Med Surg Exam 2
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Pharm Ch 1-10 quizzes Pharmacology Issues Related to the... Psych conditioning a
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An incoherent client with a myxedema coma.
history of hypothyroidism is
brought to the emergency Severe hypothyroidism may result in myxedema coma, in which a
department by the rescue drastic drop in the metabolic rate causes decreased vital signs,
squad. Physical and laboratory hypoventilation (possibly leading to respiratory acidosis), and
findings reveal hypothermia, nonpitting edema. Thyroid storm is an acute complication of
hypoventilation, respiratory hyperthyroidism. Cretinism is a form of hypothyroidism that
acidosis, bradycardia, occurs in infants. Hashimoto's thyroiditis is a common chronic
hypotension, and nonpitting inflammatory disease of the thyroid gland in which autoimmune
edema of the face and factors play a prominent role.
periorbital area. Knowing that
these findings suggest severe
hypothyroidism, the nurse
prepares to take emergency
action to prevent the potential
complication of:
decreased body temperature and cold intolerance.
Hypothyroidism markedly decreases the metabolic rate, causing
A client is being evaluated for a reduced body temperature and cold intolerance. Other signs
hypothyroidism. During and symptoms include dyspnea, hypoventilation, bradycardia,
assessment, the nurse should hypotension, anorexia, constipation, decreased intellectual
stay alert for: function, and depression. Exophthalmos; conjunctival redness;
flushed, warm, moist skin; and a systolic murmur at the left
sternal border are typical findings in a client with
hyperthyroidism.
T3, thyroxine (T4), and calcitonin.
A nurse explains to a client with
The thyroid gland normally produces thyroid hormone (T3 and
thyroid disease that the thyroid
T4) and calcitonin. The pituitary gland produces TSH to regulate
gland normally produces:
the thyroid gland. The hypothalamus gland produces TRH to
regulate the pituitary gland.
, deposits of adipose tissue in the trunk and dorsocervical area.
A nurse is assessing a client with
Because of changes in fat distribution, adipose tissue
possible Cushing's syndrome. In
accumulates in the trunk, face (moon face), and dorsocervical
a client with Cushing's
areas (buffalo hump). Hypertension is caused by fluid retention.
syndrome, the nurse expects to
Skin becomes thin and bruises easily because of a loss of
find:
collagen. Muscle wasting causes muscle atrophy and thin
extremities.
hypocalcemia.
A client who has undergone a thyroidectomy is at risk for
For the first 72 hours after
developing hypocalcemia from inadvertent removal of or
thyroidectomy surgery, a nurse
damage to the parathyroid gland. The client with hypocalcemia
should assess a client for
will exhibit a positive Chvostek's sign (facial muscle contraction
Chvostek's sign and Trousseau's
when the facial nerve in front of the ear is tapped) and a positive
sign because they indicate:
Trousseau's sign (carpal spasm when a blood pressure cuff is
inflated for a few minutes). These signs aren't present with
hypercalcemia, hypokalemia, or hyperkalemia.
Administer hydrocortisone I.M.
Clients with Addison's disease and their family members should
Before discharge, what should a know how to administer I.M. hydrocortisone during periods of
nurse instruct a client with stress. Although it's important for the client to keep well hydrated
Addison's disease to do when during stress, the critical component in this situation is to know
exposed to periods of stress? how and when to use I.M. hydrocortisone. Capillary blood
glucose monitoring isn't indicated in this situation because the
client doesn't have diabetes mellitus. Hydrocortisone
replacement doesn't cause insulin resistance.
Goiter
A woman with a progressively
enlarging neck comes into the
A goiter can result from inadequate dietary intake of iodine
clinic. She mentions that she has
associated with changes in foods or malnutrition. It's caused by
been in a foreign country for the
insufficient thyroid gland production and depletion of glandular
previous 3 months and that she
iodine. Signs and symptoms of this malfunction include an
didn't eat much while she was
enlarged thyroid gland, dizziness when raising the arms above
there because she didn't like the
the head, dysphagia, and respiratory distress. Signs and
food. She also mentions that she
symptoms of diabetes mellitus include polydipsia, polyuria, and
becomes dizzy when lifting her
polyphagia. Signs and symptoms of diabetes insipidus include
arms to do normal household
extreme polyuria (4 to 16 L/day) and symptoms of dehydration
chores or when dressing. What
(poor tissue turgor, dry mucous membranes, constipation,
endocrine disorder should the
dizziness, and hypotension). Cushing's syndrome causes buffalo
nurse expect the physician to
hump, moon face, irritability, emotional lability, and pathologic
diagnose?
fractures.
See an expert-written answer
Hand flexing inward
Which feature(s) indicates a
Carpopedal spasm is evidenced by the hand flexing inward.
carpopedal spasm in a client
Cardiac dysrhythmia is a symptom of hyperparathyroidism. Moon
with hypoparathyroidism?
face and buffalo hump are the symptoms of Cushing syndrome.
A bulging forehead is a symptom of acromegaly.
See an expert-written answer
, The functioning of endocrine glands
A client is scheduled for a
diagnostic test to measure Measuring blood hormone levels helps determine the
blood hormone levels. The functioning of endocrine glands. A radioimmunoassay
nurse expects that this test will determines the concentration of a substance in plasma. The
determine which of the measurement of blood hormone levels will not reveal a client's
following? blood sugar level. Radiographs of the chest or abdomen
determine the size of the organ and its location.
Levothyroxine sodium
Which of the following would Hypothyroidism is treated with thyroid replacement therapy, in
the nurse expect the physician the form of desiccated thyroid extract or a synthetic product,
to order for a client with such as levothyroxine sodium (Synthroid) or liothyronine sodium
hypothyroidism? (Cytomel). Methimazole and propylthiouracil are antithyroid
agents used to treat hyperthyroidism. Propranolol is a beta
blocker that can be used to treat hyperthyroidism.
Pituitary
Which of the following glands is Commonly referred to as the master gland, the pituitary gland
considered the master gland? secretes hormones that control the secretion of additional
hormones by other endocrine glands. The thyroid, parathyroid,
and adrenal glands are not considered the master gland.
Although not designated as kidneys
endocrine glands, several
organs within the body secrete The kidneys release renin, a hormone that initiates the production
hormones as part of their of angiotensin and aldosterone to increase blood pressure and
normal function. Which organ blood volume. The kidneys also secrete erythropoietin, a
secretes hormones involved in substance that promotes the maturation of red blood cells.
increasing blood pressure and
volume and maturation of red
blood cells?
See an expert-written answer
renin
A nurse is caring for a client with
Renin is released from the kidneys and initiates the production of
a kidney disorder. What
angiotensin and aldosterone to increase blood pressure and
hormone released by the
blood volume. The kidneys secrete erythropoietin, a substance
kidneys initiates the production
that promotes the maturation of red blood cells. Cholecystokinin
of angiotensin and aldosterone
released from cells in the small intestine stimulates contraction of
to increase blood pressure and
the gallbladder to release bile when dietary fat is ingested.
blood volume?
Gastrin is released within the stomach to increase the production
of hydrochloric acid.
See an expert-written answer
Save
Students also studied
Flashcard sets Study guides Practice tests
Pharm Ch 1-10 quizzes Pharmacology Issues Related to the... Psych conditioning a
125 terms 60 terms 16 terms
lollitsalex Preview noellewilsonn Preview egroszek04
An incoherent client with a myxedema coma.
history of hypothyroidism is
brought to the emergency Severe hypothyroidism may result in myxedema coma, in which a
department by the rescue drastic drop in the metabolic rate causes decreased vital signs,
squad. Physical and laboratory hypoventilation (possibly leading to respiratory acidosis), and
findings reveal hypothermia, nonpitting edema. Thyroid storm is an acute complication of
hypoventilation, respiratory hyperthyroidism. Cretinism is a form of hypothyroidism that
acidosis, bradycardia, occurs in infants. Hashimoto's thyroiditis is a common chronic
hypotension, and nonpitting inflammatory disease of the thyroid gland in which autoimmune
edema of the face and factors play a prominent role.
periorbital area. Knowing that
these findings suggest severe
hypothyroidism, the nurse
prepares to take emergency
action to prevent the potential
complication of:
decreased body temperature and cold intolerance.
Hypothyroidism markedly decreases the metabolic rate, causing
A client is being evaluated for a reduced body temperature and cold intolerance. Other signs
hypothyroidism. During and symptoms include dyspnea, hypoventilation, bradycardia,
assessment, the nurse should hypotension, anorexia, constipation, decreased intellectual
stay alert for: function, and depression. Exophthalmos; conjunctival redness;
flushed, warm, moist skin; and a systolic murmur at the left
sternal border are typical findings in a client with
hyperthyroidism.
T3, thyroxine (T4), and calcitonin.
A nurse explains to a client with
The thyroid gland normally produces thyroid hormone (T3 and
thyroid disease that the thyroid
T4) and calcitonin. The pituitary gland produces TSH to regulate
gland normally produces:
the thyroid gland. The hypothalamus gland produces TRH to
regulate the pituitary gland.
, deposits of adipose tissue in the trunk and dorsocervical area.
A nurse is assessing a client with
Because of changes in fat distribution, adipose tissue
possible Cushing's syndrome. In
accumulates in the trunk, face (moon face), and dorsocervical
a client with Cushing's
areas (buffalo hump). Hypertension is caused by fluid retention.
syndrome, the nurse expects to
Skin becomes thin and bruises easily because of a loss of
find:
collagen. Muscle wasting causes muscle atrophy and thin
extremities.
hypocalcemia.
A client who has undergone a thyroidectomy is at risk for
For the first 72 hours after
developing hypocalcemia from inadvertent removal of or
thyroidectomy surgery, a nurse
damage to the parathyroid gland. The client with hypocalcemia
should assess a client for
will exhibit a positive Chvostek's sign (facial muscle contraction
Chvostek's sign and Trousseau's
when the facial nerve in front of the ear is tapped) and a positive
sign because they indicate:
Trousseau's sign (carpal spasm when a blood pressure cuff is
inflated for a few minutes). These signs aren't present with
hypercalcemia, hypokalemia, or hyperkalemia.
Administer hydrocortisone I.M.
Clients with Addison's disease and their family members should
Before discharge, what should a know how to administer I.M. hydrocortisone during periods of
nurse instruct a client with stress. Although it's important for the client to keep well hydrated
Addison's disease to do when during stress, the critical component in this situation is to know
exposed to periods of stress? how and when to use I.M. hydrocortisone. Capillary blood
glucose monitoring isn't indicated in this situation because the
client doesn't have diabetes mellitus. Hydrocortisone
replacement doesn't cause insulin resistance.
Goiter
A woman with a progressively
enlarging neck comes into the
A goiter can result from inadequate dietary intake of iodine
clinic. She mentions that she has
associated with changes in foods or malnutrition. It's caused by
been in a foreign country for the
insufficient thyroid gland production and depletion of glandular
previous 3 months and that she
iodine. Signs and symptoms of this malfunction include an
didn't eat much while she was
enlarged thyroid gland, dizziness when raising the arms above
there because she didn't like the
the head, dysphagia, and respiratory distress. Signs and
food. She also mentions that she
symptoms of diabetes mellitus include polydipsia, polyuria, and
becomes dizzy when lifting her
polyphagia. Signs and symptoms of diabetes insipidus include
arms to do normal household
extreme polyuria (4 to 16 L/day) and symptoms of dehydration
chores or when dressing. What
(poor tissue turgor, dry mucous membranes, constipation,
endocrine disorder should the
dizziness, and hypotension). Cushing's syndrome causes buffalo
nurse expect the physician to
hump, moon face, irritability, emotional lability, and pathologic
diagnose?
fractures.
See an expert-written answer
Hand flexing inward
Which feature(s) indicates a
Carpopedal spasm is evidenced by the hand flexing inward.
carpopedal spasm in a client
Cardiac dysrhythmia is a symptom of hyperparathyroidism. Moon
with hypoparathyroidism?
face and buffalo hump are the symptoms of Cushing syndrome.
A bulging forehead is a symptom of acromegaly.
See an expert-written answer
, The functioning of endocrine glands
A client is scheduled for a
diagnostic test to measure Measuring blood hormone levels helps determine the
blood hormone levels. The functioning of endocrine glands. A radioimmunoassay
nurse expects that this test will determines the concentration of a substance in plasma. The
determine which of the measurement of blood hormone levels will not reveal a client's
following? blood sugar level. Radiographs of the chest or abdomen
determine the size of the organ and its location.
Levothyroxine sodium
Which of the following would Hypothyroidism is treated with thyroid replacement therapy, in
the nurse expect the physician the form of desiccated thyroid extract or a synthetic product,
to order for a client with such as levothyroxine sodium (Synthroid) or liothyronine sodium
hypothyroidism? (Cytomel). Methimazole and propylthiouracil are antithyroid
agents used to treat hyperthyroidism. Propranolol is a beta
blocker that can be used to treat hyperthyroidism.
Pituitary
Which of the following glands is Commonly referred to as the master gland, the pituitary gland
considered the master gland? secretes hormones that control the secretion of additional
hormones by other endocrine glands. The thyroid, parathyroid,
and adrenal glands are not considered the master gland.
Although not designated as kidneys
endocrine glands, several
organs within the body secrete The kidneys release renin, a hormone that initiates the production
hormones as part of their of angiotensin and aldosterone to increase blood pressure and
normal function. Which organ blood volume. The kidneys also secrete erythropoietin, a
secretes hormones involved in substance that promotes the maturation of red blood cells.
increasing blood pressure and
volume and maturation of red
blood cells?
See an expert-written answer
renin
A nurse is caring for a client with
Renin is released from the kidneys and initiates the production of
a kidney disorder. What
angiotensin and aldosterone to increase blood pressure and
hormone released by the
blood volume. The kidneys secrete erythropoietin, a substance
kidneys initiates the production
that promotes the maturation of red blood cells. Cholecystokinin
of angiotensin and aldosterone
released from cells in the small intestine stimulates contraction of
to increase blood pressure and
the gallbladder to release bile when dietary fat is ingested.
blood volume?
Gastrin is released within the stomach to increase the production
of hydrochloric acid.
See an expert-written answer
