NR 325 Exam 1

NR 325 Exam 1 hypothyroidism (labs) - CORRECT ANSWERS high TSH, low T3 and T4 clinical manifestations of hypothyroidism - CORRECT ANSWERS fatigue, wt gain, cold intolerance, dry skin, periorbital edema management of hypothyroidism - CORRECT ANSWERS low fat, high fiber diet and levothyroxine (synthroid) education levothyroxine/synthroid education - CORRECT ANSWERS -take in morning before breakfast -DO NOT abruptly stop taking or skip a dose -monitor thyroid levels -report tachycardia -avoid soy products (decreases med effectiveness) -can take wks to achieve therapeutic level myxedema coma (r/t hypothyroidism) - CORRECT ANSWERS -emergency -Q2 turn -aspiration precautions d/t edema and thickening of tongue -IV hormone replacement -monitor neurological, CV, and respiratory systems hyperthyroidism (labs) - CORRECT ANSWERS low TSH, high T3 and T4 clinical manifestations of hyperthyroidism - CORRECT ANSWERS wt loss, exophthalmos, tremors, warm skin, heat intolerance, thin and brittle hair management of hyperthyroidism - CORRECT ANSWERS -antithyroid meds (can take months to work appropriately) -low stimulus environment (d/t high metabolism and the sensitivity of the SNS) -RAI (damages thyroid, teach pt s/s pf hypothyroidism) -thyroidectomy -cardiac monitor (d/t increase risk of dysrhythmias) -high calorie and high protein diet PTH (parathyroid hormone) - CORRECT ANSWERS helps regulate serum calcium and phosphate levels hyperparathyroidism - CORRECT ANSWERS condition involving an increased secretion of PTH (parathyroid hormone) causes of hyperparathyroidism - CORRECT ANSWERS -long term lithium therapy -parathyroid tumor -radiation -vitamin D deficiencies hyperparathyroidism labs - CORRECT ANSWERS increased calcium clinical manifestations of hyperparathyroidism - CORRECT ANSWERS may be asymptomatic, shortened attention span, muscle wkness, constipation, fatigue management of hyperparathyroidism - CORRECT ANSWERS remove parathyroid gland and manage hypercalcemia complications of hyperparathyroidism - CORRECT ANSWERS -fxs (d/t increased calcium and phosphate in the blood, which decreases bone density) -renal failure -pancreatitis -osteoporosis Cushing's (labs) - CORRECT ANSWERS increased cortisol levels ***clinical manifestations of Cushing's - CORRECT ANSWERS moon face, buffalo hump, hyperglycemia, wt gain, purple striae, easily bruises, acne, HTN, hirsutism, irregular periods and/or amenorrhea management of Cushing's - CORRECT ANSWERS -transsphenoidal hyposectomy (removal of pituitary tumor) -adrenalectomy -mitotane (suppresses the synthesis of cortisol) normal fasting BG level - CORRECT ANSWERS < 100 normal post-prandial BG - CORRECT ANSWERS < 140 normal A1C - CORRECT ANSWERS < 6.5% clinical manifestations of DM II - CORRECT ANSWERS fatigue, polyuria, polydipsia, polyphagia, blurred vision, n/v management of DM II - CORRECT ANSWERS -rule of 15 -use thiazide diuretics and corticosteroids w/ caution (both effect glucose tolerance) -rules for exercise (don't exercise at peak of insulin, don't exercise w/ ketones in urine, best time to exercise is after eating d/t increase in glucose) -get yearly flu shot ***types of rapid acting insulin - CORRECT ANSWERS -lispro (Humalog