NSG 4800 - Unit 6 - EndocrineStudent Questions And Correct Answers |100% Verified |Guaranteed Success | update

Acromegaly • Overproduction of growth hormone, after the growth plates are closed • Physical changes are irreversible • Pt is generally weak and joints which become painful and stiff • Males = Impotent • Females = amenorrhea, increased facial hair, deep voice • Treatment is removal of Pituitary gland Dwarfism • Dwarfism • Decrease of growth hormone prior to epiphysis closure ps:// Syndrome of Inappropriate Antidiuretic • Condition that continually releases the antidiuretic hormone (ADH) • Body retains water and becomes “soggy” • Water Intoxication may occur • Cerebral edema may occur and puts client at risk for seizures • Symptoms: • Low urinary output with elevated Sp. gravity • Serum Na level will be decreased because it is diluted • Fluid retention Treatments: • Eliminate underlying cause • Restrict fluids & monitor I & O • Frequent mouth care • Daily weights • Diuretics may be used • Neuro checks and seizure precautions are implemented • Keep HOB flat or only slightly elevated to decrease the secretion of ADH • IV hypertonic solution if client has hyponatremia Diabetes Insipidus ADH secretion greatly reduced • Urine output is 2-20 Liters/24 hours • Urine is dilute with low sp. gravity = 1.005 • Polyuria, polydipsia, weakness, anorectic, loses weight • Administer vasopressin SQ or IV • Vasopressin decreases UOP and increases resorption of water by the renal tubules • Cannot be treated by limiting the intake of fluid, why? SIADH vs. DI ttps:// A patient has Diabetes Insipidus. Which nursing intervention is essential for monitoring this condition? 1. Inserting a Foley catheter 2. Measuring intake and output 3. Analyzing blood glucose levels 4. Sending a urine specimen to the lab