Endocrine 46 47 48 Med Surg 2 Questions And Correct Answers

ENDOCRINE 46 47 48 MED SURG 2
QUESTIONS AND CORRECT ANSWERS
IfA2theA2pituitaryA2dysfunctionA2isA2causedA2byA2aA2tumor,A2theA2patientA2mayA2haveA2-
A2Ans--
headaches,A2visionA2disturbances,A2seizures,A2andA2lossA2ofA2theA2senseA2ofA2smell.

.A2AA2patientA2whoA2hasA2recentlyA2startedA2treatmentA2forA2acromegalyA2says,A2"IA2willA2b
eA2soA2gladA2toA2lookA2likeA2myselfA2again!"A2WhichA2ofA2theA2followingA2isA2theA2mostA2ap
propriateA2response?
1.A2"IA2knowA2youA2areA2lookingA2forwardA2toA2that."
2.A2"TheA2processA2ofA2reversingA2theA2effectsA2ofA2acromegalyA2isA2veryA2slow."
3.A2"TreatmentA2willA2keepA2yourA2symptomsA2fromA2gettingA2worseA2butA2willA2notA2revers
eA2allA2ofA2them."
4.A2"TheseA2drugsA2canA2slowA2downA2theA2progressionA2ofA2acromegalyA2butA2youA2willA2
haveA2additionalA2boneA2enlargement."A2-A2Ans--
3.A2"TreatmentA2willA2keepA2yourA2symptomsA2fromA2gettingA2worseA2butA2willA2notA2revers
eA2allA2ofA2them."

.A2AfterA2surgeryA2toA2removeA2aA2pituitaryA2adenoma,A2aA2patientA2complainsA2ofA2neckA2
stiffness.A2WhichA2ofA2theA2followingA2actionsA2shouldA2youA2take?
1.A2GiveA2aA2gentleA2neckA2massage
2.A2AdministerA2aA2prescribedA2analgesic
3.A2LowerA2theA2headA2ofA2theA2bed
4.A2LookA2forA2otherA2signsA2ofA2infectionA2-A2Ans--.A2LookA2forA2otherA2signsA2ofA2infection

.A2PatientsA2withA2hypopituitarismA2whoA2wishA2toA2haveA2childrenA2mustA2beA2treatedA2wit
hA2whichA2ofA2theA2followingA2hormones?A2(SelectA2allA2thatA2apply.)
1.A2LH
2.A2ThyroidA2hormone
3.A2FSH
4.A2Prolactin
5.A2ACTHA2-A2Ans--LHA2,A2FSH

WhichA2ofA2theA2followingA2isA2theA2mainA2symptomA2ofA2SIADH?
1.A2IncreasedA2bloodA2glucose
2.A2WaterA2retention
3.A2GeneralizedA2edema
4.A2HypotensionA2-A2Ans--WaterA2retention

.A2ToA2regulateA2drugA2dosagesA2forA2theA2patientA2withA2DI,A2whichA2ofA2theA2followingA2r
ecordsA2mustA2beA2maintained?
1.A2DailyA2diet
2.A2SodiumA2intake

, 3.A2UrineA2specificA2gravity
4.A2BPA2andA2pulseA2-A2Ans--UrineA2specificA2gravity

FluidA2andA2electrolyteA2imbalancesA2associatedA2withA2AddisonA2diseaseA2includeA2whic
hA2ofA2theA2following?A2(SelectA2allA2thatA2apply.)
1.A2Hyperkalemia
2.A2Hyponatremia
3.A2Hypervolemia
4.A2MetabolicA2alkalosis
5.A2HypercalcemiaA2-A2Ans--Hyperkalemia.A2Hyponatremia

AA2patientA2whoA2isA2broughtA2toA2theA2emergencyA2departmentA2hasA2BPA288/40A2mmA2H
g;A2pulseA2108A2bpm,A2thready;A2andA2dryA2skinA2andA2mucousA2membranes.A2HeA2isA2co
nfused.A2AA2medicalA2alertA2cardA2inA2hisA2walletA2statesA2thatA2heA2takesA2drugsA2forA2Ad
disonA2disease.A2YouA2recognizeA2theA2signsA2andA2symptomsA2ofA2whichA2ofA2theA2follow
ing?
1.A2AcuteA2adrenalA2crisis
2.A2CushingA2syndrome
3.A2DiabeticA2ketoacidosis
4.A2CushingA2diseaseA2-A2Ans--.A2AcuteA2adrenalA2crisis

NursingA2careA2ofA2theA2patientA2withA2CushingA2syndromeA2shouldA2includeA2whichA2ofA2t
heA2following?
1.A2ApplyA2moisturizersA2toA2dark,A2toughenedA2areasA2ofA2skin
2.A2ProtectA2theA2patientA2fromA2visitorsA2andA2otherA2patientsA2withA2infections
3.A2TellA2theA2patientA2thatA2moodA2swingsA2andA2irritabilityA2willA2lessenA2withA2treatment
4.A2EncourageA2theA2patientA2toA2useA2saltA2liberallyA2toA2offsetA2excessiveA2lossA2inA2theA
2urineA2-
A2Ans--.A2ProtectA2theA2patientA2fromA2visitorsA2andA2otherA2patientsA2withA2infections
A2TellA2theA2patientA2thatA2moodA2swingsA2andA2irritabilityA2willA2lessenA2withA2treatment


YouA2areA2notifiedA2thatA2aA2patientA2withA2severeA2hypothyroidismA2isA2beingA2admittedA2
toA2yourA2nursingA2unit.A2WhichA2ofA2theA2followingA2actionsA2areA2appropriate?
A2(SelectA2allA2thatA2apply.)
1.A2ObtainA2anA2emergencyA2tracheostomyA2tray
2.A2CloseA2theA2blindsA2toA2dimA2theA2lightA2inA2theA2room
3.A2HaveA2extraA2blanketsA2putA2inA2theA2room
4.A2PadA2theA2sideA2railsA2onA2theA2bed
5.A2SetA2theA2roomA2temperatureA2toA268°FA2-A2Ans--
HaveA2extraA2blanketsA2putA2inA2theA2room

.A2YouA2observeA2thatA2aA2hyperthyroidA2patientA2hasA2prominent,A2bulgingA2eyeballs.A2W
hatA2termA2isA2usedA2toA2describeA2thisA2condition?A2-A2Ans--exophthalmos

AA26-
weekA2courseA2ofA2treatmentA2withA2propylthiouracilA2(PTU)A2isA2prescribedA2forA2aA2patie