Med-Surg Final Exam Study Guide | High-Yield
Questions & Answers, Rationales & Comprehensive
Review |Frequently Most Tested Questions and 100% |
Updated amd well Verified | Latest Exam and Brand
new Version!!!
Adrenal cortical insufficiency sign and symptoms
CORRECT ANSWER:
Fatigue that does not go away, weight loss, low BP, Dizziness when standing,
salt craving, hyperpigmentations, nausea and vomiting
Adrenal cortical insufficiency medical management
CORRECT ANSWER:
this is when the adrenal glands fail to produce sotisol, sometimes accompanied
by low aldosterone
Medical treatment: ACTH stimulation test
Adrenal cortical insufficiency medications
CORRECT ANSWER:
treatment is replace hormones for life!
hydrocortisone and fludrocortisone
Adrenal cortical insufficiency complications
CORRECT ANSWER:
Addisonian crisis!
Addisonian crisis symptoms
CORRECT ANSWER:
,This looks like severe hypotension (shock), dehydrations, confusion, severe
vomiting, low sodium, high potassium
Adrenal Cortex Hyperfunction (cushing syndrome) signs and symptoms
CORRECT ANSWER:
too much cortisol so the body is going to have
moon face
buffalo hump
weight gain
thin arms
purple striae
high BP
hypertension
hypokalemia
Adrenal Cortex Hyperfunction Medical management
CORRECT ANSWER:
To diagnosis ACTH levels
Dexamethasone suppress test
hypokalemia ad alkalosis
Adrenal Cortex Hyperfunction medications
CORRECT ANSWER:
remove the ACTH secreting tumor, or steriod use.
Adrenalectomy
CORRECT ANSWER:
ketoconazole
Adrenal Cortex Hyperfunction complications
CORRECT ANSWER:
hypertension, type 2 diabetes, osteoporosis, and significant muscle weakness.
Adrenal Cortex Hyperfunction post-op priorities
CORRECT ANSWER:
to watch for adrenal crisis and stabilizing functions.
Electrolyte management
,adrenla insufficiency monitoring
steriod replacement
glucose control.
Thyroid Disorders
CORRECT ANSWER:
hyperthyroidism and hypothyroidism
Hypothyroidism signs and symptoms
CORRECT ANSWER:
fatigue
weight gain
cold intolerance
bradycardia
constipation
dry skin
hair loss
depression
slow thinking
high TSH
Low T3/t4
Hypothyroidism medical management
CORRECT ANSWER:
TSH is main test
*Levothyroxine (most commonly used)
*Lifelong hormone replacement
*Iodized Salt (due to iodine deficiency)
Hypothyroidism treatment and medications
CORRECT ANSWER:
Levothyroxine
Hypothyroidism complications
CORRECT ANSWER:
myxedema coma
myxedema coma
, CORRECT ANSWER:
extreme hypothyroidism(abrupt med cessation), rare with a high mortality rate =
decreased cardiac output leads to decreased tissue perfusion which leads to
brain and organ depletion leading to multi-organ failure
Management for myxedema coma is IV thyroid hormone.
Hyperthyroidism signs and symptoms
CORRECT ANSWER:
weight loss, heat intolerance, tachycardia, anxiety, irritability, diarrhea,
tremors, sweating.
Hyperthyroidism medical management
CORRECT ANSWER:
beta blockers to control HR and anxiety
radioactive iodine
Radioactive therapy
-Pharmacological management
-Surgical intervention
Hyperthyroidism symptoms associated with complications
CORRECT ANSWER:
thyroid storm.
Thyroid storm
CORRECT ANSWER:
a relatively rare, life-threatening condition caused by exaggerated
hyperthyroidism
high fever, severe tachycardia, hypertension, confusion.
Give BETA blockers to control HR. antithyroid meds, cooling measurs.
hyperthyroidism nursing interventions
CORRECT ANSWER:
Vital signs including weight
Antithyroid meds
Thyroidectomy pt teaching
monitor for s/s of Thyroid Storm
Questions & Answers, Rationales & Comprehensive
Review |Frequently Most Tested Questions and 100% |
Updated amd well Verified | Latest Exam and Brand
new Version!!!
Adrenal cortical insufficiency sign and symptoms
CORRECT ANSWER:
Fatigue that does not go away, weight loss, low BP, Dizziness when standing,
salt craving, hyperpigmentations, nausea and vomiting
Adrenal cortical insufficiency medical management
CORRECT ANSWER:
this is when the adrenal glands fail to produce sotisol, sometimes accompanied
by low aldosterone
Medical treatment: ACTH stimulation test
Adrenal cortical insufficiency medications
CORRECT ANSWER:
treatment is replace hormones for life!
hydrocortisone and fludrocortisone
Adrenal cortical insufficiency complications
CORRECT ANSWER:
Addisonian crisis!
Addisonian crisis symptoms
CORRECT ANSWER:
,This looks like severe hypotension (shock), dehydrations, confusion, severe
vomiting, low sodium, high potassium
Adrenal Cortex Hyperfunction (cushing syndrome) signs and symptoms
CORRECT ANSWER:
too much cortisol so the body is going to have
moon face
buffalo hump
weight gain
thin arms
purple striae
high BP
hypertension
hypokalemia
Adrenal Cortex Hyperfunction Medical management
CORRECT ANSWER:
To diagnosis ACTH levels
Dexamethasone suppress test
hypokalemia ad alkalosis
Adrenal Cortex Hyperfunction medications
CORRECT ANSWER:
remove the ACTH secreting tumor, or steriod use.
Adrenalectomy
CORRECT ANSWER:
ketoconazole
Adrenal Cortex Hyperfunction complications
CORRECT ANSWER:
hypertension, type 2 diabetes, osteoporosis, and significant muscle weakness.
Adrenal Cortex Hyperfunction post-op priorities
CORRECT ANSWER:
to watch for adrenal crisis and stabilizing functions.
Electrolyte management
,adrenla insufficiency monitoring
steriod replacement
glucose control.
Thyroid Disorders
CORRECT ANSWER:
hyperthyroidism and hypothyroidism
Hypothyroidism signs and symptoms
CORRECT ANSWER:
fatigue
weight gain
cold intolerance
bradycardia
constipation
dry skin
hair loss
depression
slow thinking
high TSH
Low T3/t4
Hypothyroidism medical management
CORRECT ANSWER:
TSH is main test
*Levothyroxine (most commonly used)
*Lifelong hormone replacement
*Iodized Salt (due to iodine deficiency)
Hypothyroidism treatment and medications
CORRECT ANSWER:
Levothyroxine
Hypothyroidism complications
CORRECT ANSWER:
myxedema coma
myxedema coma
, CORRECT ANSWER:
extreme hypothyroidism(abrupt med cessation), rare with a high mortality rate =
decreased cardiac output leads to decreased tissue perfusion which leads to
brain and organ depletion leading to multi-organ failure
Management for myxedema coma is IV thyroid hormone.
Hyperthyroidism signs and symptoms
CORRECT ANSWER:
weight loss, heat intolerance, tachycardia, anxiety, irritability, diarrhea,
tremors, sweating.
Hyperthyroidism medical management
CORRECT ANSWER:
beta blockers to control HR and anxiety
radioactive iodine
Radioactive therapy
-Pharmacological management
-Surgical intervention
Hyperthyroidism symptoms associated with complications
CORRECT ANSWER:
thyroid storm.
Thyroid storm
CORRECT ANSWER:
a relatively rare, life-threatening condition caused by exaggerated
hyperthyroidism
high fever, severe tachycardia, hypertension, confusion.
Give BETA blockers to control HR. antithyroid meds, cooling measurs.
hyperthyroidism nursing interventions
CORRECT ANSWER:
Vital signs including weight
Antithyroid meds
Thyroidectomy pt teaching
monitor for s/s of Thyroid Storm
