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NURS 401 Exam 4 – Questions With Complete Solutions

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NURS 401 Exam 4 – Questions With Complete Solutions

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NURS 401 Exam 4 – Questions With Complete
Solutions

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1 Moderate burn severity 2 Anterior pituitary hormones



Bromocriptine & Cabergoline side
3 4 GH deficiency
effect



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Terms in this set (93)



Anterior pituitary hormones FSH, LH, ACTH, TSH, Prolactin, GH - FLAT PiG


Posterior pituitary hormones Vasopressin (ADH), Oxytocin


ACTH deficiency Decreased cortisol production, hypoglycemia,
hyponatremia, hypotension, fatigue, pale/ash-gray
complexion, headache

, Gonadotropin Deficiency (FSH/LH) F: amenorrhea, breast atrophy, decreased body hair
and bone density M: erectile dysfunction, decreased
facial/body hair and muscle mass Both: infertility,
decreased libido


GH deficiency decreased muscle strength and bone density,
pathologic fractures, increased cholesterol


TSH deficiency (secondary cold intolerance, lethargy, weight gain, alopecia,
hypothyroidism) menstrual abnormalities, slow cognition


Diabetes insipidus ADH deficiency, polyuria, polydipsia, hypotension,
dehydration, increased plasma osmolarity,
hypernatremia, dilute urine


Nursing Assess for hypopituitarism Secondary sex characteristics, hair loss, libido
changes, peripheral vision changes, MRI/CT


Hyperpituitarism common cause Pituitary adenoma


Acromegaly s/s Increased GH, enlarged hands/feet/jaw, thick lips,
coarse facial features, joint pain, barrel chest,
hyperglycemia


Hyperthyroidism Increased TSH, weight loss, tachycardia, heat
intolerance, tremor, increased GI motility


Bromocriptine & Cabergoline Reduces GH and prolactin secretion


Bromocriptine & Cabergoline side Orthostatic hypotension, headache, nausea,
effect constipation (give with meals)


Hypophysectomy Pituitary surgery


Post-op hyphosectomy care Monitor neurologic status, fluid balance, nasal
drainage, head of bed elevated 30%

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