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endocrine test 1

QuestionAnswer
1. What are the two anatomical areas that control the hormones? - Hypothalamus and pituitary glands
2. What are lethal complications from thyroid crisis. - All s/s of hyperthyroidism are exaggerated. - Congestive heart failure
3. What is the plan of care for patient with acromegaly? - Focus on relieving patient’s discomfort and self-esteem. - Typically would undergo a hypophysectomy. - Instructing the patient to avoid vigorous coughing, sneezing, and straining at stool.
4. What is the purpose for the use of radioactive iodine? - To destroy some of the thyroid tissue.
5. What precaution is needed for the nurse when caring for a patient treated with radioactive iodine 131 (RAIU)? - Wait three days after dose before assigning a pregnant nurse to care for this patient.
6. Medical management for Methimazole. - Blocks the production of thyroid hormone. - Monitor for signs of hypothyroidism.
7. Position for patient after a thyroidectomy. - Semi-fowlers
8. What equipment do you need at the bedside after a thyroidectomy? - Suction equipment - Humidified oxygen - Tracheostomy tube
9. A spasm of the facial muscle is a sign of what? - Chvostek’s sign
10. Chvostek and trousseau’s sign indicates what? - Hypocalcemia
11. Potential complication of the parathyroid hormone secretion. - Laryngeal spasms
12. What is the plan of care for a pt for an elderly pt with diabetes insipidus following a head trauma? - Protecting patient from injury.
13. Dietary consideration for a pt with hypothyroidism - Calorie restricted meals
14. Discharge instructions for a 50-year-old pt with hypothyroidism. - Seeing the physician regularly for follow-up care.
15. Symptoms of thyroid storm. - Increased vital signs - Distended neck veins
16. What is the master gland? - Pituitary gland
17. What info do you need to know before patient starts iodine – 131? - Status of possible pregnancy
18. Which food has iodine? - Eggs
19. Adverse reaction for calcium gluconate. - Drop in blood pressure
20. Signs and symptoms of hypoglycemia. - Irritability - Tremors - Diaphoresis
21. What is cortisol for? - Glucose metabolism - Providing extra reserve energy during stress
22. Post op care for thyroidectomy. - Maintaining anatomic position of the head when moving a patient. - Doing voice check every 2 hours. - Checking for bleeding at the sides and the back of the head.
23. Which food has increased metabolism related to hyperthyroidism. - Lean meat - Leafy green vegetables - Supplemental vitamin D
24. Diet for patient with hypocalcemia from hypoparathyroidism. - Canned fish with bones - Cucumbers - Tofu - Vitamin D supplements
25. Hormone definition - Messenger - pituitary gland to target organ.
26. Intervention for pt with hypothyroidism. - Calorie restricted meals
27. What is hyperparathyroidism characterized by? - Increased sleep and urination - Anorexia and weakness - Depression - Bone pain
28. Signs and symptoms of a post op thyroidectomy. - Hemorrhaging - Tetany - Thyroid crisis
29. s/s of Hyperparathyroidism. - Calcium oxalate renal stone - Decrease in bone density.
Created by: nataliesp
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