Nurs 5338 Mod 2 Pretest Exam Questions
With Correct Answers
Describe the relationship of TSH and T3/T4 in hyperthyroidism
| | | | | | | |
- decreased TSH
| |
- increased T3/T4
| |
Describe the relationship of TSH and T3/T4 in hypothyroidism
| | | | | | | |
- increased TSH
| |
- decreased T3/T4
| |
Describe symptoms of hypothyroidism
| | |
1. weight gain (inability to use fat stores for ATP production)
| | | | | | | | | |
2. cold (already lowered body temp)
| | | | |
3. slow heart rate (bradycardia)
| | | |
4. slowed nervous system (fatigue, brain fog, & depression)
| | | | | | | |
5. lose outer third of eyebrow (slow hair cell mitosis)
| | | | | | | | |
,Describe symptoms of hyperthyroidism
| | |
1. weight loss (burning through glucose and fat stores)
| | | | | | | |
2. hot, flushed face (already have relatively high body temp)
| | | | | | | | |
3. fast, irregular heart rate and blood pressure
| | | | | | |
4. agitation, irritability, trouble sleeping
| | | |
5. frequent bowel movements and diarrhea
| | | | |
6. exophthalmos (bulging eyes)
| | |
Describe the Somogyi effect
| | |
Caused by untreated hypoglycemia (overuse of insulin), a dip in blood
| | | | | | | | | | |
sugars causes a compensatory glucagon release causing hyperglycemia
| | | | | | | |
in the morning
| |
Which hormones cause an increase in glucose?
| | | | | |
- glucagon
|
- epinephrine
|
- growth hormone
| |
- cortisol
|
, Describe how an elevated glucose affects hormones
| | | | | |
- increased insulin secretion
| | |
- insulin decreases glucagon levels
| | | |
- growth hormone decreases
| | |
Describe how decreased glucose affects hormones
| | | | |
- increased glucagon
| |
- increased epinephrine
| |
Describe "Dawn Phenomenon" | |
this is when the patient becomes hyperglycemic between 5-6 am
| | | | | | | | | |
because of a nighttime release of growth hormone. The treatment: give
| | | | | | | | | | |
more insulin for the overnight period. For instance, give NPH at 10 pm.
| | | | | | | | | | | | |
The diagnosis is made by checking blood glucose during the night.
| | | | | | | | | |
During the Dawn Phenomenon, growth hormone will
| | | | | |
- cause the elevation of glucose
| | | | |
- as glucose levels rise, growth hormone decreases
| | | | | | |
With Correct Answers
Describe the relationship of TSH and T3/T4 in hyperthyroidism
| | | | | | | |
- decreased TSH
| |
- increased T3/T4
| |
Describe the relationship of TSH and T3/T4 in hypothyroidism
| | | | | | | |
- increased TSH
| |
- decreased T3/T4
| |
Describe symptoms of hypothyroidism
| | |
1. weight gain (inability to use fat stores for ATP production)
| | | | | | | | | |
2. cold (already lowered body temp)
| | | | |
3. slow heart rate (bradycardia)
| | | |
4. slowed nervous system (fatigue, brain fog, & depression)
| | | | | | | |
5. lose outer third of eyebrow (slow hair cell mitosis)
| | | | | | | | |
,Describe symptoms of hyperthyroidism
| | |
1. weight loss (burning through glucose and fat stores)
| | | | | | | |
2. hot, flushed face (already have relatively high body temp)
| | | | | | | | |
3. fast, irregular heart rate and blood pressure
| | | | | | |
4. agitation, irritability, trouble sleeping
| | | |
5. frequent bowel movements and diarrhea
| | | | |
6. exophthalmos (bulging eyes)
| | |
Describe the Somogyi effect
| | |
Caused by untreated hypoglycemia (overuse of insulin), a dip in blood
| | | | | | | | | | |
sugars causes a compensatory glucagon release causing hyperglycemia
| | | | | | | |
in the morning
| |
Which hormones cause an increase in glucose?
| | | | | |
- glucagon
|
- epinephrine
|
- growth hormone
| |
- cortisol
|
, Describe how an elevated glucose affects hormones
| | | | | |
- increased insulin secretion
| | |
- insulin decreases glucagon levels
| | | |
- growth hormone decreases
| | |
Describe how decreased glucose affects hormones
| | | | |
- increased glucagon
| |
- increased epinephrine
| |
Describe "Dawn Phenomenon" | |
this is when the patient becomes hyperglycemic between 5-6 am
| | | | | | | | | |
because of a nighttime release of growth hormone. The treatment: give
| | | | | | | | | | |
more insulin for the overnight period. For instance, give NPH at 10 pm.
| | | | | | | | | | | | |
The diagnosis is made by checking blood glucose during the night.
| | | | | | | | | |
During the Dawn Phenomenon, growth hormone will
| | | | | |
- cause the elevation of glucose
| | | | |
- as glucose levels rise, growth hormone decreases
| | | | | | |
