NURS 3512- Unit 1 Study Guide Exam and All Actual Answers.

NURS 3512- Unit 1 Study Guide Exam
and All Actual Answers.
Intervention for endocrine disorders - Answer - Correct hormonal imbalance

- Control symptoms

- Protect patients from complications



SIADH Causes - Answer - CNS disorders (ex., stroke or trauma)

- Pulmonary disorders (ex., lung cancer)

Drug related



Diabetes Insipidus Causes - Answer - Neurogenic (ex., brain tumor or head injury)

- Nephrogenic (ex., kidney problems)



Diabetes Insipidus Assessment Findings - Answer - Polyuria

- Weight loss

- Polydipsia

- Hypotension

- Tachycardia

- Dry mucous membrane

- Muscle cramps

- Confusion

- Low specific gravity

- Risk for hypovolemic shock



Diabetes Insipidus Osmolality? Specific gravity? - Answer - Low osmolality

- Low specific gravity



SIADH Assessment Findings - Answer - GI disturbances

- Lethargy

- Headache

- Disorientation



SIADH Osmolality? Specific gravity? - Answer - High osmolality

- High specific gravity

, Diabetes Insipidus Nursing Interventions - Answer 1. Correct hormonal imbalance:

- Desmopressin



2. Control symptoms:

- Instruct patient to drink fluid

- 0.45% NS

- Measure I&O, daily weight, urine gravity



3. Prevent Complications

- Monitor for signs of dehydration

- Create safe environment (High Na)



4. Educate patients



SIADH Nursing Interventions - Answer 1. Correct hormonal imbalance:

- Tolvaptan (to treat hyponatremia)



2. Control symptoms:

- Fluid restriction

- Measure I&O, daily weight

- Use oral rinse to prevent dry mouth

- 3% NS



3. Prevent Complications:

- Fluid overload (treat with diuretic)

- Create safe environment (low Na)



4. Educate patients

- Usually resolves after 12 months (with ABI)



Cushing Disease Assessment Findings - Answer - Moon face

- Weight gain

- Increased body and facial hair

- Thin extremities