Jeopardy Exam 4 Review Flashcards
Which temperature intolerance does the nurse expect in a patient with an increased thyroid stimulating hormone (TSH)?
Cold intolerance
A patient with this disease will present with a goiter or exophthalmos?
Hyperthyroidism/Graves Disease
Which are 4 signs, symptoms, or behaviors the nurse will find when assessing a patient with hypothyroidism?
Bradycardia
Cold intolerance
Weight gain
Constipation
What are the 3 thyroid medications the nurse expect to administer in a patient with Thyroid Storm?
PTU
Methimazole
Beta blockers
What 3 vital signs would be abnormal in a patient with hyperthyroidism progressing to a thyroid storm?
Elevated HR, BP, and temp
Which laboratory finding indicates poor glucose control for the past 3 months and a diagnosis of diabetes?
A1C greater than 6.5
Diabetes can cause this condition, so it is recommended to see the ophthalmologist yearly
Retinopathy
What are the 3 Ps?
Polydipsia
Polyphagia
Polyuria
What are the 4 ways to diagnose diabetes?
Random spot POCT > 200
Fasting BS > 126 2x
Glucose uptake test > 200 after 2 hours
A1C > 6.5
What are 3 interventions and 3 assessments when caring for a patient with DKA?
BP, BS, K+
Insulin
Tele
Fluids
Patient’s with Addison’s disease have high levels of ____ due to aldosterone release.
Potassium
The nurse is caring for a patient with adrenal insufficiency. What is the priority intervention and what would the nurse monitor?
Tele for monitoring due to hyperkalemia
The nurse is caring for a client with acromegaly. What physical characteristics would the nurse expect to observe?
large hands and face
Hypotension is to _____ disease, as Hypertension is to ______ disease
Hypotension :ADDISON’S disease
Hypertension: CUSHING’S disease
A nurse assesses a client with Cushing’s disease. Which 4 assessment findings would the nurse expect?
Moon shaped face
buffalo hump
thin extremities
petechiae
A nurse cares for a patient who possibly has (SIADH). The patient’s serum sodium level is 114 mEq/L. What change would the nurse implement?
fluid restriction
A nurse is reviewing a prescription for dexamethasone in a patient who has an expanding brain tumor. The wife of the patient asks why this medication is given. What would you tell the wife?
It is a steroid given to reduce swelling of the brain
A nurse is caring for a patient with increased ICP. What 2 early assessment findings would alert the nurse of this developing complication?
Restlessness and irritability
This type of conditions can cause SIADH
lung cancer
In SIADH, what is one type of fluid that you can administer to help with hypovolemia?
Hypertonic solution
What is the typical age range for MS diagnosis?
20-40/50
What is the first typical s/sx in a patient with MS?
Numbness and tingling
Multiple sclerosis (MS) isan ____ disease that affects the brain and spinal cord.
Autoimmune
What diagnostic test is used to evaluate for MS?
Lumbar puncture
