quiz 6 very focused review

Question 1

Hyperthyroid

Answer 1

• heat intolorent
• wt loss
• tachycardia
• systolic hypertention
• angina
• insomnia
• irritability
• moist skin

Question 2

hypoparathyroidism

Answer 2

• low calcium
• decreased CO
• dysrhythmias

Question 3

Who do we give SSKI to?

Potassium Iodide

Answer 3

• hyperthyroidism
• make sure to use straw-stains teeth

Question 4

thyroidectony post op

Answer 4

• head support
• deep breathing
• help with positioning
• provide pillow to prevent suture braking
• at risk for respiratory due to swelling and bleeding

Question 5

hypocalcemia signs

Answer 5

• chaviskis sign- facial twitches with nerve stimulation
• trousseau sign- carpopedal spasm caused by inflating BP cuff over systolic pressure for 3 min

Question 6

older patients taking thyroid medication is reduced, why?

Answer 6

• metabolic rate slows down, decreased excretion, floats around he system longer as you age.

Question 7

nurse priority for a patient with parathyroid taking calcitonin, what do we assess prior?

Answer 7

• sensitivity assessment

Question 8

labs needed to diagnose hypothyroidism

Answer 8

• T3 and T4 will be low

Question 9

bleeding assessent after thyroidectomy sx

Answer 9

• make sure to check behind neck

Question 10

hyperthyroidism mood assessments

Answer 10

• irritability
• nervousness

Question 11

hypothyroidism assessment

Answer 11

• bradycardia

Question 12

myxedema

Answer 12

• hand
• feet
• around eyes
• hypo: give blanket if cold

Question 13

cardiac issues with diabetes?

Answer 13

• hypotension

Question 14

cushing syndrome causes

Answer 14

• asthma long term use of corticosteroids

Question 15

hing syndrome characteristics

Answer 15

• moon face-
• fat trunk
• fat skin

Question 16

addisons disease

Answer 16

• hyperpigmentation in exposed areas
• small joints
• little to no pubic hair
• increased potassium
• decreased glucose

Question 17

acromegaly

Answer 17

• excess GH

Question 18

hyperpituitarism

Answer 18

• causes acromegaly
• causes impotense ED

Question 19

syminchia

Answer 19

• muscle wating in hypopituitarism

Question 20

organs affected by DI

Answer 20

• nephrogenic- kidneys wont respond to ADH spec. gravity will fall

Question 21

pheochroocytoma

Answer 21

• HBP

Question 22

cushings

Answer 22

• moon face
• thin extremities
• humpty dumpty

Question 23

nuchal rigitity

Answer 23

• meningitis

Question 24

addisons crisis

Answer 24

• acute adrenal crisis
• adrenal insufficiency
• low level or cortisol
• caused by infection or trauma

Question 25

why do ppl take hydrocotisone in addisons disease?

Answer 25

• replaces cortisol or glucocorticoid levels

Question 26

SIADH (inappropriate ADH syndrome )

Answer 26

• weakness
• cramps
• wt gain
• headaches

Question 27

hypophysectomy post op

Answer 27

• respiratory
• I and O
• IP fluid levels
• dressing discharge
• signs of meningitis

Question 28

elder adult changes

Answer 28

1. less sensitive metabolism goes down because of lack of of sensitivity from hormones, dehydration, fatty deposits decreases

Question 29

addisons crisis manofestations

Answer 29

• confusion
• tachycardia
• hypotension

Question 30

graves

Answer 30

• type of hyperthyroidism autoimmune disease

Question 31

parathyroid is for?

Answer 31

• metabolism of calcium
• hyper: ppor muscle tone, weakness, weajer bones causes bone pain (risk for fx) urinary: renal calculi