Nurs 5338 Mod 2 Pretest | UPDATED Questions with
100% Verified Answers
Q1: Describe the relationship of TSH and T3/T4 in hyperthyroidism
A: decreased TSH
increased T3/T4
Q2: Describe the relationship of TSH and T3/T4 in hypothyroidism
A: increased TSH
decreased T3/T4
Q3: Describe symptoms of hypothyroidism
A: 1. weight gain (inability to use fat stores for ATP production)
2. cold (already lowered body temp)
3. slow heart rate (bradycardia)
4. slowed nervous system (fatigue, brain fog, & depression)
5. lose outer third of eyebrow (slow hair cell mitosis)
Q4: Describe symptoms of hyperthyroidism
A: 1. weight loss (burning through glucose and fat stores)
2. hot, flushed face (already have relatively high body temp)
3. fast, irregular heart rate and blood pressure
4. agitation, irritability, trouble sleeping
5. frequent bowel movements and diarrhea
6. exophthalmos (bulging eyes)
Q5: Describe the Somogyi effect
A: Caused by untreated hypoglycemia (overuse of insulin), a dip in blood sugars causes a
compensatory glucagon release causing hyperglycemia in the morning
Q6: Which hormones cause an increase in glucose?
A: glucagon
epinephrine
growth hormone
cortisol
Q7: Describe how an elevated glucose affects hormones
A: increased insulin secretion
insulin decreases glucagon levels
growth hormone decreases
Q8: Describe how decreased glucose affects hormones
, A: increased glucagon
increased epinephrine
Q9: Describe "Dawn Phenomenon"
A: this is when the patient becomes hyperglycemic between 5-6 am because of a nighttime
release of growth hormone. The treatment: give more insulin for the overnight period. For
instance, give NPH at 10 pm. The diagnosis is made by checking blood glucose during
the night.
Q10: During the Dawn Phenomenon, growth hormone will
A: cause the elevation of glucose
as glucose levels rise, growth hormone decreases
Q11: The Somogyi Effect causes
A: (glucose level is decreased when too much insulin is taken)
Increase in
glucagon
glucose
epinephrine
Eventually causing glucose levels to rise
Q12: What formula is used to calculate BMI?
A: weight in pounds
height (squared) in inches x 703
Q13: The JNC 8 recommends to treat BP of 60 y/o
A: In the general population, pharmacologic treatment should be initiated when blood
pressure is 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or
higher in adults younger than 60 years.
Q14: In patients with hypertension and diabetes JNC 8 recommends
treatment of BP begin
A: when blood pressure is 140/90 mm Hg or higher, regardless of age.
Q15: JNC 8 recommends initial antihypertensive treatment should
include
A: a thiazide diuretic, calcium channel blocker, ACE inhibitor, or ARB in the general nonblack
population or a thiazide diuretic or calcium channel blocker in the general black
population.
Q16: If the target blood pressure is not reached within one month
after initiating therapy
100% Verified Answers
Q1: Describe the relationship of TSH and T3/T4 in hyperthyroidism
A: decreased TSH
increased T3/T4
Q2: Describe the relationship of TSH and T3/T4 in hypothyroidism
A: increased TSH
decreased T3/T4
Q3: Describe symptoms of hypothyroidism
A: 1. weight gain (inability to use fat stores for ATP production)
2. cold (already lowered body temp)
3. slow heart rate (bradycardia)
4. slowed nervous system (fatigue, brain fog, & depression)
5. lose outer third of eyebrow (slow hair cell mitosis)
Q4: Describe symptoms of hyperthyroidism
A: 1. weight loss (burning through glucose and fat stores)
2. hot, flushed face (already have relatively high body temp)
3. fast, irregular heart rate and blood pressure
4. agitation, irritability, trouble sleeping
5. frequent bowel movements and diarrhea
6. exophthalmos (bulging eyes)
Q5: Describe the Somogyi effect
A: Caused by untreated hypoglycemia (overuse of insulin), a dip in blood sugars causes a
compensatory glucagon release causing hyperglycemia in the morning
Q6: Which hormones cause an increase in glucose?
A: glucagon
epinephrine
growth hormone
cortisol
Q7: Describe how an elevated glucose affects hormones
A: increased insulin secretion
insulin decreases glucagon levels
growth hormone decreases
Q8: Describe how decreased glucose affects hormones
, A: increased glucagon
increased epinephrine
Q9: Describe "Dawn Phenomenon"
A: this is when the patient becomes hyperglycemic between 5-6 am because of a nighttime
release of growth hormone. The treatment: give more insulin for the overnight period. For
instance, give NPH at 10 pm. The diagnosis is made by checking blood glucose during
the night.
Q10: During the Dawn Phenomenon, growth hormone will
A: cause the elevation of glucose
as glucose levels rise, growth hormone decreases
Q11: The Somogyi Effect causes
A: (glucose level is decreased when too much insulin is taken)
Increase in
glucagon
glucose
epinephrine
Eventually causing glucose levels to rise
Q12: What formula is used to calculate BMI?
A: weight in pounds
height (squared) in inches x 703
Q13: The JNC 8 recommends to treat BP of 60 y/o
A: In the general population, pharmacologic treatment should be initiated when blood
pressure is 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or
higher in adults younger than 60 years.
Q14: In patients with hypertension and diabetes JNC 8 recommends
treatment of BP begin
A: when blood pressure is 140/90 mm Hg or higher, regardless of age.
Q15: JNC 8 recommends initial antihypertensive treatment should
include
A: a thiazide diuretic, calcium channel blocker, ACE inhibitor, or ARB in the general nonblack
population or a thiazide diuretic or calcium channel blocker in the general black
population.
Q16: If the target blood pressure is not reached within one month
after initiating therapy
