514 ENDOCRINE QUESTIONS AND ANSWERS WITH SOLUTIONS 2025

Classifications of the endocrine disorders? - ANSWER Primary involves gland involvment Secondary involves anterior pituitary Tertiary involves the hypothalamus Target call dysfunction - bone for PTH, kidneys for ADH, etc What is your endocrine assessment? - ANSWER 1. History; Use systems approach, Usual demographic data 2. Personal and family History of endocrine problems, hospitalizations, meds such as steroids, oral contraceptives 3. Socioeconomic status; Need to know if client has the $$$ for special diet, meds, Rx that might be required 4. Energy See decrease esp in thyroid probs, Effect of ADL, 5. Elimination pattern; nocturia or dysuria 6. Sexual and reproductive; menstrual problems, impotence, change in libido 7. Physical appearance and assessment 8. ADLs/activity patterns ANTIDIURETIC HORMONE Produced where? Stored and released from? What does it do? Why is it released? - ANSWER Produced by the hypothalamus Stored/ released from the posterior pituitary gland Conserves water to maintain blood pressure Acts on collecting ducts and tubules of kidney Secreted in response to: ----Increased serum osmolarity ----Decreased plasma volume ----Decreased blood pressure What hormone is deficient in DI? Why? Lack of this hormone causes? - ANSWER Decrease in ADH synthesis Inability of kidneys to respond to ADH Increased urine output Specific gravity < 1.005 Serum Na+ > 145 Increased serum osmolarity Decreased urine osmolarity Dehydration. Must keep hydrated Thirst Diagnostic evaluation of DI - ANSWER 1. Measure 24hr fluid I&O w/o restricting food or fluids. +=UO >4L and >ingestion value 2. Water deprivation test 3. Chemistries - serum and urine 4.