NURSING 212: ENDOCRINE QUESTIONS AND ANSWERS Latest 2024/2025 | 100% Correct

NURSING 212: ENDOCRINE QUESTIONS AND ANSWERS Latest 2024/2025 | 100% Correct. Diagnostic Tests - √Answer :Stimulation Test Suppression Test Overnight Dexamethasone Suppresion test Radioactive iodine Uptake Thyroid-stimulating hormone Thyroid Scan T3 & T4 resin uptake test Needle aspiration of thyroid tissue Glycosylated Hemoglobin 24 Hour urine collection for vanillylmandelic Acid (VMA) Quiz :Hypopituitarism Causes - √Answer :Tumors Trauma Encephalitis Autoimmune disorder Stroke Quiz :Hypopituitarism Assessment - √Answer :Mild to Moderate Obesity (GH, TSH) Reduced Cardiac Output (GH, ADH) HONDROS NURSING 212: ENDOCRINE QUESTIONS AND ANSWERS Latest 2024/2025 | 100% Correct Infertility, sexual dysfunction (ACTH, gonadotropins) Fatigue, low BP (TSH, ADH, ACTH, GH) Tumors of the pituitary may cause headache and visual disturbances Quiz :Hypopituitarism Interventions - √Answer :Hormone replacement Emotional Support Allow patient and family to express feelings related to body image changes and sexual dysfunction Quiz :Hyperpituitarism (Acromegaly) Assessment - √Answer :Large Hands & Feet Thickening and protrusion of the jaw Arthritic changes & joint pain Impingement syndrome Visual disturbance Diaphoresis Oily, Rough skin Organomegaly HTN, cardiomegaly, atherosclerosis, HF Dysphagia Deepening of the voice Thickening of the tongue, narrowing of the airway, sleep apnea Hyperglycemia Increased Colon cancer risk Quiz :Acromegaly Interventions - √Answer :Medication: Suppress GH or block the action of GH Radiation of the pituitary gland Stereotactic Radiosurgery Hypophysectomy Interventions for joint pain Emotional Support Quiz :Hypophysectomy - √Answer :Removal of a pituitary tumor or pituitary gland via craniotomy or incision along the gum line on inner upper lip. Complications of craniotomy: increased ICP bleeding, meningitis, hypopituitarism Complications of sublabial transsphenoidal surgery: CSF leak, infection, Diabetes insipidus, hypopituitarism Quiz :Post Op Care: Hypophysectomy - √Answer :V.S., Neuro status, LOC Elevate HOB Monitor for ICP Monitor for bleeding Monitor for temporary DI Monitor for infection Oral mouth rinses Transphenoidal hypophysectomy: Monitor for and report postnasal drip or clear nasal drainage. Might indicate CSF leak. Clear drainage should be checked for Glucose Quiz :Hypophysectomy: Patient teaching - √Answer :- Avoid sneezing, coughing, and blowing nose - If Entire pituitary is removed life long therapy will be required for ADH, cortisol, & Thyroid Hormone replacement - Avoid using toothbrush or brush teeth gently with ultrasoft toothbrush for 10-14 days after surgery. Quiz :Diabetes insipidus (decreased ADH) - √Answer :Kidneys fail to reabsorb water Central DI: Decreased ADH production Nephrogenic DI: Kidneys do not respond appropriately to ADH Quiz :DI Assessment (7 D's) - √Answer :Diurese - High Urine Output Diluted Urine - Low specific gravity Dry Inside - High & Dry labs. -Hyperosmolality -Hypernatremia Drinking a lot Dehydrated - Dry mucous membranes & skin Decreased BP Desmopressin or Vasopressin for Tx Quiz :DI interventions - √Answer :V.S., Neuro checks, cardiovascular checks Monitor Safety r/t ortho hypotension Monitor Electrolyte values Strict I&O IV fluids Daily weights Avoid foods or liquids that cause diuresis Quiz :DI Medication - √Answer :Desmopressin Vasopressin May be administered Sub Q, IV, intranasally or PO Monitor for water intoxication indicating over treatment Quiz :SIADH (Increased ADH) Causes - √Answer :Trauma Stroke Malignancies Medications Stress Quiz :SIADH Assessment (7 S's) - √Answer :Stops Urinating (Low urine ouput) Sticky & Thick - High specific gravity Soaked Inside - Low and liquidy labs - hypo osmolality - Hyponatremia Sodium Low!!! - (Headache Early sign)