focusNode
Didn't know it?
click below
Knew it?
click below
Embed Code - If you would like this activity on your web page, copy the script below and paste it into
your web page.
Normal Size Small Size show me how
Week 8 EAQ CON
Which endocrine problem is more common in men than in women? | Ectopic adrenocorticotropic hormone production |
Which clinical manifestation is a classic finding in Graves' disease? | Exophthalmos |
A nurse completes an assessment and notes that a patient's thyroid gland is enlarged. With which condition is this finding consistent? | Goiter |
A patient has a dysfunction of the pituitary gland. Which hormone secretion may be altered in a patient with a dysfunction of the pituitary gland? | Prolactin |
Which hormone has both mineralocorticoid and glucocorticoid properties? | Hydrocortisone |
A transsphenoidal hypophysectomy involves surgical resection of which gland? | Pituitary |
To promote optimal absorption, the nurse would instruct the patient to take their levothyroxine at which time? | 0600 |
A patient diagnosed with acromegaly has developed speech difficulties and asks what is causing the problem. Which response by the nurse is accurate? | "You have developed the condition due to overgrowth of the tongue." |
Which clinical manifestation is seen with Addison's disease? | delusions |
Which condition is the goal for treating hypocalcemia? | decreasing the pH |
Which condition may be linked to Conn's syndrome? | hyperaldosteronism |
Which condition can result if hypersecretion of growth hormone (GH) occurs after epiphyseal plate closure? | acromegaly |
Adrenocortical indsufficiency develops secondary to inadequate secretion of which pituitary hormone? | Adrenocorticotropic hormone (ACTH) |
Which condition shows a clinical presentation of purplish red striae? | Hyperfunction of glucocorticoids |
Which laboratory results would confirm over hyperthyroidism? | 1. Elevated triiodothyronine (T3) level 2, Elevated free t4 level 3. Low TSH level |
Activity intolerance in a patient with hypothyroidism is related t which side effect? | fatigue |
Which complication may arise if pheochromocytoma is left untreated? | Diabetes mellitus |
Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? Select all that apply. | 1. A positive bruit upon auscultation of the thyroid gland. 2. A goiter 3. Clubbing of the fingers. |
Which factor would be seen in syndrome of inappropriate antidiuretic hormone secretion (SIADH) | increased intravascular volume |
Which test is more reliable to diagnose pheochromocytoma? | urinary creatinine |
Which clinical manifestation would the nurse assess in a patient admitted with hyperparathyroidism? | lethargy and weakness |
Which parameter is monitored that would indicate a corticosteroid imbalance after surgery in a patient wit Cushing syndrome? | fluid intake |
Which factor may be the cause of iatrogenic Addison's disease? | Adrenal hemorrhage |
Which factor is characterized by excessive secretion of the hormone vasopressin? | Syndrome of inappropriate antidiuretic secretion |
Which assessment finding would be increased in a patient with diabetes insipidus? | Urine output |
Which rationale is accurate for checking Trousseau's sign in a patient following a subtotal thyroidectomy? | To assess for parathyroid gland injury |
A patient with a history of hypoparathyroidism would be assessed for which condition? | Thyroidectomy |
Which clinical manifestations would the nurse assess in a patient with hyperthyroidism? | - weight loss - protrusion of the eyeballs- Elevated BP |
For a patient who presents with an enlarged thyroid gland but has normal thyroid levels, which type of goiter would be documented in the patient's medical record? | non-toxic |
Arrange the events in the order they occur in a patient who has developed diabetes insipidus. | - Decreased in antidiuretic hormone - Decrease in water absorption- Decrease in intravascular fluid volume - Increase in serum osmolality |
Which characteristic is seen in syndrome of inappropriate antidiuretic hormone secretion (SIADH)? | Fluid retention |
Which hormone plays a key role in the regulation of water balance and osmolarity? | Arginine Vasopressin |
Which level of urine cortisol in a 24-hour period indicates Cushing syndrome? | 110mcg/24 hr |
Which treatment is given to a patient with pheochromocytoma to control high BP before surgery? | Phenoxybenzamine |
Which condition correlates with syndrome of inappropriate antidiuretic hormone secretion (SIADH) after a head injury? | Increased intravascular volume |
What patient is at greatest risk for developing colon polyps and colorectal cancer and should have a screening colonoscopy every three to four years? | A patient with acromegaly. |
Which rationale is accurate when explaining to a patient with hypothyroidism and coronary artery disease (CAD) as to why the use of an enema is contraindicated? | Vagus-nerve stimulation |
Which effect does an increased level of plasma insulin-like growth factor-1 have on growth hormone levels? | Growth hormone levels are elevated. |
Which type of thyroid cancer is the least likely to respond to treatment and has the poorest prognosis? | Anaplastic |
Which treatment would be done for a patient diagnosed with hyperthyroidism who presents with nonmalignant neck nodules that are less than 3cm in size? | Endoscopic thyroidectomy |
Which effect may be observed if large amounts of endogenous corticosteroids are released into systemic circulation during surgery on a patient with Cushing syndrome? | Infections |
Which clinical manifestations would the nurse assess in a hospitalized patient diagnosed with Grave's disease? Select all that apply | - Dysrhythmias - Systolic murmurs- Distant heart sounds |
Which expected outcome would be included in the plan of care for a patient with Graves disease? | The patient will demonstrate maintenance of weight. |
For which complication would a 35 year old woman who had a hypophysectomy and who developed a deficiency of follicle stimulating hormone (FSH) and Luteinizindg hormone (LH) be at risk? | Decreased fertility rate |
Which clinical manifestations would the nurse assess in a hospitalized patient experiencing exophthalmos? Select all that apply. | 1. Tachypnea 2. Increased appetite 3. Bounding, rapid pulse |
Which syndrome would be suspected in a patient who has Addison's disease along with other endocrine conditions? | Autoimmune polyglandular syndromee |
A patient who has 20 year history of hypothyroidism was admitted to the intensive care unit (ICU) with a decreased level of consciousness and a temperature Which interventions would be included in the plan of care for this patient? Select all that apply | 1. Administering thyroid hormone IV 2. Monitoring cardiovascular status continuously |
Which statement is true about pheochromocytoma? | Severe pounding headaches and profuse sweating are clinical features. |
Which condition is associated with the symptoms of numbness and a "pins and needles" sensation in the thumb, middle, and index finger, especially at night? | Acromegaly |
Which prescribed drug may be the cause of menstrual disorders in a female patient who is on drug therapy for hyperaldosternomism? | Spironolactone |
What are 4 major clinical symptoms of hyperthyroidism?
Most patients with overt hyperthyroidism have a dramatic constellation of symptoms. The classic symptoms of hyperthyroidism include heat intolerance, tremor, palpitations, anxiety, weight loss despite a normal or increased appetite, increased frequency of bowel movements, and shortness of breath.
What are the most common clinical manifestations of clients who have hyperthyroidism select all that apply?
Hyperthyroidism Symptoms.
anxiety or nervousness..
rapid heartbeat..
hand tremors..
excessive sweating..
weight loss..
difficulty sleeping (insomnia).
changes in appetite..
Which classic signs and symptoms are manifestations of hyperthyroidism select all that apply?
Hyperthyroidism.
Nervousness and irritability..
Increased resting heart rate, which causes heart palpitations..
Heat intolerance and increased sweating..
Tremors..
Weight loss with increase in appetite..
Frequent bowel movements..
Thyroid enlargement causing a lump in the neck..
Which clinical manifestations would be observed in an individual diagnosed with hyperthyroidism?
Commonly reported symptoms are palpitations, fatigue, tremor, anxiety, disturbed sleep, weight loss, heat intolerance, sweating, and polydipsia. Frequent physical findings are tachycardia, tremor of the extremities, and weight loss.