module 4

Question 1

Acromegaly Treatment

Answer 1

Medications can prevent worsening of the disease but not reverse symptoms. Hypophysectomy (removal of the pituitary gland through the nose), radiation, hormone therapy, drug therapy

Question 2

Addison’s Disease Assessment -

Answer 2

Hypoglycemia (low glucose level); dark pigmentation; personality changes; anorexia; vascular collapse; gastrointestinal symptoms

Question 3

Diabetes Mellitus

Answer 3

chronic metabolic disorder of the pancreas affecting carbohydrate, fat, and protein metabolism

Question 4

Complications- of diabetes mellitus

Answer 4

heart disease, chronic kidney disease, nerve damage, problems with feet, oral health, vision, mental health.

Question 5

Endocrine System Function:

Answer 5

To release hormones into the blood stream

Question 6

Hyperthyroidism Assessment

Answer 6

Increased metabolic rate, restless, agitated, hand tremors, diarrhea, increased appetite, weight loss, exophthalmos, neck swelling, tachycardia, HTN, warm moist skin, palpitations, insomnia

Question 7

Parathyroid Complications

Answer 7

Affects the calcium in your bones, Low calcium,

Question 8

SIADH Assessment

Answer 8

Sodium, potassium, osmolality, change in mental statues, headache, confusion,tremors

Question 9

SIADH assessment

Answer 9

changes in mental status, irritability, headache, confusion, tremors, restlessness, nausea and vomiting, fatigue, and weakness

Question 10

Postoperative thyroidectomy

Answer 10

Signs of nerve damage, include severe hoarseness or whispery voice, ice packs collar, semi-flowerless, liquid/soft foods, and monitor calcium levels.

Question 11

Diabetes Insipidus Assessment

Answer 11

Polyuria(excess urination) (up to 20L/24 hours), weight loss, constant thirst, weakness, dehydration

Question 12

Hypophysectomy Assessment

Answer 12

postoperative care to include normal postoperative interventions; monitoring for increased intracranial pressure and drainage from nasal packing for cerebrospinal fluid; discourage straining, coughing, or sneezing; monitoring of nasal drainage; strict monitoring of I/O; hourly neurological checks for first 24 hours

Question 13

Goiter interventions

Answer 13

Monitor vital signs, especially heart rate and blood pressure (both increase in hyperthyroidism)
Ask if the patient has chest pain (Due to increased heart work)
Listen to the heart for murmurs.
Obtain ECG (atrial arrhythmias may occur in hyperthyroidism)
Teach the patient to relax.

Question 14

Hypothyroidism Assessment

Answer 14

Lethargy, weight gain, dry skin, menstrual disorders; enlarged heart, atherosclerosis, anemia; cool dry skin, sleeping for long periods but not awakening rested, decreased VS, constipation

Question 15

Glucose funtion

Answer 15

Primary source of energy

Question 16

Diabetic Ketoacidosis Assessment

Answer 16

Weakness, thirst, anorexia, vomiting, drowsiness, abdominal pain, Kussmaul’s respirations, low BP with weak, rapid pulse

Question 17

Myxedema (severe advanced hypothyroidism) Assessment

Answer 17

fatigue; constipation; weight gain; cold intolerance; a deep voice; coarse hair; and dry, pale, cool skin

Question 18

Cushings disease

Answer 18

arm and legs are thin, obese in the trunk, symptoms of diabetes, moon phase, buffalo hump, easy bruising, masculine traits in women.

Question 19

Treatment for DKA or diabetic ketoacidosis

Answer 19

Insulin therapy, fluid, and electrolyte replacement.

Question 20

How to manage diabetes,

Answer 20

Healthy diet 3 meals/snacks, increase fiber, exercise, foot care, monitor glucose routinely.

Question 21

Interventions for Addison’s disease

Answer 21

Medical management and diet, supplemental steroids, educate clients to never omit or change steroid dosage, high calorie, high protein.

Question 22

complications of thyroidectomy

Answer 22

hoarse voice, larynx problems, low calcium, hemorrhage, hormone replacement

Question 23

Diabetes type 2

Answer 23

insulin resistance, most common in adults 45-65, can be controlled through diet,

Question 24

Pregnant women who develop gestational diabetes

Answer 24

Will be higher risk to develop diabetes type II

Question 25

Term often used for hyperthyroidism

Answer 25

Myxedema

Question 26

Diabetes insipidus

Answer 26

overproduction of urine, over hydrated

Question 27

SIADH

Answer 27

Retain fluids, hyponatremia(low sodium) due to excess fluid

Question 28

Steroids stopped abruptly causes

Answer 28

Addison’s disease (Not enough cortisol) crisis is an adrenal crisis that can potentially be life-threatening.

Question 29

Gigantism

Answer 29

Over secretion of growth hormone before puberty, tall bones grown long

Question 30

Acromegaly

Answer 30

Bones broaden (wider), happen during adulthood

Question 31

symptoms of hyperthyroidism

Answer 31

Weight Loss, rapid or irregular heart beat, enlargement in the neck (goiter)
Restless, diarrhea, bulging eyes (exophthalmos), goiter, tremors, insomnia, increased appetite, warm skin

Question 32

cushing’s disease

Answer 32

Arms and legs are thin, broad or obese in the trunk. Symptoms of diabetes mellitus, moon face, buffalo hump, easy bruising, masculine traits in women,