Nursing Endo Exam Flashcards
Glucose is converted to ___ for storage
glycogen
High blood glucose is called ___
hyperglycemia
Emotional tone is called __
affect
Bulging eyes, or ____, is a symptom of hyperthyroidism
exophthalmos
Hormone secretion is regulated through a ___ system
feedback
This directly increases water resorption by the kidneys
Antidiuretic hormone (ADH)
Stimulates growth and secretions of the thyroid gland
Thyroid-stiumulating hormone
Increases glucose intake by cells and glycogen storage in the liver
Insulin
Decreases the resorption of the calcium from bones; lowers blood calcium level
Calcitonin
Increases the use of fats and amino acids for energy and has an anti-inflammatory effect
Cortisol
Stimulates mitosis and protein synthesis
Growth Hormone (GH)
Increases heart rate and force of contraction
Epinephrine
Causes vasoconstriction throughout the body
Norepinephrine
Increases secretion of cortisol by the adrenal cortex
Adrenocorticotropic hormone
Increases energy production for a normal metabolic rate
Thyroxine
In men, stimulates secretion of testosterone
Luteinizing hormone
Increases the conversion of glycogen to glucose in the liver between meals
Glucagon
Initiates milk production in the mammary glands
Prolactin
Increases the resorption of calcium from bones; raises blood calcium levels
Parathyroid hormone (PTH)
Increases the resorption of sodium by the kidneys
Aldosterone
In women, initiates development of ova in ovaries
Follicle-stimulating hormone
Causes contraction of the myometrium during labor
Oxytocin
which two hormones help regulate the blood calcium level
a) insulin and glucagon
b) calcitonin and PTH
c) thyroxine and epinephrine
d) cortisol and aldosterone
b) calcitonin and PTH
which hormone is most important for day-to-day regulation of metabolic rate
a) insulin
b) epinephrine
c) GH
d) thyroxine
d) thyroxine
what happens when aldosterone increases the resorption of sodium ions by the kidneys
a) water is also reabsorbed back to the blood
b) bicarbonate ions are excreted in urine
c) more water is excreted in urine
d) potassium ions are also reabsorbed back into the blood
a) water is also reabsorbed back to the blood
which of the following hormones has an anti-inflammatory effect
a) epinephrine
b) cortisol
c) aldosterone
d) thyroxine
b) cortisol
which of the following hormones help maintain blood vole and blood pressure (select all)
a) thyroxine
b) glucagon
c) aldosterone
d) cortisol
e) ADH
f) insulin
c) aldosterone
d) cortisol
e) ADH
a patient is completing a 24-hour urine test. what should the nurse do to omelet the test at the end of the 24 hours?
a) have the patient void exactly 24 hours after the test was begun and discard specimen
b) save the last specimen and send it in a separate container
c) have the patient void exactly 24 hours after the test was begun, and add this urine to the remainder of the specimen
d) send only the specimen voiced at 24 hours
c) have the patient void exactly 24 hours after the test was begun, and add this urine to the remainder of the specimen
a female patient is admitted to the hospital with hyperthyroidism. what related assessment should the nurse perform
a) ask questions about symptoms of hyperthyroidism
b) palpate thyroid gland for enlargement
c) do a capillary blood glucose level
d) observe for a “buffalo hump” on the patient’s back
a) ask questions about symptoms of hyperthyroidism
a patient asks the nurse, “My doctor told me my thyroid san showed a “cold spot.” what does that mean?” which of the following responses by the nurse is best
a) that means you have cancer of thyroid gland
b) cold spots are areas that have no living tissue
c) a cold spot is an are that did not pick up the radioactive material they injected
d) it doesn’t mean anything. a cold spot is just part of your thyroid gland
c) a cold spot is an are that did not pick up the radioactive material they injected
a client with a suspected autoimmune disease has laboratory work ordered, including a cortisol level. the nurse recognizes the cortisol is responsible for which of the following (select all)
a) stimulates conversion of triglycerides to glucose
b) stimulates the storage of excess glucose
c) increase the breakdown of lipids to fatty acids
d) increases the breakdown of proteins to amino acids
e) blocks the effects of histamine
a) stimulates conversion of triglycerides to glucose
c) increase the breakdown of lipids to fatty acids
d) increases the breakdown of proteins to amino acids
e) blocks the effects of histamine
a normally functioning thyroid gland produces a ____ state
euthyroid
enlargement of the thyroid gland is called a ___
goiter
excessive thirst is called __
polydipsia
excessive urination is called ___
polyuria
difficulty swallowing is called ___
dysphagia
untreated hypothyroidism can lead to ___ coma
myxedema
____ is the word for getting up to void during the night
nocturia
absence of menses is called ___
amenorrhea
sometimes hormones are produced outside the endocrine gland in an ___ site
ectopic
following surgery for thyroidectomy, the nurse watches carefully for which of the following signs and symptoms of tetany?
a) numb finers, muscle cramps
b) weakness, muscle fatigue
c) hallucinations, delusions
d) dyspnea and tachycardia
a) numb finers, muscle cramps
