NU 155 - Exam 2 with answers

NU 155 - Exam 2 with answers
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Age related changes in endocrine - CORRECT ANSWERS ✔✔-
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pituitary becomes smaller |\ |\




-at 20 metabolism starts to decline
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-hormones decrease with older age |\ |\ |\ |\ |\




-FSH, LH, ADH might increase w/ older age
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-BGL rise |\




hormones that remain unchanged - CORRECT ANSWERS ✔✔-|\ |\ |\ |\ |\ |\ |\


Cortisol
-Insulin
-Thyroid hormones |\




pituitary gland - CORRECT ANSWERS ✔✔Anterior: TSH, ACTH, GH,
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FSH, LH, prolactin
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Posterior: ADH, oxytocin |\ |\




Thyroid Scan - CORRECT ANSWERS ✔✔-tell pt to avoid iodine
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before test; takes 6 wks to remove from body
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-used to determine size, shape, & activity of thyroid gland
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-to detect hyperactive "hot" spots & Hypoactive "cold" spots
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-collect 24 hr urine specimens |\ |\ |\ |\ |\

,-pt must remain still; scan is 20 min
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Function tests - CORRECT ANSWERS ✔✔T3 T4, TSH tested & no
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prep necessary |\




High metabolism is _____, and low metabolism is _____. -
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CORRECT ANSWERS ✔✔hot; cold & clammy |\ |\ |\ |\ |\




Goiter: pathology - CORRECT ANSWERS ✔✔-englarged thyroid
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gland
-one type is caused by iodine deficiency & another is an increase
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of TSH from lack of thyroid hormone production
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Goiter: s/s - CORRECT ANSWERS ✔✔-first sign is enlarged front of
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neck
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-pressing against esophagus & causes difficulty swallowing
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-can affect trachea & interfere w/ normal breathing
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-increased, normal, or decreased hormone production |\ |\ |\ |\ |\




-physician can order a scan that uses radioactive iodine &|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


determines cancer |\




goiter: treatment - CORRECT ANSWERS ✔✔-if iodine type of
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goiter is treated, the growth of gland may be stopped
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-in some cases enlargement disappears
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-lack of TSH; a supplemental thyroid med is given
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, goiter: diagnosis - CORRECT ANSWERS ✔✔-pt HX.
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-physical examination |\




-ultrasound imaging |\




Thyroid gland - CORRECT ANSWERS ✔✔-major role in regulating
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body's rate of metabolism, growth & development
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-produces thyroid hormone, triiodothyronine & calcitonin
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thyroid gland: health history - CORRECT ANSWERS ✔✔-changes
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level of: energy, sleep patterns, personality, mental function &
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emotional state |\




-changes in menstrual cycles, sexual function, hydration, bowel
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elimination patterns & tolerance to hot/cold
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thyroid gland: physical exams - CORRECT ANSWERS ✔✔-VS
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-height & weight|\ |\




-facial expression & characteristics as well as alertness
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-inspect/palpate skin for moisture, temp, texture, hair texture |\ |\ |\ |\ |\ |\ |\




-examine eyes for expothamlamos |\ |\ |\




-observe hands for tremor |\ |\ |\




Thyroid has 3 key players: - CORRECT ANSWERS ✔✔t3, t4( active
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thyroid hormones), and calcitonin (puts tons of Ca into bones)
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Hyperthyroidism: pathology - CORRECT ANSWERS ✔✔-abnormally |\ |\ |\ |\ |\


increased synthesis & secretion of thyroid hormones
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