ELABORATED_ASSESSMENT_AND_MANAGEMENT_OF_PATIENTS_WITH_ENDOCRINE

ELABORATED ASSESSMENTAND xf xf




MANAGEMENT OF PATIENTS WITH ENDOC xf xf xf xf




RINE DISORDERS EXAM QUESTIONS AND A xf xf xf xf xf




NSWERS (CH. 52) xf xf




The nurse obtains a complete family history of a client with a suspected endocrine disorder based on whic
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h rationale?
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1. An allergy to iodine is inherited.
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2. It helps determine the client's general status.
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3. Endocrine disorders can be inherited. xf xf xf xf




4. Diet and drug histories are related to the family history. - CORRECT ANSWER -
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Correct response: Endocrine disorders can be inherited.
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Explanation:

Some endocrine disorders are inherited or have a tendency to run in families. Therefore, it is essential to t
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ake a complete family history. A complete blood count and chemistry profile are performed to determine
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the client's general status and to rule out disorders. Obtaining information about an allergy to iodine is i
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mportant because diagnostic testing may involve the use of contrast dyes. However, an allergy to iodine i
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s not related to endocrine disorders. Diet and drug histories, although important information, are not ass
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ociated with the family history. xf xf xf xf




Accidental removal of one or both parathyroid glands can occur during a thyroidectomy. Which of the followin
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g is used to treat tetany?
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1. Tapazole

2. Synthroid

3. Propylthiouracil (PTU) xf




4. Calcium gluconate - CORRECT ANSWER -Correct response:
xf xf xf xf xf xf

,Calcium gluconate xf




Explanation:

Sometimes in thyroid surgery, the parathyroid glands are removed, producing a disturbance in calcium metab
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olism. Tetany is usually treated with IV calcium gluconate. Synthroid is used in the treatment of hypothyroidis
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m. PTU and Tapazole are used in the treatment of hyperthyroidism.
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A nurse is caring for a client with a kidney disorder. What hormone released by the kidneys initiates the produ
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ction of angiotensin and aldosterone to increase blood pressure and blood volume?
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1. erythropoietin

2. cholecystokinin

3. gastrin

4. rerenin - CORRECT ANSWER -Correct response:
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renin



Explanation:

Renin is released from the kidneys and initiates the production of angiotensin and aldosterone to increas
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e blood pressure and blood volume. The kidneys secrete erythropoietin, a substance that promotes the
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maturation of red blood cells. Cholecystokinin released from cells in the small intestine stimulates contra
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ction of the gallbladder to release bile when dietary fat is ingested. Gastrin is released within the stomach
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to increase the production of hydrochloric acid.
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A client with acromegaly is admitted to the hospital with complaints of partial blindness that began sudde
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nly. What does the nurse suspect is occurring with this client?
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1. Retinal detachment xf




2. Pressure on the optic nerve xf xf xf xf




3. Glaucoma

4. Corneal abrasions - CORRECT ANSWER - xf xf xf xf xf




Correct response: Pressure on the optic nerve
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,Explanation:

Partial blindness may result from pressure on the optic nerve. Glaucoma does not occur suddenly, and the
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client did not report injury to suspect corneal abrasions or retinal detachment.
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A nurse is caring for a client with suspected hyperparathyroidism. Which condition may contribute to hyperpar
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athyroidism?

1. Steroid use xf




2. Renal failure xf




3. Decreased serum calcium level xf xf xf




4. Thyroidectomy - CORRECT ANSWER -Correct response: xf xf xf xf xf




Renal failure
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Explanation:

Kidney damage can result from the precipitation of calcium phosphate in the renal pelvis and parenchym
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a, which causes renal calculi (kidney stones), obstruction, pyelonephritis, and kidney injury. Parathyroid h
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ormone release increases, causing hyperparathyroidism. Serum calcium level may rise as a result of hyper
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parathyroidism. Thyroidectomy may lead to hypoparathyroidism if the parathyroid is also removed during
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surgery. Steroid use causes calcium to leave bone, suppressing parathyroid hormone.
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Which of the following hormones controls secretion of adrenal androgens?
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1. Adrenocorticotropic hormone (ACTH) xf xf




2. Thyroid-stimulating hormone (TSH) xf xf




3. Calcitonin

4. Parathormone - CORRECT ANSWER - xf xf xf xf




Correct response: Adrenocorticotropic hormone (ACTH)
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Explanation:

, ACTH controls the secretion of adrenal androgens. When secreted in normal amounts, the adrenal andro
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gens appear to have little effect, but when secreted in excess, as in certain inborn enzyme deficiencies, m
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asculinization may result. The secretion of T3 and T4 by the thyroid gland is controlled by TSH. Parathorm
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one regulates calcium and phosphorous metabolism. Calcitonin reduces the plasma level of calcium by inc
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reasing its deposition in bone. xf xf xf xf




A patient has been diagnosed with Cushing's syndrome. The nurse would expect which of the following featur
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es to be present upon physical examination? Select all that apply.
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1. Thin extremities xf




2. Purple striae xf




3. Truncal obesity xf




4. "Moon face" xf




5. "Buffalo hump" - CORRECT ANSWER -Correct response: xf xf xf xf xf xf




"Buffalo hump" xf xf




Thin extremities xf x




f "Moon face" Tr xf xf




uncal obesity Pu xf xf




rple striae xf




Explanation:

Manifestations of Cushing's syndrome (excessive adrenocortical hormones may cause "moon face," "buf
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falo hump," thinning of the skin, obesity of the trunk and thinness of the extremities, and purple striae.
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A client presents with a huge lower jaw, bulging forehead, large hands and feet, and frequent headaches.
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What could be causing this client's symptoms?
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1. panhypopituitarism

2. panhyperpituitarism

3. hypopituitarism