Enhanced Pathophysiology Exam 2 Blueprint study guide, Correct answers.

Enhanced Pathophysiology Exam 2 Blueprint study guide, Correct answers. A nurse is discussing endocrine system dysfunction with a patient. Which statement indicates the patient understood? Endocrine system dysfunction can result from hyposecretion, hypersecretion, or from: - ANS = abnormal receptor activity An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond? - ANS = Cancer A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient? - ANS = Hyponatremia A 44-year old patient with pulmonary tuberculosis (lung infection) is evaluated for SIADH. Which of the following assessment findings would be expected in this patient? - ANS = concentrated urine A nurse is caring for a patient with SIADH. What severe complication should the nurse assess for? - ANS = neurologic damage A 22-year old male is admitted to the intensive care unit with a closed head injury sustained in a motorcycle accident. The injury has caused severe damage to the posterior pituitary. Which of the following complications should the nurse anticipate? - ANS = dehydration from polyuria While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is ____ diabetes insipidus. - ANS = Nephrogenic Diabetes insipidus, diabetes mellitus (DM) and SIADH share which of the following assessment manifestations? - ANS = Thirst A 50 year old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective? - ANS = neurogenic diabetes insipidus A 25 year old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the: - ANS = pituitary stalk A 15 year old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings? - ANS = A pituitary adenoma What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma? - ANS = Visual disturbances A 35 year old female with Graves disease is admitted to a medical-surgical unit. While the nurse is reviewing the lab tests, which results would the nurse expect to find? - ANS = High levels of circulating thyroid-stimulating antibodies While checking the lab results for a patient with Graves disease, the nurse would check the T3 level to be abnormally: - ANS = High A 35 year old female with graves disease is admitted to a medical-surgical unit. Which of the following symptoms would the nurse expect to find before treatment? - ANS = Skin hot and moist, rapid heart rate Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is: - ANS = Orbital edema and protrusino of the eyeball A 25 year old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal: - ANS = Diffuse thyroid enlargement A 22-year old female has a low level of TSH. What condition does the nurse expect the patient is experiencing? - ANS = secondary hypothyriodism While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually ________ with hypothyroidism. - ANS = LOW A 3 year old male was diagnosed with congenital hypothryoidism. The parent asks the nurse, if left untreated what will happen? What is the nurse's best response? If left untreated, the child would have: - ANS = mental retardation and stunted growth A 30 year old male was diagnosed with thyroid carcinoma. The lab tests the nurse would most likely find are ____ T3 and T4 levels. - ANS = Normal What problem should the nurse assess for in a patient with chronic hyperparathyroidism? - ANS = osteoporosis and pathologic fractures A 45 year old female with Graves disease underwent surgical removal of her thyroid gland. During the postoperative period, her serum calcium was low. The most probable reason for her low serum calcium is: - ANS = Hypoparathyroidism caused by surgical injury to the parathyroid gland A 30-year-old female with Graves disease is admitted to a hospital unit for the surgical removal of her thyroid gland. During the postoperative period, the nurse notes that the patient's serum calcium is low. The nurse should observe the patient for which of the following signs/symptoms? - ANS = Laryngeal spasms and hyperreflexia When a patient wants to know what most commonly causes hypoparathyroidism, how should the nurse reply? It is most commonly caused by: - ANS = Parathyroid gland injury A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find? - ANS = Sexual dysfunction A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement? Administering: - ANS = Dopaminergic agaonists A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse's best response? - ANS = Immune destruction of the pancreas A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis? - ANS = Fasting plasma glucose levels