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Pathophysiology Chapters 18-19 Endocrine System
Terms in this set (20)
A nurse is caring for a patient diagnosed with SIADH. What severe complication should the nurse assess for?
Diabetes insipidus, diabetes mellitus (DM), and SIADH share which of the following assessment manifestations?
While checking lab results for a patient diagnosed with Graves disease, the nurse would expect the T3 level to be abnormally:
A patient diagnosed with Graves disease is admitted to the hospital. Which of the following symptoms would the nurse expect to find before treatment?
Skin hot and moist; rapid heart rate
Which hypothyroid diagnosis is supported by low levels of TSH?
When considering hypothyroidism, the basal metabolic rate is:
What is the cause of type 1 diabetes mellitus (DM)?
Immune destruction of the pancreas
What causes the chronic microvascular and macrovascular complications of DM?
A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 milligrams per deciliter (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 causes lipid metabolism and ketone formation
What is the purpose of the glycosylated hemoglobin (hemoglobin A1c) test?
Monitor long term serum glucose control
A nurse checks lab results as both Cushing disease and Addison disease can manifest with elevated levels of:
Adrenocorticotropic hormone (ACTH)
Which physical feature supports the diagnosis of Cushing syndrome?
Truncal obesity and moon face
The body's inability to conserve water and sodium when affected by Addison disease is explained by which of the following conditions?
Which of the following alterations would the nurse expect to find in a patient with untreated Cushing disease or syndrome?
A patient diagnosed with Addison disease reports weakness and is easily fatigued. What is the root of these symptoms?
A patient presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings?
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 patient diagnosed with Graves disease underwent surgical removal of the thyroid gland. During the postoperative period, the patient's serum calcium is low. The most probable reason for her low serum calcium is:
Hypoparathyroidism caused by surgical injury to the parathyroid glands
The image on the left is a normal retina. The image on the right is a diseased retina. What endocrine disorder will most likely cause the changes seen in the diseased retina?
A patient is admitted to the medical unit of a hospital 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?
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