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INTEGRATED QUESTIONS AND ANSWERS FOR ASSESSMENT AND MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS

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INTEGRATED QUESTIONS AND ANSWERS FOR ASSESSMENT AND MANAGEMENT OF PATIENTS WITH ENDOCRINE DISORDERS Cardiac effects of hyperthyroidism include? decreased pulse pressure. decreased systolic blood pressure. bradycardia. palpitations. - CORRECT ANSWER -palpitations. Explanation: Cardiac effects may include sinus tachycardia, increased pulse pressure, and palpitations. Systolic blood pressure is elevated. A client who is postpartum is receiving intravenous oxytocin, and the client asks the nurse about the function of oxytocin in the body. How should the nurse respond? "It increases blood calcium by stimulating calcium release from the bone and decreases the blood phosphate level." "It stimulates the production and secretion of thyroid hormones." "It stimulates bone and muscle growth and promotes protein synthesis and fat mobilization." "It stimulates the contraction of the pregnant uterus before birth and stimulates the release of breast milk after childbirth." - CORRECT ANSWER -"It stimulates the contraction of the pregnant uterus before birth and stimulates the release of breast milk after childbirth." Explanation: The nurse should inform the client that oxytocin's function in the body is to stimulate the contraction of the pregnant uterus before birth and to stimulate the release of breast milk after childbirth. Somatotropin stimulates bone and muscle growth and promotes protein synthesis and fat mobilization. Thyroid-stimulating hormone causes production and secretion of thyroid hormones. Parathyroid hormone increases blood calcium by stimulating calcium release from the bone and decreases the blood phosphate level. Which is a clinical manifestation of diabetes insipidus? Low urine output Excessive thirst Weight gain Excessive activities - CORRECT ANSWER -Excessive thirst Explanation: Urine output may be as high as 20 L in 24 hours. Thirst is excessive and constant. Activities are limited by the frequent need to drink and void. Weight loss develops. Which diagnostic test is done to determine suspected pituitary tumor? computed tomography scan measurement of blood hormone levels radioimmunoassay radiographs of the abdomen - CORRECT ANSWER -computed tomography scan Explanation: A computed tomography or magnetic resonance imaging scan is done to detect a suspected pituitary tumor. Radiographs of the chest or abdomen are taken to detect tumors. Radiographs also determine the size of the organ and their location. Measuring blood hormone levels helps determine the functioning of endocrine glands. A radioimmunoassay determines the concentration of a substance in plasma.

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