ATI Endocrine Questions And Answers Rated A+ 2024.

ATI Endocrine Questions And Answers Rated A+ 2024. Diabetes Insipidus & ADH - correct answer. Too little antidiuretic hormone (ADH) SIADH & ADH - correct answer. Too much antidiuretic hormone (ADH) DI Manifestations - correct answer. - Polyuria - Urine output 5-20 L/day - Polydipsia - Drinking 4-30 L/day - Dehydration - Poor skin turgor, dry mucous membranes, hypotension, tachycardia, wt. loss, headache, dizziness, constipation - Hypovolemic shock - hypotension, tachycardia, decreased CO, decreased cerebral perfusion SIADH Manifestations - correct answer. - Oliguria - excretion of Na+, reabsorption of water - Fluid volume excess - wt gain w/o edema, crackles, distended neck veins, taut skin, tachycardia, HTN - Early manifestations - headache, weakness, anorexia, muscle cramps, wt gain - Late manifestations - personality changes, hostility, decreased deep-tendon reflexes, n&v, diarrhea, confusion, lethargy, Cheyne-Stokes respirations, seizures, coma, death DI (Urine & Serum Concentration) - correct answer. URINE DILUTE/SERUM CONCENTRATED Urine • Specific gravity less than 1.005 • Low osmolality (50-200 mOsm/kg) • Decreased pH • Decreased urine sodium • Decreased urine potassium Serum • Increased serum osmolality (greater than 295 mOsm/kg) • Increased serum sodium • Increased serum potassium • Serum Na+ & K+ are high only because serum is concentrated SIADH (Urine & Serum Concentration) - correct answer. URINE CONCENTRATED/SERUM DILUTE Urine • Specific gravity greater than 1.025 • High osmolality (greater than 295 mOsm/kg) • Increased urine sodium • Increased urine potassium Serum • Decreased serum osmolality (less than 270 mOsm/kg) • Decreased serum sodium • Decreased serum potassium Most definitive test for Addison's disease - correct answer. ACTH stimulation test PTU is given to suppress the thyroid hormone. Tx goals have been met when client reports... - correct answer. An increase in weight (Note: Will also cause decrease in sweat, stool, and appetite) Before intranasal adm of desmopressin acetate (DDAVP), the nurse should instruct the client to do this - correct answer. Prior to adm of this med, blow nose gently Side effects of long term corticosteroid therapy include... - correct answer. Osteoporosis (depletion of calcium), development of moon-shaped face (due to distribution of fat in face, upper back, trunk), increased risk of infection, and muscle wasting of extremities (depletion of nitrogen) 2 to 3 days prior to vanillylmandelic acid test, this should be avoided. - correct answer. Caffeine should be avoided To promote proper absorption, how should thyroid hormone replacement therapy be taken? - correct answer. On an empty stomach Increased hematocrit level is an expected finding related to... - correct answer. Dehydration Hyperglycemic-hyperosmolar nonketotic syndrome expected findings - correct answer. - Blood glucose >600 mg/dl - pH within expected range For a client with pheochromocytoma, avoid palpation of... - correct answer. Abdomen (Note: could cause sudden release of catecholamines from adrenal gland precipitating hypertensive crisis) Diabetes Insipidus & ADH - correct answer. Too little antidiuretic hormone (ADH) SIADH & ADH - correct answer. Too much antidiuretic hormone (ADH) DI Manifestations - correct answer. - Polyuria - Urine output 5-20 L/day - Polydipsia - Drinking 4-30 L/day - Dehydration - Poor skin turgor, dry mucous membranes, hypotension, tachycardia, wt. loss, headache, dizziness, constipation - Hypovolemic shock - hypotension, tachycardia, decreased CO, decreased cerebral perfusion SIADH Manifestations - correct answer. - Oliguria - excretion of Na+, reabsorption of water - Fluid volume excess - wt gain w/o edema, crackles, distended neck veins, taut skin, tachycardia, HTN - Early manifestations - headache, weakness, anorexia, muscle cramps, wt gain - Late manifestations - personality changes, hostility, decreased deep-tendon reflexes, n&v, diarrhea, confusion, lethargy, Cheyne-Stokes respirations, seizures, coma, death DI (Urine & Serum Concentration) - correct answer. URINE DILUTE/SERUM CONCENTRATED Urine • Specific gravity less than 1.005 • Low osmolality (50-200 mOsm/kg) • Decreased pH • Decreased urine sodium • Decreased urine potassium Serum • Increased serum osmolality (greater than 295 mOsm/kg) • Increased serum sodium • Increased serum potassium • Serum Na+ & K+ are high only because serum is concentrated SIADH (Urine & Serum Concentration) - correct answer. URINE CONCENTRATED/SERUM DILUTE Urine • Specific gravity greater than 1.025 • High osmolality (greater than 295 mOsm/kg)