Medical-Surgical Nursing II.p

Exam 4 Review: NU 189 / NU189 (Latest
) Medical-Surgical Nursing II
Review | Questions & Answers | 100%
Correct (Verified Solutions) | Grade A -
Galen


Hyperpituitary

Agromegaly


Gigantism (never fuse)



Growth plate distinguish one never fuse




Gigantism

Never fuses (elongated bones)




Acromegaly (enlarged bones)

enlargement of the extremities




Hypopituitary

Dehydration


Addison (secondary)

,Exam 4 Review: NU 189 / NU189 (Latest
) Medical-Surgical Nursing II
Review | Questions & Answers | 100%
Correct (Verified Solutions) | Grade A -
Galen


amenorrhea


Headaches


Visual disturbances

S/S of hyperpituitary




Test to diagnose Cushing disease

Dexamethasone suppression test




Steps for a dexamethasone test

NPO



Blood specimen collected (1st thing)




Pheochromcytoma
tumor of the adrenal medulla

,Exam 4 Review: NU 189 / NU189 (Latest
) Medical-Surgical Nursing II
Review | Questions & Answers | 100%
Correct (Verified Solutions) | Grade A -
Galen


S/S of pheochromcytoma

Severe HTN & tachycardia




Catecholamine (EPI & NONEPI)

What is secreted from a pheochromcytoma




SIADH (soaked inside)

Excessive amounts ADH (fluid overload)




S/s of fluid over load due SIADH

JVD, crackles, ABD distention




Increased specific gravity

Fluid overload

, Exam 4 Review: NU 189 / NU189 (Latest
) Medical-Surgical Nursing II
Review | Questions & Answers | 100%
Correct (Verified Solutions) | Grade A -
Galen
Drop in urine specific gravity

Fluid overload




Treatment for SIADH
Tolvaptan




DI (dry inside) (primary DI)

Decreased production of ADH (dilute urine)




Secondary DI
TBI

Neurosurgery

Trauma

Infection

Sx




Dipsogenic DI
Excessive fluid intake