Term
| What is the common effect of a deficiency of ADH? |
|
Definition
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|
Term
| Nephrogenic diabetes insipidus: What is the problem? |
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Definition
| ADH is present, but kidneys aren't responding to it. |
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Term
| Disease defined as hypofunction of the adrenal cortex |
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Definition
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Term
| Disease commonly caused by hypersecretion of cortisol from the adrenal cortex |
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Definition
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Term
| A tumor of the adrenal medulla that causes hypersecretion of epinephrine and norepinephrine |
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Definition
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Term
| With endocrine disorders, what nursing diagnosis typically takes priority? |
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Definition
| Risk for injury related to calcium imbalance |
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Term
| Phenochromocytoma: classic sign |
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Definition
| Exaggerated sympathetic response due to excessive norepinephrine secretion |
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Term
| Meds given for ADH disorders |
|
Definition
Vasopressin (Pitressin): replaces ADH
Desmopressin (DDAVP): replaces ADH
Demeclocycline(Declomycin): reduces
ADH release |
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Term
| Medications for growth hormone dysfunction |
|
Definition
Bromocriptine (Parlodel): reduces growth hormone release
Octreotide (Sandostatin):supresses growth hormone
Somatropin (Humatrope): replaces growth hormone |
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|
Term
| Adrenal hyperplasia, a condition that results in increased production and release of cortisol, is caused by an increase in what hormone? |
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Definition
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Term
| What disease is the result of hypersecretion of ACTH? |
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Definition
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|
Term
| What gland secretes ACTH? |
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Definition
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Term
| You tap on the patient's facial nerve in front of the ear. What are you looking for and what does it indicate? |
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Definition
| Chvostek's sign: spasm indicates hypocalcemia |
|
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Term
| Addison's Disease: nursing care |
|
Definition
- daily weights
- I/O
- serum glucose
- monitor for hyocalcemia
- monitor for hyponatremia |
|
|
Term
| Major lab consideration regarding Addison's |
|
Definition
|
|
Term
| Addison's: nursing consideration |
|
Definition
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|
Term
| Hypoparathyroidism: complications |
|
Definition
| Bone density loss: osteoporosis |
|
|
Term
|
Definition
- Moon face
- Red cheeks
- Thinning hair
- Striae (stretch marks)
- Easy bruising
- Thin extremities
- Osteoporosis
- Pendulous abdomen |
|
|
Term
| Cushing's: nursing diagnosis |
|
Definition
| Risk for infection due to high cortisol and immunosuppression |
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Term
|
Definition
| hypotension, related to lack of aldosterone |
|
|
Term
| What controls the pituitary gland? |
|
Definition
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|
Term
| What 2 things are needed for the thyroid to function correctly? |
|
Definition
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|
Term
| Disease in childhood thyroid dysfunction |
|
Definition
|
|
Term
|
Definition
- decreased metabolism
- mental dullness
- lethargy
- dry skin
- heart failure
- edema
- hyperlipidemia |
|
|
Term
| What causes osteoporosis in women? |
|
Definition
|
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Term
|
Definition
•Rapid heart beats
•Greatly increased body temperature
•Chest pain
•Shortness of breath
•Anxiety and irritability
•Disorientation
•Increased sweating
•Weakness
•Heart failure |
|
|
Term
| Thyroid storm: nursing alert |
|
Definition
| Don't use aspirin to bring down fever. Use Tylenol instead |
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|
Term
| Post thyroidectomy: Why have patient talk? |
|
Definition
| Check for hoarse voice - sign of airway obstruction. |
|
|
Term
| signs and sx of a complication following a thyroidectomy |
|
Definition
| airway complications (stridor), shock, fever, loc changes |
|
|
Term
| what causes giantism? acromegalia |
|
Definition
| over secretion of growth hormone, starting in childhood, acromegalia starts in adulthood. |
|
|
Term
| what causes diabetes incipitus? |
|
Definition
| body does not produce enough ADH. |
|
|
Term
|
Definition
| OVERSTIMULATED thyroid gland. |
|
|
Term
| what do you teach an addison's crisis pt who is being discharged. |
|
Definition
| teach importance of hormone replacement, |
|
|
Term
| what is thyrotoxic crisis? another name? |
|
Definition
|
|
Term
|
Definition
| Treat Sx, iv fluids, B-blockers, semi fowlers, O2, NO ASA |
|
|
Term
| What to have at bedside after thyroidectomy |
|
Definition
- trach tray
- suction
- calcium glubinate |
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|
Term
| When assessing a client diagnosed with hypercortisolism (Cushing's disease), a nurse should expect to find which of these pysical manifestations?
A) Poor posture
B) Thin, dry hair
C) Drooping eyelids
D) Abdominal striae |
|
Definition
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|
Term
When assessing a client diagnosed with hypercortisolism (Cushing's disease), a nurse should expect to find which of these pysical manifestations?
A) Central obesity
B) Thin, dry hair
C) Drooping eyelids
D) Anhydrosis |
|
Definition
|
|
Term
When assessing a client diagnosed with hypercortisolism (Cushing's disease), a nurse should expect to find which of these pysical manifestations?
A) Weight loss
B) Thick skin
C) Drooping eyelids
D) Hyperhidrosis |
|
Definition
|
|
Term
When assessing a client diagnosed with hypercortisolism (Cushing's disease), a nurse should expect to find which of these pysical manifestations?
A) Anemia
B) Thin, dry hair
C) Moon face
D) Anhydrosis |
|
Definition
|
|
Term
When assessing a client diagnosed with hypercortisolism (Cushing's disease), a nurse should expect to find which of these pysical manifestations?
A) Anorexia
B) Thin, dry hair
C) Drooping eyelids
D) Fat pads along the collar bone and on the back of the neck |
|
Definition
| D (also known as buffalo hump) |
|
|
Term
When assessing a client diagnosed with hypercortisolism (Cushing's disease), a nurse should expect to find which of these pysical manifestations?
A) Anorexia
B) Dry, brittlehair
C) Drooping eyelids
D) Anhydrosis |
|
Definition
|
|
Term
When assessing a client diagnosed with hypercortisolism (Cushing's disease), a nurse should expect to find which of these pysical manifestations?
A) psychological disturbances
B) thin, dry hair
C) drooping eyelids
D) anhydrosis |
|
Definition
| A) psychological disturbances |
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|
Term
| Cushing's patients tend to have joint pain in what three areas? |
|
Definition
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|
Term
Which data from a client's history should a nurse identify as a predisposition to base deficit metabolic acidosis?
A) Diuresis
B) Diarrhea
C) Diaphoresis
D) Protracted Vomiting |
|
Definition
|
|
Term
Metabolic acidosis can result from which of the following?
A) Increased ketones
B) decreased salicylate
C) excess reabsorption of HCO3
D) kidneys response to respiratory acidosis |
|
Definition
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|
Term
| When assessing a child's ear. How do you position the ear? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Paresthesias, muscle spasms, and tetany are signs of what? |
|
Definition
|
|
Term
| Tap over facial nerve anterior to ear and observe for twitching. What is this and why are we doing it/ |
|
Definition
Chvosteck's sign.
Sign of calcium deficiency |
|
|
Term
"Physical" testing for hypocalcemia include (select all that apply)
A) Trousseau's sign
B) Homan's sign
C) Chvostek's sign
D) |
|
Definition
|
|
Term
| The most common cause of intestinal obstruction |
|
Definition
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