MEDSURG II ENDOCRINE EXAM 4 REVIEW QUESTIONS AND ANSWERS.

MEDSURG II ENDOCRINE EXAM 4
REVIEW QUESTIONS AND ANSWERS

Hormone secretion does what when circulating levels drop? - Correct Answer - increase
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Elevation of T3 T4 levels being released means - Correct Answer - TSH levels drop
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How would you palpate and assess a tumor on the thyroid? - Correct Answer -
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ISTHMUS. Stand behind the pt (posterior approach) and palpate anterior neck below
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chricoid cartilage and have the patient swallow.
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What is the best indication to determine if someone has hypothyroidism - Correct
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Answer - TSH level (high)
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What would be the difference between thyroid storm and hyperthyroidism - Correct
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Answer - thyroid storm will appear with fever, tremors, severe htn, tachycardia,
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CHANGE IN LOC.
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What clinical manifestations would we see with hyperthyroidism? - Correct Answer -
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tachycardia, weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter,
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anxiety, insomnia, increased appetite
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Not all hormones need to be imbalanced to - Correct Answer - diagnose
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Anytime we have a subtotal or total thyroidectomy pts are at risk for - Correct Answer -
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hypoparathyroidism and hypothyroidism
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Postop complications for total or subtotal thyroidectomies - Correct Answer - airway
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(swelling), laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia
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(hypoparathyroidism), hyperthyroid symptoms (thyroid storms), hyperthermic
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For hypoparathyroidism we wanna check what type of calcium level - Correct Answer -
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ionized calcium level
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A1C levels should be less than what for diabetics? - Correct Answer - 7
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In A1C lower levels are always - Correct Answer - better
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Grave's disease is asscoiated with - Correct Answer - hyperthyroidism
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What is hashimotos associated with - Correct Answer - hypothyroidism
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, Pt education for transsphenoidal hypophysectomy - Correct Answer - keep low ICP
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Interventions to lower ICP - Correct Answer - elevate head of bed, no lifting heavy
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vobjects, do not use IS, no straws, monitor CSF leakage (monitor with halo test), no
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vblowing nose or coughing sneezing. v v v v




If we suspect CSF leakage what is our first priority? - Correct Answer - notify the
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vsurgeon

Main cause of hyperpituitarism is - Correct Answer - tumors
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What is our go to intervention for hyperpituitarism - Correct Answer - surgery to remove
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tumor or even part of the gland
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Hypothyroidism discharge teaching - Correct Answer - PT and pharmacy is v v v v v v v v v v


recommended as a care plan (lifelong medication, and weakness and muscle aches for
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PT).
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Pt education for hypothyroidism - Correct Answer - take meds in the am with no food,
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report weight loss, report chest pain
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For severe hypothyroidism our priority will be - Correct Answer - get VS
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Hyperparathyroidism priority nursing assessments - Correct Answer - cardiac monitoring v v v v v v v v v


(shortened QT), bowel function (diarrhea is common), pain management, and calcium
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levels, NOT I&Os
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Hyperthyroidism will cause in increase in - Correct Answer - corticosteroid elevation v v v v v v v v v v v


therefore increased glucose and higher risk for seizures
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Which risk would we address first between seizures and hyperglycemia? - Correct
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Answer - seizures
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What is worse acutely in Diabetes? - Correct Answer - hypoglycemia
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Normal blood sugar is - Correct Answer - 65-99
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Insulin is released from - Correct Answer - beta cells of the pancreas
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Glucagon is released from - Correct Answer - alpha cells of the pancreas
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Insulins job is to - Correct Answer - "unlock" the cell so it allows glucose to enter,
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vtherefore lowering the sugar in the blood v v v v v v




Type I diabetes is most commonly diagnosed before - Correct Answer - 30
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