NURS 4626 EXAM 3 BASIC QUESTIONS AND ANSWERS | NURS 4626 STUDY
GUIDE & PRACTICE TEST 2026/2027
hyperparathyroidism - ✔✔hypercalcemia and hypophosphatemia
brittle bones
poor coordination
constipation
hypoparathyroidism - ✔✔hypocalcemia and hyperphosphatemia
positive trousseaus
tetany
paresthesia
cardiac dysrhythmias
hyperthyroidism - ✔✔weight loss, hunger, hair loss, heat intolerance, exophthalmos, high T4, diarrhea,
high calorie diet, dark glasses
hypothyroidism - ✔✔weight gain, cold intolerance, hair loss, constipation, bradycardia, myxedema
coma, no sedatives or opioids
thyrotoxic crisis - ✔✔hyperthermia (106), tachycardia, restlessness, tremor, weight loss
thyroid suppressing drugs - ✔✔propylthiouracil/PTU
radioactive iodine
B-blocker for symptoms
thyroid assisting drugs - ✔✔levothyroxine
diabetes insipidus drug - ✔✔desmopression (stops excess urination)
diabetes insipidus care - ✔✔goal output .5mL/kg/hr
keep hydrated
monitor specific gravity and electrolytes
SIADH manifestations - ✔✔hyponatremia -> seizure precaution
hypertension -> cardio monitor
SIADH care - ✔✔loop diuretics, fluid restrictions, demeclocycline (blocks ADH), LAY FLAT
HHS manifestations - ✔✔1) severe hyperglycemia >600 (greater b/c no ketogenesis) which results in
profound fluid loss (osmotic diuresis)
2) dehydration
3) decreased Na, K and phosphorus
GUIDE & PRACTICE TEST 2026/2027
hyperparathyroidism - ✔✔hypercalcemia and hypophosphatemia
brittle bones
poor coordination
constipation
hypoparathyroidism - ✔✔hypocalcemia and hyperphosphatemia
positive trousseaus
tetany
paresthesia
cardiac dysrhythmias
hyperthyroidism - ✔✔weight loss, hunger, hair loss, heat intolerance, exophthalmos, high T4, diarrhea,
high calorie diet, dark glasses
hypothyroidism - ✔✔weight gain, cold intolerance, hair loss, constipation, bradycardia, myxedema
coma, no sedatives or opioids
thyrotoxic crisis - ✔✔hyperthermia (106), tachycardia, restlessness, tremor, weight loss
thyroid suppressing drugs - ✔✔propylthiouracil/PTU
radioactive iodine
B-blocker for symptoms
thyroid assisting drugs - ✔✔levothyroxine
diabetes insipidus drug - ✔✔desmopression (stops excess urination)
diabetes insipidus care - ✔✔goal output .5mL/kg/hr
keep hydrated
monitor specific gravity and electrolytes
SIADH manifestations - ✔✔hyponatremia -> seizure precaution
hypertension -> cardio monitor
SIADH care - ✔✔loop diuretics, fluid restrictions, demeclocycline (blocks ADH), LAY FLAT
HHS manifestations - ✔✔1) severe hyperglycemia >600 (greater b/c no ketogenesis) which results in
profound fluid loss (osmotic diuresis)
2) dehydration
3) decreased Na, K and phosphorus
