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Exam (elaborations)

Advanced Med Surg Galen College of Nursing Exam 2 – QUZZ WITH COMPLETE SOLUTION.

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Advanced Med Surg Galen College of Nursing Exam 2 – QUZZ WITH COMPLETE SOLUTION.










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Uploaded on
August 10, 2024
Number of pages
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Written in
2024/2025
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Advanced Med Surg Galen College of
Nursing Exam 2 – QUZZ WITH
COMPLETE SOLUTION.


S/S .of .Hyperthyroidism .- .(correct .answer) .-Atrial .fibrillation, .bruit .or .thrill .over .the .thyroid,
.Diaphoresis, .Palpatations, .Tachycardia, .Heat .Intolerance, .Weight .loss


S/S .of .Hypothyroidism .- .(correct .answer) .-Fatigue, .Mental .sluggishness, .Hypothermia, .Dry .flaky .skin
.and .thinning .nails, .cold .intolerance, .weight .gane


What .sign .is .elicited .by .tapping .over .the .facial .nerve .and .results .in .a .spasm? .- .(correct .answer) .-
Chvostek .sign

What .does .a .positive .Chvostek's .sign .indicate? .- .(correct .answer) .-Hypocalcemia

What .other .sign .other .than .Chvostek's .sign .indicated .hypocalcemia? .- .(correct .answer) .-Trousseau's
.sign


If .a .patient .has .a .positive .Chvostek's .sign .what .is .a .possible .problem .that .could .arise? .- .(correct
.answer) .-Airway .ineffectiveness


TSH .levels .in .hyperthyroidism .are .increased .or .decreased? .- .(correct .answer) .-Decreased .(body .is
.trying .to .compensate)


T3 .and .T4 .levels .in .hyperthyroidism .are .increased .or .decreased? .- .(correct .answer) .-Increased

TSH .levels .in .hypothyroidism .are .increased .or .decreased? .- .(correct .answer) .-Increased .(body .is
.trying .to .compensate)


T3 .and .T4 .levels .in .hypothyroidism .are .increased .or .decreased? .- .(correct .answer) .-Decreased

What .group .of .people .is .most .commonly .affected .by .hypothyroidism? .- .(correct .answer) .-women

Hypocalcemia .is .common .when .what .organ .is .injured .during .surgery? .- .(correct .answer) .-
parathyroid

Dosages .of .this .drug .may .need .to .be .decreased .if .a .client .is .also .taking .levothyroxine .(Synthroid)? .-
.(correct .answer) .-Coumadin

, When .should .levothyroxine .(Synthroid) .be .administered? .- .(correct .answer) .-In .the .morning, .2 .hours
.away .from .any .other .drug


Therapy .often .used .to .treat .hyperthyroidism .is .____________ .- .(correct .answer) .-Radioactive .Iodine
.or .Thyroidectomy


Name .one .factor .that .most .commonly .triggers .a .thyroid .storm? .- .(correct .answer) .-Stress

S/S .of .Thyroid .storm? .- .(correct .answer) .-High .Fever, .tachycardia, .nausea, .vomiting, .tremors,
.agitation, .psychosis


Client .teaching .for .Cushing's .Syndrome? .- .(correct .answer) .-Recognizing .the .signs .and .symptoms .of
.infection .and .fluid .retention


Client .teaching .for .Addison's .Disease? .- .(correct .answer) .-Carry .injectable .dexamethasone
.(Decadron), .will .have .to .take .this .medication .for .life


Client .teaching .for .Diabetes .Insipidus? .- .(correct .answer) .-Recognizing .the .signs .and .symptoms .of
.dehydration


Client .teaching .for .Diabetes .Mellitus? .- .(correct .answer) .-Self .monitoring .for .infection, .skin
.breakdown, .changes .in .peripheral .circulation, .poor .wound .healing, .numbness .in .extremities, .foot
.care


Client .teaching .for .Hyperthyroidism? .- .(correct .answer) .-Avoiding .the .use .of .stimulants .such .as
.caffeine .containing .foods .and .drugs, .avoid .bulky .foods/fiber


Client .teaching .for .Hypothyroidism? .- .(correct .answer) .-Avoiding .sedatives

The .classic .signs .of .diabetes .are: .- .(correct .answer) .-PPPP .- .polyuria .(peeing .alot), .polyphagia
.(hungry .alot), .polydipsia .(thirsty .alot)


Hypothalamus .is .the .what .of .the .endocrine .system? .- .(correct .answer) .-heart

What .does .the .hypothalamus .do? .- .(correct .answer) .-stimulates .another .gland .to .release .hormones

Pituitary .gland .is .made .of .2 .parts .... .- .(correct .answer) .-anterior .and .posterior

Disorder .of .the .pituitary .gland .that .causes .a .deficiency .of .ADH .hormone? .- .(correct .answer) .-
Diabetes .Insipidus

What .is .Diabetes .Insipidus .treated .with? .- .(correct .answer) .-Vasopressin

Disorder .of .the .pituitary .gland .that .causes .excess .ADH .hormone? .- .(correct .answer) .-SIADH

What .is .SIADH? .- .(correct .answer) .-water .retention .and .decreased .NA .(diluted)

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