
D Secretion of corticotropin-releasing hormone
A Inhibition of ADH
Which is a major function of the hormones produced by the adrenal (cortex) gland?
A “Fight or Flight” response
B Control of glucose, sodium and water
C Regulation of cell growth
D Calcium and stress regulation
B Control of glucose, sodium and water
Which assessment findings does the nurse monitor in response to catecholamine release by the adrenal gland? (Select all that apply)
A Increased heart rate
B Increase blood pressure
C Increased perspiration
D Decrease blood sugar
A Increased heart rate
B Increase blood pressure
C Increased perspiration
Increased perspiration b/c SNS
Which is indicative of a patient presenting with a low T4 level and an elevated TSH level?
A Most likely there is a tumor of the anterior pituitary that is causing increased production of TSH.
B The negative feedback systems is failing to stimulate the anterior pituitary
C The cause of the low T4 is most likely a primary condition in the thyroid
D This appears to be a primary case involving overstimulation of anterior pituitary originating in this gland
C The cause of the low T4 is most likely a primary condition in the thyroid
The patient with pheochromocytoma is scheduled for surgery. Which action is most appropriate by the nurse?
A Monitor for pulmonary edema
B Avoid palpating the abdomen
C Obtain a 24-hour urine specimen for catecholamines
D Encourage visitors and exercise to reduce stress
B Avoid palpating the abdomen
Which interventions should the nurse implement with a patient with hypercalcemia? Select all that apply.
A Administer IV normal saline (0.9% sodium chloride)
B Massage calves to encourage blood return to the heart
C Monitor for ECG changes
D Encourage adequate intake of Vitamin D
A Administer IV normal saline (0.9% sodium chloride)
C Monitor for ECG changes
Which factor in Debbie’s (Carlos’ wife) history lends itself to a thyroid problem?
A Age and gender
B Stressors in life
C Positive family history
D Works in floral shop
A Age and gender
Lab reveal an increased T3, T4 and decreased TSH level. Therefore Debbie is scheduled to undergo a thyroid scan. Which statements by the patient requires further action by the nurse? Select all that apply.
A “I use a salt substitute on my foods”
B “I had a CAT scan two weeks ago to check my gall bladder”
C “The seafood I ate two nights ago made me sick”
D “My thyroid gland is getting so big that it looks ugly and it makes me feel uncomfortable.”
E “I think I am going through menopause. My last menstrual period was 2 months ago.”
B “I had a CAT scan two weeks ago to check my gall bladder”
C “The seafood I ate two nights ago made me sick.”
E “I think I am going through menopause. My last menstrual period was 2 months ago.”
Dye given for CAT scan and she might be pregnant
Based upon the lab tests and thyroid scan, Debbie is diagnosed with hyperthyroidism and is started on the following medications: Propylthiouracil (PTU) and Propranolol (Inderal). Which instruction should the nurse provide when Debbie inquires as to why Inderal is ordered?
A Increases blood pressure
B Decreases blood flow to the thyroid
C Decrease the size of the thyroid gland
D Reduces symptoms such as palpitations
D Reduces symptoms such as palpitations
Despite treatment with PTU, thyroid hormones remain elevated and now other treatments such as Radioactive Iodine Therapy (RAI) and surgery are being considered. Which nursing action is important if Debbie undergoes RAI?
A Monitor for voice hoarseness
B Encourage Debbie to drink plenty of fluids
C Isolate Debbie for 24 hours after treatment
D Maintain alignment of head and avoid hyperextension
B Encourage Debbie to drink plenty of fluids
flush out the iodine
Debbie undergoes a thyroidectomy after treatment with medications and RAI fails .The nurse is preparing the room for Debbie to return from thyroid surgery. What equipment does the nurse ensure is immediately available at the bedside? (Select all that apply)?
A Tracheostomy set B IV Calcium gluconate C Suction equipment D Sandbags E Synthroid (levothyroxine)
A Tracheostomy set (airway)
B IV Calcium gluconate (hypocalcemia)
C Suction equipment (airway and if you have a trach)
D Sandbags (keep neck in line so no tension on surgical site)
After spending an hour in the PACU, Debbie returns to the medical-surgical unit and the following is noted: Drowsy but responsive, able to move all extremities, Temp: 98F, P:88, RR:14, BP:110/72, breath sounds clear, IV infusing at 125 ml/hr. Incisional pain 4 (0-10 scale).
Which action should the nurse take next?
A Assess neck dressing
B Obtain oxygen saturation
C Administer pain medication
D Monitor IV infusion and check site.
A Assess neck dressing
The nurse enters the room and suspects Debbie is experiencing complications. Which manifestations requires the nurse to address first?
A Pain and hoarse voice
B Tingling and tremors in arms
C Tachycardia and altered mental status
D IV site slightly red and edematous
C Tachycardia and altered mental status
Debbie’s heart rate decreases and reports feeling better but the tingling and tremors continue. Which assessment technique would best assist the nurse in evaluating these manifestations?
A Assess for Battle’s sign
B Elicit a Babinski reflex
C Perform an Allen’s test
D Assess for Trousseau’s sign
D Assess for Trousseau’s sign
Debbie’ s condition has stabilized and now she has expressed concerns about her exophthalmia. Which measure should the nurse include when teaching her how to manage the discomfort associated with exophthalmia?
A Encourage the patient to lie supine
B Use warm moist compresses
C Apply petroleum jelly along the eye lid
D Patch the eyelids close at night if needed
D Patch the eyelids close at night if needed
