MDC II - Final Exam - Rasmussen Questions and Correct Answers the Latest Update and Recommended Version

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MDC II - Final Exam - Rasmussen
Questions and Correct Answers the
Latest Update and Recommended
Version
What are the glands of the endocrine system? (SATA Q?)


• *PT PAP HOT*
•
• ▪ Pituitary
• ▪ Thyroid
•
• ▪ Pancreas
• ▪ Adrenals
• ▪ Parathyroid
•
• ▪ Hypothalamus
• ▪ Ovaries
• ▪ Testes


an autoimmune disorder that is caused by hyperthyroidism and is characterized by *goiter

and/or exophthalmos*


• Grave's disease


*HYPERthyroidism aka Grave's disease*




▪ Treatments



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• *Treatments*
• ▪ Rx: methimazole, atenolol, and *iodine-131*
• ▪ radiation therapy
•
• *Nursing Interventions*
• ▪ provide a calm environment
• ▪ keep patients room cool
• ▪ assess pain
• ▪ prepare patient for surgery
• ▪ post-operative care
• ▪ maintain a patent airway
• -------- same as hypothyroidism ---------
• ▪ provide periods of rest
• ▪ continuous cardiac monitoring
• ▪ monitor vital signs
• ▪ daily weight
• ▪ monitor I&O
• ▪ monitor laboratory tests
• ▪ apply antiembolism stockings to prevent DVT
• ▪ provide skin care


_________ is considered to be the "master gland" as it secretes hormones that control other

parts of the endocrine system.

• pituitary gland


*Anterior HYPOpituitarism*




▪ Deficiencies of which two hormones are the most life threatening?

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• ▪ ACTH
• ▪ TSH
•
• ▪ are the most life threatening because they cause a decrease in the secretion of vital
hormones from the adrenal and thyroid glands.


*Anterior HYPOpituitarism*




▪ Laboratory & Diagnostic Tests


• Bloodwork (*all are DECREASED*)
• ▪ T3
• ▪ T4
• ▪ Prolactin
• ▪ Testosterone
• ▪ Estradiol
•
• Scans (you'll always draw blood work first for diagnostics though)
• ▪ CT/MRI - detect bone or soft tissue lesions
• ▪ Skull X-ray - detect enlargement, erosions, and calcification of the sella turcica


T/F: do both men and women have testosterone and estradiol?

• TRUE! We have very small amounts of testosterone or estradiol no matter if we are
men or women.


*Anterior HYPERpituitarism*




(SATA Q?)

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▪ Laboratory Tests


• *INCREASED:*
• ▪ Prolactin - this might be the answer to the Q
• ▪ Cortisol
• ▪ TSH
• ▪ LH (men)
• ▪ FSH (men)
• ▪ Glucose
•
• *DECREASED:*
• ▪ Gonadotropin


HYPERcortisolism (aka Cushing's Disease)




*Priority Intervention*


• ▪ Prevent infection because they are immunosuppressed
• ▪ handwashing



▪ *Deficiency of ADH* resulting in large volumes of dilute urine


▪ A disorder of the posterior pituitary gland


• diabetes insipidus


*Posterior Pituitary Gland: Diabetes Insipidus:*



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