NURS 244 Exam #4
(endocrine/emergency)
work together to maintain fight or flight response - correct answer endocrine and nervous
system
all glands get messages from where - correct answer hypothalamus
the hypothalamus sends signals to what to release hormones - correct answer the pituitary
gland
stimulates target organs to secrete their hormones - correct answer pituitary gland
this hormone makes the ovaries release estrogen and the testes release androgen - correct
answer follicle-stimulating hormone (FSH)
this hormone stimulates milk production - correct answer prolactin
stimulates ovaries to secrete hormone to ovulate - correct answer Luteining Hormone (LH)
this hormone retains fluid to maintain fluid balance - correct answer anti-diuretic hormone
(ADH)
too much anti-diuretic hormone (ADH) causes what - correct answer fluid overload
too little anti-diuretic hormone (ADH) causes what - correct answer dehydration
this hormone causes uterine contractions and milk ejection - correct answer oxytocin
,NURS 244 Exam #4
(endocrine/emergency)
meant and intended to help maintain balance by secreting norepinephrine and epinephrine -
correct answer adrenal glands
what happens if you don't have your adrenal glands - correct answer decreased BP
essential for T3 and T4 production - correct answer Iodine
when aging, there is decreased ADH, what should we monitor - correct answer I and O
encourage fluids
aging causes decreased ovarian function, what should we encourage - correct answer
increased exercise
increase calcium intake
diabetes insipidus is a problem with what - correct answer posterior pituitary
OR
kidneys not responding to ADH
with DI what needs monitored - correct answer strict I&O
what needs reported with diabetes insipidus - correct answer urine output > 200 mL/hr with a
specific gravity of <1.005
what disease process is caused by an anti-diuretic hormone (ADH) deficiency - correct answer
diabetes insipidus
,NURS 244 Exam #4
(endocrine/emergency)
what disease process is caused by an anti-diuretic hormone (ADH) oversecretion - correct
answer SIADH
s/s of diabetes insipidus - correct answer polyuria
dehydration
increased thirst
decreased BP
increased Na
what medication can be given to treat diabetes insipidus - correct answer DDAVP
why is DDAVP given - correct answer to retain BP
what is the preferred route to administer DDAVP - correct answer intranasally
what needs checked after giving DDAVP intranasally - correct answer mucous membranes
BP
this type of DI has a defect in the hypothalamus or pituitary gland, there is a deficiency in ADH -
correct answer primary
with this type of DI the renal tubules are not responsive to ADH, there is no deficiency in ADH -
correct answer nephrogenic DI
what 2 medications can interfere with the kidneys ability to respond to ADH - correct answer
Lithium
demeclocycline (Declomycin)
, NURS 244 Exam #4
(endocrine/emergency)
cardiovascular s/s of DI - correct answer hypotension
decreased pulse pressure
weak pulses
concentrated labs
renal s/s of DI - correct answer increased output (diluted urine)
integumentary s/s of DI - correct answer poor skin turgor
dry skin/mucous membranes
neuro problems with DI - correct answer polydipsia
irritable
mental changes
hyperthermia
ataxia
a client with DI should not be deprived of fluids for more than how long - correct answer 4 hrs
a patient is positive for DI if - correct answer output is >4L and is grater than the volume
ingested
urine specific gravity <1.005
osmolality < 200
what happens to the serum ADH with DI - correct answer decreases
(endocrine/emergency)
work together to maintain fight or flight response - correct answer endocrine and nervous
system
all glands get messages from where - correct answer hypothalamus
the hypothalamus sends signals to what to release hormones - correct answer the pituitary
gland
stimulates target organs to secrete their hormones - correct answer pituitary gland
this hormone makes the ovaries release estrogen and the testes release androgen - correct
answer follicle-stimulating hormone (FSH)
this hormone stimulates milk production - correct answer prolactin
stimulates ovaries to secrete hormone to ovulate - correct answer Luteining Hormone (LH)
this hormone retains fluid to maintain fluid balance - correct answer anti-diuretic hormone
(ADH)
too much anti-diuretic hormone (ADH) causes what - correct answer fluid overload
too little anti-diuretic hormone (ADH) causes what - correct answer dehydration
this hormone causes uterine contractions and milk ejection - correct answer oxytocin
,NURS 244 Exam #4
(endocrine/emergency)
meant and intended to help maintain balance by secreting norepinephrine and epinephrine -
correct answer adrenal glands
what happens if you don't have your adrenal glands - correct answer decreased BP
essential for T3 and T4 production - correct answer Iodine
when aging, there is decreased ADH, what should we monitor - correct answer I and O
encourage fluids
aging causes decreased ovarian function, what should we encourage - correct answer
increased exercise
increase calcium intake
diabetes insipidus is a problem with what - correct answer posterior pituitary
OR
kidneys not responding to ADH
with DI what needs monitored - correct answer strict I&O
what needs reported with diabetes insipidus - correct answer urine output > 200 mL/hr with a
specific gravity of <1.005
what disease process is caused by an anti-diuretic hormone (ADH) deficiency - correct answer
diabetes insipidus
,NURS 244 Exam #4
(endocrine/emergency)
what disease process is caused by an anti-diuretic hormone (ADH) oversecretion - correct
answer SIADH
s/s of diabetes insipidus - correct answer polyuria
dehydration
increased thirst
decreased BP
increased Na
what medication can be given to treat diabetes insipidus - correct answer DDAVP
why is DDAVP given - correct answer to retain BP
what is the preferred route to administer DDAVP - correct answer intranasally
what needs checked after giving DDAVP intranasally - correct answer mucous membranes
BP
this type of DI has a defect in the hypothalamus or pituitary gland, there is a deficiency in ADH -
correct answer primary
with this type of DI the renal tubules are not responsive to ADH, there is no deficiency in ADH -
correct answer nephrogenic DI
what 2 medications can interfere with the kidneys ability to respond to ADH - correct answer
Lithium
demeclocycline (Declomycin)
, NURS 244 Exam #4
(endocrine/emergency)
cardiovascular s/s of DI - correct answer hypotension
decreased pulse pressure
weak pulses
concentrated labs
renal s/s of DI - correct answer increased output (diluted urine)
integumentary s/s of DI - correct answer poor skin turgor
dry skin/mucous membranes
neuro problems with DI - correct answer polydipsia
irritable
mental changes
hyperthermia
ataxia
a client with DI should not be deprived of fluids for more than how long - correct answer 4 hrs
a patient is positive for DI if - correct answer output is >4L and is grater than the volume
ingested
urine specific gravity <1.005
osmolality < 200
what happens to the serum ADH with DI - correct answer decreases
