NSGA 150 Exam 3 Flashcards
Too much thyroid hormone
Hyperthyroidism
Too much glucocorticoids and androgens
Cushings
Too little thyroid hormone
Hypothyroidism
Too much parathyroid hormone (parathormone)
Hyperparathryoidism
Too little parathyroid hormone (parathormone)
Hypoparathyroidism
Too little glucocorticoids and mineralocorticoids
Adrenal Insufficiency
(Addison’s Disease)
Too much ADH
Syndrome of Inappropriate Antidiuretic Hormone
Too little ADH
Diabetes Insipidus
A patient has been diagnosed with hypothyroidism. What symptom(s) does the nurse expect the patient to report?
Constipation, unintentional weight gain, decreased pulse rate, slow speech
A patient with hypothyroidism has fallen ill with a viral infection and now has myxedema coma. What should the nurse monitor for this patient?
decreased respirations and LOC, decreased temp
A patient with hyperthyroidism is in thyroid storm. What symptom(s) should the nurse expect the patient to exhibit?
Heart rate greater than 130 bpm, High fever, heat intolerance
Which of the following medications are anti-thyroid drugs?
Methimazole (MMI)
Radioactive iodine
Saturated solution of potassium iodine (SSKI)
Propylthiouracil (PTU)
Does Levo lower or raise thyroid hormone
elevates it
Why is radioactive and levo given together
to make a medium bc radioactive lowers thyroid and levo increases
A patient with hyperparathyroidism will experience which 3 major problems?
Nephrolithiasis, osteoperosis, hypercalcemia
Which symptom(s) are manifested in patients with hypoparathyroidism?
tetany, stiffness, anxiety
A patient in hypoparathyroidism is encouraged to AVOID which foods?
milk, spinach, eggs
A nurse acquiring a patient’s medical history attributes adrenocortical insufficiency to which occurrence? Addisons
Abruptly stopping corticosteroid therapy
What therapies should the nurse expect to carry out for a patient in Addisonian crisis?
Intravenous administration of fluids, Administering corticosteroids intravenously, O2
Which symptom(s) will occur in a patient with Cushing’s Syndrome?
Ecchymoses and striae, Hirsutism in women, fatty buffalo hump, central obesity,
What nursing interventions need to be included in the plan of care for patient’s with Cushing’s syndrome?
low sodium, weight bearing as tolerated, avoiding tape on skin
Hypothyroidism is when
TSH is high, T3T4 and C is low
Hyperthyroidism is when
TSH is low, T3T4 and C are high
Hypoparathyroidism is when
CA is low and Phos is high
