MDC II - Final Exam – Rasmussen
Questions & Answers34
*PT PAP HOT*
▪ Pituitary
▪ Thyroid
▪ Pancreas
▪ Adrenals
▪ Parathyroid
▪ Hypothalamus
▪ Ovaries
▪ Testes - ANSWERS-What are the glands of the endocrine system? (SATA Q?)
Grave's disease - ANSWERS-an autoimmune disorder that is caused by hyperthyroidism and is
characterized by *goiter and/or exophthalmos*
*Treatments*
▪ Rx: methimazole, atenolol, and *iodine-131*
▪ radiation therapy
*Nursing Interventions*
▪ provide a calm environment
,▪ keep patients room cool
▪ assess pain
▪ prepare patient for surgery
▪ post-operative care
▪ maintain a patent airway
-------- same as hypothyroidism ---------
▪ provide periods of rest
▪ continuous cardiac monitoring
▪ monitor vital signs
▪ daily weight
▪ monitor I&O
▪ monitor laboratory tests
▪ apply antiembolism stockings to prevent DVT
▪ provide skin care - ANSWERS-*HYPERthyroidism aka Grave's disease*
▪ Treatments
pituitary gland - ANSWERS-_________ is considered to be the "master gland" as it secretes
hormones that control other parts of the endocrine system.
▪ ACTH
▪ TSH
▪ are the most life threatening because they cause a decrease in the secretion of vital hormones
from the adrenal and thyroid glands. - ANSWERS-*Anterior HYPOpituitarism*
▪ Deficiencies of which two hormones are the most life threatening?
,Bloodwork (*all are DECREASED*)
▪ T3
▪ T4
▪ Prolactin
▪ Testosterone
▪ Estradiol
Scans (you'll always draw blood work first for diagnostics though)
▪ CT/MRI - detect bone or soft tissue lesions
▪ Skull X-ray - detect enlargement, erosions, and calcification of the sella turcica - ANSWERS-
*Anterior HYPOpituitarism*
▪ Laboratory & Diagnostic Tests
TRUE! We have very small amounts of testosterone or estradiol no matter if we are men or
women. - ANSWERS-T/F: do both men and women have testosterone and estradiol?
*INCREASED:*
▪ Prolactin - this might be the answer to the Q
▪ Cortisol
▪ TSH
▪ LH (men)
▪ FSH (men)
▪ Glucose
*DECREASED:*
, ▪ Gonadotropin - ANSWERS-*Anterior HYPERpituitarism*
(SATA Q?)
▪ Laboratory Tests
▪ Prevent infection because they are immunosuppressed
▪ handwashing - ANSWERS-HYPERcortisolism (aka Cushing's Disease)
*Priority Intervention*
diabetes insipidus - ANSWERS-▪ *Deficiency of ADH* resulting in large volumes of dilute urine
▪ A disorder of the posterior pituitary gland
*They are losing a lot of water:*
• polyuria
• polydipsia
• dehydration
• fluid/electrolyte imbalance
• dilute, low urine specific gravity (<1.005)
• high plasma osmolarity
• output does not decrease when fluid intake decreases
*remember! your s/s are going to look like dehydration*
• tachycardia
Questions & Answers34
*PT PAP HOT*
▪ Pituitary
▪ Thyroid
▪ Pancreas
▪ Adrenals
▪ Parathyroid
▪ Hypothalamus
▪ Ovaries
▪ Testes - ANSWERS-What are the glands of the endocrine system? (SATA Q?)
Grave's disease - ANSWERS-an autoimmune disorder that is caused by hyperthyroidism and is
characterized by *goiter and/or exophthalmos*
*Treatments*
▪ Rx: methimazole, atenolol, and *iodine-131*
▪ radiation therapy
*Nursing Interventions*
▪ provide a calm environment
,▪ keep patients room cool
▪ assess pain
▪ prepare patient for surgery
▪ post-operative care
▪ maintain a patent airway
-------- same as hypothyroidism ---------
▪ provide periods of rest
▪ continuous cardiac monitoring
▪ monitor vital signs
▪ daily weight
▪ monitor I&O
▪ monitor laboratory tests
▪ apply antiembolism stockings to prevent DVT
▪ provide skin care - ANSWERS-*HYPERthyroidism aka Grave's disease*
▪ Treatments
pituitary gland - ANSWERS-_________ is considered to be the "master gland" as it secretes
hormones that control other parts of the endocrine system.
▪ ACTH
▪ TSH
▪ are the most life threatening because they cause a decrease in the secretion of vital hormones
from the adrenal and thyroid glands. - ANSWERS-*Anterior HYPOpituitarism*
▪ Deficiencies of which two hormones are the most life threatening?
,Bloodwork (*all are DECREASED*)
▪ T3
▪ T4
▪ Prolactin
▪ Testosterone
▪ Estradiol
Scans (you'll always draw blood work first for diagnostics though)
▪ CT/MRI - detect bone or soft tissue lesions
▪ Skull X-ray - detect enlargement, erosions, and calcification of the sella turcica - ANSWERS-
*Anterior HYPOpituitarism*
▪ Laboratory & Diagnostic Tests
TRUE! We have very small amounts of testosterone or estradiol no matter if we are men or
women. - ANSWERS-T/F: do both men and women have testosterone and estradiol?
*INCREASED:*
▪ Prolactin - this might be the answer to the Q
▪ Cortisol
▪ TSH
▪ LH (men)
▪ FSH (men)
▪ Glucose
*DECREASED:*
, ▪ Gonadotropin - ANSWERS-*Anterior HYPERpituitarism*
(SATA Q?)
▪ Laboratory Tests
▪ Prevent infection because they are immunosuppressed
▪ handwashing - ANSWERS-HYPERcortisolism (aka Cushing's Disease)
*Priority Intervention*
diabetes insipidus - ANSWERS-▪ *Deficiency of ADH* resulting in large volumes of dilute urine
▪ A disorder of the posterior pituitary gland
*They are losing a lot of water:*
• polyuria
• polydipsia
• dehydration
• fluid/electrolyte imbalance
• dilute, low urine specific gravity (<1.005)
• high plasma osmolarity
• output does not decrease when fluid intake decreases
*remember! your s/s are going to look like dehydration*
• tachycardia
