MedSurg II Endocrine Exam 4 Review || with Complete
Solutions.
Hormone secretion does what when circulating levels drop? correct answers increase
Elevation of T3 T4 levels being released means correct answers TSH levels drop
How would you palpate and assess a tumor on the thyroid? correct answers ISTHMUS. Stand
behind the pt (posterior approach) and palpate anterior neck below chricoid cartilage and have
the patient swallow.
What is the best indication to determine if someone has hypothyroidism correct answers TSH
level (high)
What would be the difference between thyroid storm and hyperthyroidism correct answers
thyroid storm will appear with fever, tremors, severe htn, tachycardia, CHANGE IN LOC.
What clinical manifestations would we see with hyperthyroidism? correct answers tachycardia,
weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter, anxiety, insomnia,
increased appetite
Not all hormones need to be imbalanced to correct answers diagnose
Anytime we have a subtotal or total thyroidectomy pts are at risk for correct answers
hypoparathyroidism and hypothyroidism
Postop complications for total or subtotal thyroidectomies correct answers airway (swelling),
laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia (hypoparathyroidism),
hyperthyroid symptoms (thyroid storms), hyperthermic
For hypoparathyroidism we wanna check what type of calcium level correct answers ionized
calcium level
A1C levels should be less than what for diabetics? correct answers 7
In A1C lower levels are always correct answers better
Grave's disease is asscoiated with correct answers hyperthyroidism
What is hashimotos associated with correct answers hypothyroidism
Pt education for transsphenoidal hypophysectomy correct answers keep low ICP
Interventions to lower ICP correct answers elevate head of bed, no lifting heavy objects, do not
use IS, no straws, monitor CSF leakage (monitor with halo test), no blowing nose or coughing
sneezing.
, If we suspect CSF leakage what is our first priority? correct answers notify the surgeon
Main cause of hyperpituitarism is correct answers tumors
What is our go to intervention for hyperpituitarism correct answers surgery to remove tumor or
even part of the gland
Hypothyroidism discharge teaching correct answers PT and pharmacy is recommended as a care
plan (lifelong medication, and weakness and muscle aches for PT).
Pt education for hypothyroidism correct answers take meds in the am with no food, report weight
loss, report chest pain
For severe hypothyroidism our priority will be correct answers get VS
Hyperparathyroidism priority nursing assessments correct answers cardiac monitoring (shortened
QT), bowel function (diarrhea is common), pain management, and calcium levels, NOT I&Os
Hyperthyroidism will cause in increase in correct answers corticosteroid elevation therefore
increased glucose and higher risk for seizures
Which risk would we address first between seizures and hyperglycemia? correct answers
seizures
What is worse acutely in Diabetes? correct answers hypoglycemia
Normal blood sugar is correct answers 65-99
Insulin is released from correct answers beta cells of the pancreas
Glucagon is released from correct answers alpha cells of the pancreas
Insulins job is to correct answers "unlock" the cell so it allows glucose to enter, therefore
lowering the sugar in the blood
Type I diabetes is most commonly diagnosed before correct answers 30
DM type I is frelated to correct answers beta cells (not able to make insulin)
Insulin deficiency is which diabetes correct answers type I
Diabetes type I results from correct answers a destruction of the beta cells of the pancreas as a
result of autoimmune or infectious process
With type I diabetics which treatment plan is most apprpriate correct answers insulin pump
Solutions.
Hormone secretion does what when circulating levels drop? correct answers increase
Elevation of T3 T4 levels being released means correct answers TSH levels drop
How would you palpate and assess a tumor on the thyroid? correct answers ISTHMUS. Stand
behind the pt (posterior approach) and palpate anterior neck below chricoid cartilage and have
the patient swallow.
What is the best indication to determine if someone has hypothyroidism correct answers TSH
level (high)
What would be the difference between thyroid storm and hyperthyroidism correct answers
thyroid storm will appear with fever, tremors, severe htn, tachycardia, CHANGE IN LOC.
What clinical manifestations would we see with hyperthyroidism? correct answers tachycardia,
weight loss, thyroid bruits, hairloss, bulging eyes (exopthalmus), goiter, anxiety, insomnia,
increased appetite
Not all hormones need to be imbalanced to correct answers diagnose
Anytime we have a subtotal or total thyroidectomy pts are at risk for correct answers
hypoparathyroidism and hypothyroidism
Postop complications for total or subtotal thyroidectomies correct answers airway (swelling),
laryngeal nerve damage (change in voice or tone, stridor), hypocalcemia (hypoparathyroidism),
hyperthyroid symptoms (thyroid storms), hyperthermic
For hypoparathyroidism we wanna check what type of calcium level correct answers ionized
calcium level
A1C levels should be less than what for diabetics? correct answers 7
In A1C lower levels are always correct answers better
Grave's disease is asscoiated with correct answers hyperthyroidism
What is hashimotos associated with correct answers hypothyroidism
Pt education for transsphenoidal hypophysectomy correct answers keep low ICP
Interventions to lower ICP correct answers elevate head of bed, no lifting heavy objects, do not
use IS, no straws, monitor CSF leakage (monitor with halo test), no blowing nose or coughing
sneezing.
, If we suspect CSF leakage what is our first priority? correct answers notify the surgeon
Main cause of hyperpituitarism is correct answers tumors
What is our go to intervention for hyperpituitarism correct answers surgery to remove tumor or
even part of the gland
Hypothyroidism discharge teaching correct answers PT and pharmacy is recommended as a care
plan (lifelong medication, and weakness and muscle aches for PT).
Pt education for hypothyroidism correct answers take meds in the am with no food, report weight
loss, report chest pain
For severe hypothyroidism our priority will be correct answers get VS
Hyperparathyroidism priority nursing assessments correct answers cardiac monitoring (shortened
QT), bowel function (diarrhea is common), pain management, and calcium levels, NOT I&Os
Hyperthyroidism will cause in increase in correct answers corticosteroid elevation therefore
increased glucose and higher risk for seizures
Which risk would we address first between seizures and hyperglycemia? correct answers
seizures
What is worse acutely in Diabetes? correct answers hypoglycemia
Normal blood sugar is correct answers 65-99
Insulin is released from correct answers beta cells of the pancreas
Glucagon is released from correct answers alpha cells of the pancreas
Insulins job is to correct answers "unlock" the cell so it allows glucose to enter, therefore
lowering the sugar in the blood
Type I diabetes is most commonly diagnosed before correct answers 30
DM type I is frelated to correct answers beta cells (not able to make insulin)
Insulin deficiency is which diabetes correct answers type I
Diabetes type I results from correct answers a destruction of the beta cells of the pancreas as a
result of autoimmune or infectious process
With type I diabetics which treatment plan is most apprpriate correct answers insulin pump
