NURS 3117 D444
Adult Health I
Objective Assessment
Review
2025
When is thyroidectomy indicated? -Correct Answer= when treatment doesn't work, if it is
causing tracheal compression or if it is cancerous
What is a common medication used for someone with hypothyroidism? When should
this medication be given? -Correct Answer= levothyroxine (synthroid) - should be given
in the morning because it will give them a boost in energy and they would be unable to
sleep if they took it at night
What are 3 important teaching/interventions for someone with hyperthyroidism (that
aren't medications) -Correct Answer= - they should be in a cool environment (because
they are always hot from increased ATP production)
- they should decrease their activity level
- if they are experiencing exopthalamus (bulging eyeballs) teach them to wear
sunglasses and to use moisturizing eyedrops and close eyes throughout day to help
combat dryness
What are some important nursing care considerations when caring for someone with a
thyroidectomy? -Correct Answer= - semi fowlers, don't flex their neck
- check for signs of tetany
- assess for bleeding and tracheal compression
- trach tray at bedside
- know there may be potential complications of laryngeal nerve damage
What are three common hyperthyroid medications? -Correct Answer= propylthiouracil
(PTU)
methimazole (tapazole)
radioactive iodine
What are some post op considerations for someone who just underwent a
thyroidectomy? -Correct Answer= - monitor thyroid hormones (very important)
- watch iodine intake
,- avoid high environmental heat
- decrease calories
If a patient is experiencing a thyroid storm, what are some nursing interventions that
may need to happen? -Correct Answer= *Think that everything is hyper right now*
- monitor heart rhythm
- oxygen
- IV fluids (if they are vomiting and diarrhea)
- cool room
-calm room
- beta blockers (to block SNS response)
what is a myexedema coma -Correct Answer= severe hypothyroidism resulting in a
metabolic state and mental status change
*myexedema coma treatment* -Correct Answer= this condition is an emergency!!
- mechanical ventilation (because of severe respiratory depression)
- cardiac monitoring because of severe bradycardia
- monitor temperature
What is Cushing's syndrome? -Correct Answer= excessive cortisol production
What is the most common cause of cushings syndrome? -Correct Answer= too much
corticosteroids
What is Addison's disease? -Correct Answer= under secretion of adrenal hormones
A patient presents to the ER complaining of extreme fatigue and an extreme intolerance
to cold. The nurse notices upon assessment that the patient has a dull-blank
expression, brittle hair and nails, hair loss and thickened/slow speech. The nurse
suspects what endocrine disorder? -Correct Answer= Hypothyroidism
A patient presents to the ER with complaints of constant urination and constant thirst.
The nurse takes his vital signs and notes he is hypotensive and tachycardic. The patient
states that he needed to get this fixed ASAP because he has a football game tonight.
What does the nurse suspect may be the issue? -Correct Answer= Diabetes Insipidus
- the patient stating he plays football also is an indicator that maybe he had a recent
head injury while playing that has caused this issue.
A patient presents to the ER stating that he is bruising really easily and is having GI
distress often. During the physical assessment, the nurse notices that the patient has a
red/moon shaped face and he has purple striae on his lower abdomen. The nurse
suspects what endocrine disorder? -Correct Answer= Cushings Syndrome
A patient presents to the ER with complaints of being unable to gain weight and they are
losing weight and they can't go outside because they are intolerant to heat, tremors and
,increased diarrhea. The nurse notices that this patient has bulging eyeballs. The nurse
suspects what endocrine disorder? -Correct Answer= Hyperthyroidism
A patient presents to the ER with complaints of headache, nausea, loss of appetite and
confusion. The nurse draws labs and notices that the patient has increased urine
specific gravity and is hyponatremic. What does the nurse suspect is the endocrine
issue? -Correct Answer= SIADH- indicated by the hypervolemia and hyponatremia signs
and symptoms
A patient presents to the ER with complaints of extreme fatigue, weightloss and
weakness. The nurse notices that the patient has a bronzed pigmentation to her skin.
What endocrine disorder does the nurse suspect? -Correct Answer= Addisons Disease
What is the normal range for creatinine? for males and females -Correct Answer=
males: 0.6-1.2
females: 0.5-1.1
What is the normal range for BUN? -Correct Answer= 10-20 mg/dL
What is the normal range of urine specific gravity? -Correct Answer= 1.005-1.030
RBC casts and protein present in the urine is indicative of what urinary issue? -Correct
Answer= glomerulonephritis- because the glomeruli( filtration system of the kidneys) are
inflammed and let bigger molecules through
A fixed urine specific gravity of 1.010 is indicative of what? -Correct Answer= end stage
renal disease (failure)
What are 3 nursing responsilbities/teaching moments when preparing someone who will
be receiving contrast dye? -Correct Answer= - let the patient know that they will feel a
warm, flushed feeling like they wet their pants
- check for allergies (iodine, shellfish etc.)
- check renal function
which gender more commonly gets kidney stones? -Correct Answer= males
If you suspect a patient has a kidney stone what is the first priority assessment?
-Correct Answer= make sure that a stone isn't blocking a ureter
If a stone is bigger than mm it needs to be removed surgically -Correct
Answer= 5
What is a big complication of a nephrostomy tube? -Correct Answer= infection
How does a nephrostomy tube work? -Correct Answer= goes directly into the kidneys
and drains urine out
, Glomerulonephritis often occurs after what? -Correct Answer= existing infection such as
strep throat
What are some important things that should be in a nurses plan of care for someone
with glomerulonephritis? -Correct Answer= - monitor for s/s of fluid overload
- I & O every 4 hours
- daily weight
- assess for edema
- monitor fluid restriction
- frequent small meals, low protein if increased BUN
What is the difference between an ileal conduit and a kock's pouch? -Correct Answer=
An ileal conduit is where there is a bag that urine flows into that should be emptied
when its about 1/2 full
A kock's pouch is a stoma outside of the body (no bag) and the individual needs to
catheterize themself to release urine every 3-4 hours
What are signs of systemic infection? -Correct Answer= fever
elevated WBC
signs of sepsis (increased HR, decreased BP, changes in temperature)
Cystitis is AKA -Correct Answer= UTI or bladder infection
Pyelonephritis is AKA -Correct Answer= kidney infection
What is glomerulonephritis? -Correct Answer= inflammation of the glomeruli of the
kidney
A 68 year old female client presents with hematuria, 10 pounds of weight loss over the
last month, Hx of obesity and smoking 1/2 pack/day for the past 40 years. Her
assessment is within normal limits except for a palpable right flank mass. What does the
nurse suspect might be the problem? -Correct Answer= kidney cancer
a 72 year old female client discharged 3 days ago from the medical surgical floor
following a left hip replacement. The client was brought in by her daughter with acute
confusion and incontinence for the past 2 days. Hx of Type 2 DM. Her assessment is
within normal limits except A&O to self only and right CVA tenderness with percussion.
What does the nurse suspect might be the problem? -Correct Answer= Pyelonephritis
What medication do we give for someone with SIADH? -Correct Answer= tolvaptan
(vasopressin antagonist)
What are the 6 functions of the kidney? -Correct Answer= - removal of nitrogenous
waste
- erythropoeitein production
Adult Health I
Objective Assessment
Review
2025
When is thyroidectomy indicated? -Correct Answer= when treatment doesn't work, if it is
causing tracheal compression or if it is cancerous
What is a common medication used for someone with hypothyroidism? When should
this medication be given? -Correct Answer= levothyroxine (synthroid) - should be given
in the morning because it will give them a boost in energy and they would be unable to
sleep if they took it at night
What are 3 important teaching/interventions for someone with hyperthyroidism (that
aren't medications) -Correct Answer= - they should be in a cool environment (because
they are always hot from increased ATP production)
- they should decrease their activity level
- if they are experiencing exopthalamus (bulging eyeballs) teach them to wear
sunglasses and to use moisturizing eyedrops and close eyes throughout day to help
combat dryness
What are some important nursing care considerations when caring for someone with a
thyroidectomy? -Correct Answer= - semi fowlers, don't flex their neck
- check for signs of tetany
- assess for bleeding and tracheal compression
- trach tray at bedside
- know there may be potential complications of laryngeal nerve damage
What are three common hyperthyroid medications? -Correct Answer= propylthiouracil
(PTU)
methimazole (tapazole)
radioactive iodine
What are some post op considerations for someone who just underwent a
thyroidectomy? -Correct Answer= - monitor thyroid hormones (very important)
- watch iodine intake
,- avoid high environmental heat
- decrease calories
If a patient is experiencing a thyroid storm, what are some nursing interventions that
may need to happen? -Correct Answer= *Think that everything is hyper right now*
- monitor heart rhythm
- oxygen
- IV fluids (if they are vomiting and diarrhea)
- cool room
-calm room
- beta blockers (to block SNS response)
what is a myexedema coma -Correct Answer= severe hypothyroidism resulting in a
metabolic state and mental status change
*myexedema coma treatment* -Correct Answer= this condition is an emergency!!
- mechanical ventilation (because of severe respiratory depression)
- cardiac monitoring because of severe bradycardia
- monitor temperature
What is Cushing's syndrome? -Correct Answer= excessive cortisol production
What is the most common cause of cushings syndrome? -Correct Answer= too much
corticosteroids
What is Addison's disease? -Correct Answer= under secretion of adrenal hormones
A patient presents to the ER complaining of extreme fatigue and an extreme intolerance
to cold. The nurse notices upon assessment that the patient has a dull-blank
expression, brittle hair and nails, hair loss and thickened/slow speech. The nurse
suspects what endocrine disorder? -Correct Answer= Hypothyroidism
A patient presents to the ER with complaints of constant urination and constant thirst.
The nurse takes his vital signs and notes he is hypotensive and tachycardic. The patient
states that he needed to get this fixed ASAP because he has a football game tonight.
What does the nurse suspect may be the issue? -Correct Answer= Diabetes Insipidus
- the patient stating he plays football also is an indicator that maybe he had a recent
head injury while playing that has caused this issue.
A patient presents to the ER stating that he is bruising really easily and is having GI
distress often. During the physical assessment, the nurse notices that the patient has a
red/moon shaped face and he has purple striae on his lower abdomen. The nurse
suspects what endocrine disorder? -Correct Answer= Cushings Syndrome
A patient presents to the ER with complaints of being unable to gain weight and they are
losing weight and they can't go outside because they are intolerant to heat, tremors and
,increased diarrhea. The nurse notices that this patient has bulging eyeballs. The nurse
suspects what endocrine disorder? -Correct Answer= Hyperthyroidism
A patient presents to the ER with complaints of headache, nausea, loss of appetite and
confusion. The nurse draws labs and notices that the patient has increased urine
specific gravity and is hyponatremic. What does the nurse suspect is the endocrine
issue? -Correct Answer= SIADH- indicated by the hypervolemia and hyponatremia signs
and symptoms
A patient presents to the ER with complaints of extreme fatigue, weightloss and
weakness. The nurse notices that the patient has a bronzed pigmentation to her skin.
What endocrine disorder does the nurse suspect? -Correct Answer= Addisons Disease
What is the normal range for creatinine? for males and females -Correct Answer=
males: 0.6-1.2
females: 0.5-1.1
What is the normal range for BUN? -Correct Answer= 10-20 mg/dL
What is the normal range of urine specific gravity? -Correct Answer= 1.005-1.030
RBC casts and protein present in the urine is indicative of what urinary issue? -Correct
Answer= glomerulonephritis- because the glomeruli( filtration system of the kidneys) are
inflammed and let bigger molecules through
A fixed urine specific gravity of 1.010 is indicative of what? -Correct Answer= end stage
renal disease (failure)
What are 3 nursing responsilbities/teaching moments when preparing someone who will
be receiving contrast dye? -Correct Answer= - let the patient know that they will feel a
warm, flushed feeling like they wet their pants
- check for allergies (iodine, shellfish etc.)
- check renal function
which gender more commonly gets kidney stones? -Correct Answer= males
If you suspect a patient has a kidney stone what is the first priority assessment?
-Correct Answer= make sure that a stone isn't blocking a ureter
If a stone is bigger than mm it needs to be removed surgically -Correct
Answer= 5
What is a big complication of a nephrostomy tube? -Correct Answer= infection
How does a nephrostomy tube work? -Correct Answer= goes directly into the kidneys
and drains urine out
, Glomerulonephritis often occurs after what? -Correct Answer= existing infection such as
strep throat
What are some important things that should be in a nurses plan of care for someone
with glomerulonephritis? -Correct Answer= - monitor for s/s of fluid overload
- I & O every 4 hours
- daily weight
- assess for edema
- monitor fluid restriction
- frequent small meals, low protein if increased BUN
What is the difference between an ileal conduit and a kock's pouch? -Correct Answer=
An ileal conduit is where there is a bag that urine flows into that should be emptied
when its about 1/2 full
A kock's pouch is a stoma outside of the body (no bag) and the individual needs to
catheterize themself to release urine every 3-4 hours
What are signs of systemic infection? -Correct Answer= fever
elevated WBC
signs of sepsis (increased HR, decreased BP, changes in temperature)
Cystitis is AKA -Correct Answer= UTI or bladder infection
Pyelonephritis is AKA -Correct Answer= kidney infection
What is glomerulonephritis? -Correct Answer= inflammation of the glomeruli of the
kidney
A 68 year old female client presents with hematuria, 10 pounds of weight loss over the
last month, Hx of obesity and smoking 1/2 pack/day for the past 40 years. Her
assessment is within normal limits except for a palpable right flank mass. What does the
nurse suspect might be the problem? -Correct Answer= kidney cancer
a 72 year old female client discharged 3 days ago from the medical surgical floor
following a left hip replacement. The client was brought in by her daughter with acute
confusion and incontinence for the past 2 days. Hx of Type 2 DM. Her assessment is
within normal limits except A&O to self only and right CVA tenderness with percussion.
What does the nurse suspect might be the problem? -Correct Answer= Pyelonephritis
What medication do we give for someone with SIADH? -Correct Answer= tolvaptan
(vasopressin antagonist)
What are the 6 functions of the kidney? -Correct Answer= - removal of nitrogenous
waste
- erythropoeitein production
