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EXAM 3 NR 324 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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EXAM 3 NR 324 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE A client is brought to the emergency department with partial thickness burns to his face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing actions for this client? Select all that apply. 1. Restrict fluids. 2. Assess for airway patency. 3. Administer oxygen as prescribed. 4. Place a cooling blanket on the client. 5. Elevate extremities if no fractures are present. 6. Prepare to give oral pain medication as prescribed. 2. Assess for airway patency. 3. Administer oxygen as prescribed. 5. Elevate extremities if no fractures are present. A client with no history of respiratory disease is admitted to the hospital with respiratory failure. Which results on the arterial blood gas report should the nurse expect to note, that are consistent with this disorder? 1. Pao2 58 mm Hg, Paco2 32 mm Hg 2. Pao2 60 mm Hg, Paco2 45 mm Hg 3. Pao2 49 mm Hg, Paco2 52 mm Hg 4. Pao2 73 mm Hg, Paco2 62 mm Hg 3. Pao2 49 mm Hg, Paco2 52 mm Hg A client is admitted to an emergency department with chest pain that is consistent with myocardial infarction based on elevated troponin levels. Heart sounds are normal and vital signs are noted on the client's chart. The nurse should alert the health care provider because these changes are most consistent with which complication? 1. Cardiogenic shock 2. Cardiac tamponade 3. Pulmonary embolism 4. Dissecting thoracic aortic aneurysm 1. Cardiogenic shock A client in sinus bradycardia, with a heart rate of 45 beats/minute, complains of dizziness and has a blood pressure of 82/60 mm Hg. Which prescription should the nurse anticipate will be prescribed? 1. Defibrillate the client. 2. Administer digoxin (Lanoxin). 3. Continue to monitor the client. 4. Prepare for transcutaneous pacing. 4. Prepare for transcutaneous pacing. The nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea, tachycardia, and lung crackles and the nurse suspects pulmonary edema. The nurse immediately asks another nurse to contact the health care provider and prepares to implement which priority interventions? Select all that apply. 1. Administering oxygen 2. Inserting a Foley catheter 3. Administering furosemide (Lasix) 4. Administering morphine sulfate intravenously 5. Transporting the client to the coronary care unit 6. Placing the client in a low Fowler's side- lying position 1. Administering oxygen 2. Inserting a Foley catheter 3. Administering furosemide (Lasix) 4. Administering morphine sulfate intravenously

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4/3/25, 5:59 NR283: endocrine |
PM




NR283: ENDOCRINE EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED
A++

Terms in this set (148)


Adrenal gland may be destroyed by hemorrhage or infection
Replacements are necessary
What is the treatment for addisons
Glucocorticoids - sugars - replace with prednisone medications
disease
Mineralocorticoids - aldosterone
Androgens - sex hormones - estrogen, progesterone, testosterone

hypothalmus
pituitary
thymus
what are the endocrine glands? thyroid
parathyroid
what are the hormones from each ( & adrenal glands
know what the target organ is)? pancreas
pineal
ovaries - progestrone (decrease of progestrone = bleeding) & estrogen
testes

negative feedback


the endocrine system uses what type of - Hormones as chemical messengers
feedback? Target receptors
Meaning as needs increase supply increases
Blood sugar and insulin

1. high bl glucose
2.beta cells of pancreas increase secretion of insulin
what are the steps of the process that 3.insulin promotes transports of glucose into cells
occurs when there is high bl glucose 4. low bl glucose
5.alpha cells secrete glucagon
6.gluconeogenesis

1. hypothalamic-releasing hormones (stimuli to anterior pituitary to
what are the two main hypothalmus release specific hormone
hormones and what are their effects 2.hypothalamic-inhibiting hormones (decrease release of specific hormone by
anterior pituitary

what is the main pituitary (anterior lobe) growth hormone (GH, somatotropin)
hormone - stimulates protein synthesis




1/12

, 4/3/25, 5:59 NR283: endocrine |
PM
1. adrenocorticotropic hormone (ACTH)
- stimulates adrenal cortex to secrete primarily cortisol


2. thyroid-stimulating hormone (TSH)
- stimulates thyroid gland


3. follicle-stimulating hormone (FSH)
what are the 5 main hormones of - women: stimulates growth of ovarian follicles and estrogen secretion
the adenohypophysis - men: stimulates sperm production


4. luteinizing hormone (LH)
- women: stimulates maturation of ovum and ovulation
- men: stimulates secretions of testosterone


5. prolactin (PRL)
- stimulates breast milk production during lactation


what is the main hormone of the pituitary antidiuretic hormone (ADH or vasopressin)
(posterior lobe) - increases reabsorption of water in kidney

oxytocin (OT)
what is the main hormone from
- stimulates contraction of uterus after delivery
neurohypophysis
- stimulates ejection of breast milk during lactation

what is the main hormone from the insulin
pancreas (beta cells of islets of - transport of glucose and other substances into cells
langerhans) - lower bl glucose level

glucagon
what is the main hormone from the - glycogenolysis in liver
pancreas (alpha cells) - increases bl glucose levels
(brain HAS to have glucose to function)

parathyroid hormone (PTH)
what is the main hormone form the
- increases bl calcium level by stimulating bone demineralization and increasing
parathyroid gland
absorption of Ca+ in the digestive tract and kidneys

the negative feedback mechanism


- Complex system for some hormones
how is hormone released usually
- secretion may be controlled by more than one mechanism
controlled?

- Rate and timing of secretion may
vary. (Cyclic patterns)

what works together to regulate endocrine and nervous system
metabolic activities

Calcitonin and parathyroid hormone
what hormones act as antagonists?
Insulin and glucagon

what do hormone excess disorders impaired control or feedback
reflect as?

- tumor produces high levels
what are some causes of excess hormone
- excretion by liver or kidney is impaired
levels?
- congenital confition produces excess hormone




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