NUSA 203 Exam 5 With
Complete Solution
Older adult endocrine system issues - ANSWER - illness
- alterations in diet, activity, lean body mass to fat ratio
- sleep disturbance
- decreased metabolic clearance of hormones
- polypharmacy
Older adult changes - ANSWER - diluted urine
- decreased bone density
- thinner and drier skin
- drier perineal and vaginal tissue
- weight greater than ideal
- less tolerant of cold
Endocrine physical assessment - ANSWER - LOC
- speech
- posture
,- body composition
- body proportion
- distribution of body fat
Endocrine laboratory tests - ANSWER - stimulation/suppression tests
- assays (detect thyroid hormone levels in the blood)
- urine tests
- glucose tests
- imaging assessments
Posterior pituitary hormones - ANSWER - antidiuretic hormone (ADH)
- oxytocin
Hypopituitarism - ANSWER - deficiency of one or more anterior pituitary
hormones results in metabolic problems and sexual dysfunction
- ACTH and TSH deficiencies most life-threatening
Panhypopituitarism - ANSWER decreased production of all anterior pituitary
hormones
,Hyperpituitarism - ANSWER - hormone oversecretion occurs with pituitary
tumors or hyperplasia
- pituitary adenoma
- genetic considerations
Gigantism - ANSWER hypersecretion of growth hormone before puberty
Acromegaly - ANSWER hypersecretion of growth hormone after puberty
Diabetes Insipidus (DI) - ANSWER - water metabolism problem caused by an
ADH deficiency
- either decrease in ADH synthesis or inability of kidneys to respond to ADH
- polyuria
Diabetes Insipidus (DI) assessment - ANSWER - symptoms of dehydration
- increase in frequency of urination and excessive thirst
- urine diluted with low specific gravity (<1.005)
- diagnosed with dehydration and hypertonic saline tests
- weight loss
, Diabetes Insipidus (DI) interventions - ANSWER - oral chlorpropamide
- desmopressin acetate
- early detection of dehydration and maintenance of adequate hydration
- lifelong vasopressin (ADH) therapy with permanent condition
- teach patients to weigh themselves daily to identify weight loss
SIADH - ANSWER - water is retained, resulting in hyponatremia (decreased
serum sodium level)
- vasopressin (ADH) is secreted even when plasma osmolarity is low or
normal
- feedback mechanisms do not function properly
SIADH assessment - ANSWER - recent head trauma
- cerebrovascular disease
- TB or other pulmonary disease
- cancer
- all past and current drug use
- decrease in serum sodium levels
- weight gain
Complete Solution
Older adult endocrine system issues - ANSWER - illness
- alterations in diet, activity, lean body mass to fat ratio
- sleep disturbance
- decreased metabolic clearance of hormones
- polypharmacy
Older adult changes - ANSWER - diluted urine
- decreased bone density
- thinner and drier skin
- drier perineal and vaginal tissue
- weight greater than ideal
- less tolerant of cold
Endocrine physical assessment - ANSWER - LOC
- speech
- posture
,- body composition
- body proportion
- distribution of body fat
Endocrine laboratory tests - ANSWER - stimulation/suppression tests
- assays (detect thyroid hormone levels in the blood)
- urine tests
- glucose tests
- imaging assessments
Posterior pituitary hormones - ANSWER - antidiuretic hormone (ADH)
- oxytocin
Hypopituitarism - ANSWER - deficiency of one or more anterior pituitary
hormones results in metabolic problems and sexual dysfunction
- ACTH and TSH deficiencies most life-threatening
Panhypopituitarism - ANSWER decreased production of all anterior pituitary
hormones
,Hyperpituitarism - ANSWER - hormone oversecretion occurs with pituitary
tumors or hyperplasia
- pituitary adenoma
- genetic considerations
Gigantism - ANSWER hypersecretion of growth hormone before puberty
Acromegaly - ANSWER hypersecretion of growth hormone after puberty
Diabetes Insipidus (DI) - ANSWER - water metabolism problem caused by an
ADH deficiency
- either decrease in ADH synthesis or inability of kidneys to respond to ADH
- polyuria
Diabetes Insipidus (DI) assessment - ANSWER - symptoms of dehydration
- increase in frequency of urination and excessive thirst
- urine diluted with low specific gravity (<1.005)
- diagnosed with dehydration and hypertonic saline tests
- weight loss
, Diabetes Insipidus (DI) interventions - ANSWER - oral chlorpropamide
- desmopressin acetate
- early detection of dehydration and maintenance of adequate hydration
- lifelong vasopressin (ADH) therapy with permanent condition
- teach patients to weigh themselves daily to identify weight loss
SIADH - ANSWER - water is retained, resulting in hyponatremia (decreased
serum sodium level)
- vasopressin (ADH) is secreted even when plasma osmolarity is low or
normal
- feedback mechanisms do not function properly
SIADH assessment - ANSWER - recent head trauma
- cerebrovascular disease
- TB or other pulmonary disease
- cancer
- all past and current drug use
- decrease in serum sodium levels
- weight gain
