Page 1 of 58
EXAM 2: NSG4100 / NSG 4100 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
NURSING PRACTICE - ADULT HEALTH III | QUESTIONS
& ANSWERS | GRADE A | 100% CORRECT - GALEN
Where is aldosterone secreted? .....ANSWER.....adrenal gland
what is hyperaldosteronism called? .....ANSWER.....Conn's
syndrome
Conn's syndrome .....ANSWER.....increased Na, increased BP,
decreased K+
What is hypoaldosteronism called? .....ANSWER.....Addisons
Disease
S/S of Addison's Disease? .....ANSWER.....decreased Na,
decreased BP, increased K+, fatigue, muscle weakness, dark skin
pigmentation, hypotension, hypoglycemia
,Page 2 of 58
s/s of Addisonian crisis .....ANSWER.....decreased LOC,
hypotension, flu like symptoms (N/V)- call DR!!
Tx of addisons/ Addisonian crisis .....ANSWER.....First- FLUIDS!!!
then steroids
Pheochromocytoma .....ANSWER.....a benign tumor of the adrenal
medulla that causes the gland to produce excess catecholamines
What does pheochromocytoma cause? .....ANSWER.....fight/
flight response
5 H's of pheochromocytoma .....ANSWER.....Hypertension (MOST
DANGEROUS)
Headache
Hyperhidrosis (excess sweating)
Hypermetabolism
Hyperglycemia
,Page 3 of 58
Treatment of pheochromocytoma .....ANSWER.....adrenalectomy,
elevate HOB 30 degrees, give alpha adrenergic blockers (SE:
hypotension, increased HR, nasal congestion), give beta blockers
(hold if HR below 60)
Hyperthyroidism .....ANSWER.....high T3 and T4 and low TSH
S/S of hyperthyroidism .....ANSWER.....wt loss, HTN, anxious,
goiter, exophthalmos, heat intolerance, thin skin
s/s of thyroid storm .....ANSWER.....fever, restlessness, N/V
tx of hyperthyroidism .....ANSWER.....thyroidectomy, radioactive
iodine
hypothyroidism .....ANSWER.....low T3 and T4, high TSH
s/s of hypothyroidism .....ANSWER.....wt gain, constipation,
hypotension, depression, decreased HR, cold intolerance, goiter
, Page 4 of 58
tx of hypothyroidism .....ANSWER.....levothyroxine- MUST take
every morning on an empty stomach for life. must continually
have levels checked
where are corticosteroids secreted? .....ANSWER.....pituitary
gland
What is hypercortisolism? .....ANSWER.....Cushing's syndrome
S/S of Cushing's Syndrome? .....ANSWER.....moon face, purple
striae, hyperglycemia, thin extremities, large trunk, osteoporosis,
thin skin- SAFETY, too much cortisol, fluid retention, HTN,
increased Na, decreased K+
what is the biggest concern with Cushing's?
.....ANSWER.....SAFETY- increased r/f infections
what causes Cushing's? .....ANSWER.....excess steroid use,
pituitary tumor
EXAM 2: NSG4100 / NSG 4100 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
NURSING PRACTICE - ADULT HEALTH III | QUESTIONS
& ANSWERS | GRADE A | 100% CORRECT - GALEN
Where is aldosterone secreted? .....ANSWER.....adrenal gland
what is hyperaldosteronism called? .....ANSWER.....Conn's
syndrome
Conn's syndrome .....ANSWER.....increased Na, increased BP,
decreased K+
What is hypoaldosteronism called? .....ANSWER.....Addisons
Disease
S/S of Addison's Disease? .....ANSWER.....decreased Na,
decreased BP, increased K+, fatigue, muscle weakness, dark skin
pigmentation, hypotension, hypoglycemia
,Page 2 of 58
s/s of Addisonian crisis .....ANSWER.....decreased LOC,
hypotension, flu like symptoms (N/V)- call DR!!
Tx of addisons/ Addisonian crisis .....ANSWER.....First- FLUIDS!!!
then steroids
Pheochromocytoma .....ANSWER.....a benign tumor of the adrenal
medulla that causes the gland to produce excess catecholamines
What does pheochromocytoma cause? .....ANSWER.....fight/
flight response
5 H's of pheochromocytoma .....ANSWER.....Hypertension (MOST
DANGEROUS)
Headache
Hyperhidrosis (excess sweating)
Hypermetabolism
Hyperglycemia
,Page 3 of 58
Treatment of pheochromocytoma .....ANSWER.....adrenalectomy,
elevate HOB 30 degrees, give alpha adrenergic blockers (SE:
hypotension, increased HR, nasal congestion), give beta blockers
(hold if HR below 60)
Hyperthyroidism .....ANSWER.....high T3 and T4 and low TSH
S/S of hyperthyroidism .....ANSWER.....wt loss, HTN, anxious,
goiter, exophthalmos, heat intolerance, thin skin
s/s of thyroid storm .....ANSWER.....fever, restlessness, N/V
tx of hyperthyroidism .....ANSWER.....thyroidectomy, radioactive
iodine
hypothyroidism .....ANSWER.....low T3 and T4, high TSH
s/s of hypothyroidism .....ANSWER.....wt gain, constipation,
hypotension, depression, decreased HR, cold intolerance, goiter
, Page 4 of 58
tx of hypothyroidism .....ANSWER.....levothyroxine- MUST take
every morning on an empty stomach for life. must continually
have levels checked
where are corticosteroids secreted? .....ANSWER.....pituitary
gland
What is hypercortisolism? .....ANSWER.....Cushing's syndrome
S/S of Cushing's Syndrome? .....ANSWER.....moon face, purple
striae, hyperglycemia, thin extremities, large trunk, osteoporosis,
thin skin- SAFETY, too much cortisol, fluid retention, HTN,
increased Na, decreased K+
what is the biggest concern with Cushing's?
.....ANSWER.....SAFETY- increased r/f infections
what causes Cushing's? .....ANSWER.....excess steroid use,
pituitary tumor
