Upgrade to remove ads
Patho ch 18
Terms in this set (51)
A nurse is discussing endocrine system dysfunctions with a patient. Which statement indicates the patient understood? Endocrine system dysfunction can result from hyposecretion, hypersecretion, or from:
Abnormal receptor activity
An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?
A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?
A 44-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient?
A nurse is caring for a patient with SIADH. What severe complications should the nurse assess for?
A 22-year-old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate?
Dehydration from polyuria
While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _______ diabetes insipidus.
Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?
A 50-year-old male patient presents with polyuria and extreme thirst. he was given exogenous ADH. For which of the following conditions would this treatment be effective?
Neurogenic diabetes insipidus
A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the:
A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings?
A pituitary adenoma
What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find?
High levels of circulating thyroid-stimulating antibodies
While checking the lab results for a patient with Graves disease, the nurse would check the T3 level to be abnormally:
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. Which of the following symptoms would the nurse expect to find before treatment?
Skin host and moist, rapid heart rate
Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:
Orbital edema and protrusion of the eyeball
A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:
Diffuse thyroid enlargement
A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?
While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.
A 3-year-old male was diagnosed with congenital hypothyroidism. The parents ask the nurse if left untreated what will happen. What is the nurse's best response? If left untreated, the child would have:
Mental retardation and stunted growth
A 30-year-old male was diagnosed with thyroid carcinoma. The lab tests the nurse would most likely find are _____ T3 and T4 levels.
What problem should the nurse assess for in a patient with chronic hyperparathyroidism?
Osterporosis and pathologic fractures
A 45-year-old female with Graves disease underwent surgical removal of her thyroid gland. During the postoperative period, her serum calcium was low. the most probably reason for her low serum calcium is:
Hypoparathyroidism caused by surgical injury to the parathyroid glands
A 30-year-old female with Graves disease is admitted to a hospital unit for the surgical removal of her thyroid gland. During the postoperative period, the nurse notes that the patient's serum calcium is low. The nurse should observe the patient for which of the following signs/symptoms?
Laryngeal spasms and hyperreflexia
When the patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly used by:
Parathyroid gland injury
A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find?
A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolacinoma. Which of the following treatments would the nurse help implement? Administering:
A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse's best response?
Immune destruction of the pancreas
A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?
Fasting plasma glucose levels
An 11-year-old male is newly diagnosed with type 1 DM. Which classic symptoms should the nurse assess the patient for?
Polydipsia, polyuria, polyphagia, and weight loss
A 19-year-old female with type 1 DM was admitted to the hospital with altered consciousness and the following lab values: serum glucose 500 mg/dl (high) and serum K+2 (low). Her parents state that she has been sick with the "flu" for a week. The diagnosis is hyperosmolar hyperglycemia nonketotic syndrome (HHNKS). What relationship do these values have with her insulin deficiency?
Decreased insulin causes hyperglycemia and osmotic diuresis.
A nurse is reviewing lab results for glycosylated hemoglobin (Hemoglobin A) levels. A nurse recalls the purpose of this test is to:
Monitor long term serum glucose control
When a patient asks what causes hyperglycemia in type 2 DM, how should the nurse respond? Hyperglycemia is a result of:
A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the "flu" for a week. Which of the following statements best explains her acidotic state?
Insulin deficiency promotes lipid metabolism and ketone formation
A 13-year-old male who uses insulin to control his type 1 diabetes experiences hunger, lightheadedness, tachycardia, pallor, headache, and confusion during gym class. The most probable cause of these symptoms is:
Hypoglycemia caused by increased exercise
A 55-year-old female is admitted to the medical unit for complications of long-term, poorly controlled type 2 DM. Which of the following would the nurse expect to find in addition to elevated glucose?
When a staff member asks the nurse what causes the chronic complications of DM such as microvascular and macrovascular disease, how should the nurse respond? These complications are primarily related to:
A nurse checks lab results as both Cushing syndrome and Addison disease can manifest with elevated levels of:
Adrenocorticotrophic hormone (ACTH)
Which of the following alterations would the nurse expect to find in a patient with untreated Cushing disease or syndrome?
When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include:
Truncal obesity and moon face
A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?
Type 2 DM
A nurse is preparing to teach a patient about Addison disease. Which information should the nurse include? The most common cause of Addison disease is:
An autoimmune reaction
A 50-year-old female presents with lightheadedness and overal abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?
A 49-year-old female is diagnosed with hypercortisolism. Which of the following would the nurse expect?
The body's inability to converse water and sodium when affected by Addison disease is explained by which of the following conditions?
A patient with Addison disease has weakness and easy fatigability. A nurse recalls this is due to:
What is the cause of hyperpigmentation seen in people with Cushing syndrome?
Elevated levels of ACTH
A 30-year-old female presents with hypertension, headache, tachycardia, impaired glucose tolerance, and weight loss. Which of the following diagnosis will the nurse see documented on the chart?
A nurse wants to determine if there is kidney dysfunction in a patient with diabetes. Which of the following is the earliest manifestation?
Which of the following diseases should the nurse teach the patient to prevent as it is the ultimate cause of death in the patient with diabetes?
A nurse is assessing a patient with hypoparathyroidism. Clinical manifestations of hypoparathyroidism include (select all that apply):
- Chvostek sign
- Trousseau sign
- Hair loss
THIS SET IS OFTEN IN FOLDERS WITH...
Patho ch 29
Patho ch 30
Patho ch 26
Patho ch 27
YOU MIGHT ALSO LIKE...
Chapter 18 Elseveir
patho week 9 endocrine
Chapter 18 Elseveir
Chapter 18 Patho
OTHER SETS BY THIS CREATOR
Patho ch 7
Patho ch 20
Patho ch 21