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College of Nursing Questions And
Answers
S/S of Hyperthyroidism - correct answer Atrial fibrillation, bruit or thrill over the thyroid, Diaphoresis, Palpitations, Tachycardia, Heat Intolerance, Weight loss S/S of Hypothyroidism - correct answer Fatigue, Mental sluggishness, Hypothermia, Dry flaky skin and thinning nails, cold intolerance, weight gane What sign is elicited by tapping over the facial nerve and results in a spasm? - correct answer Chvostek sign What does a positive Chvostek's sign indicate? - correct answer Hypocalcemia What other sign other than Chvostek's sign indicated hypocalcemia? - correct answer Trousseau's sign If a patient has a positive Chvostek's sign what is a possible problem that could arise? - correct answer Airway ineffectiveness
College of Nursing Questions And
Answers
TSH levels in hyperthyroidism are increased or decreased? - correct answer Decreased (body is trying to compensate) T3 and T4 levels in hyperthyroidism are increased or decreased? - correct answer Increased TSH levels in hypothyroidism are increased or decreased?
correct answer Increased (body is trying to compensate) T3 and T4 levels in hypothyroidism are increased or decreased? - correct answer Decreased What group of people is most commonly affected by hypothyroidism? - correct answer women Hypocalcemia is common when what organ is injured during surgery? - correct answer parathyroid
College of Nursing Questions And
Answers
Client teaching for Addison's Disease? - correct answer Carry injectable dexamethasone (Decadron), will have to take this medication for life Client teaching for Diabetes Insipidus? - correct answer Recognizing the signs and symptoms of dehydration Client teaching for Diabetes Mellitus? - correct answer Self monitoring for infection, skin breakdown, changes in peripheral circulation, poor wound healing, numbness in extremities, foot care Client teaching for Hyperthyroidism? - correct answer Avoiding the use of stimulants such as caffeine containing foods and drugs, avoid bulky foods/fiber Client teaching for Hypothyroidism? - correct answer Avoiding sedatives
College of Nursing Questions And
Answers
The classic signs of diabetes are: - correct answer PPPP - polyuria (peeing alot), polyphagia (hungry alot), polydipsia (thirsty alot) Hypothalamus is the what of the endocrine system? - correct answer heart What does the hypothalamus do? - correct answer stimulates another gland to release hormones Pituitary gland is made of 2 parts ... - correct answer anterior and posterior Disorder of the pituitary gland that causes a deficiency of ADH hormone? - correct answer Diabetes Insipidus What is Diabetes Insipidus treated with? - correct answer Vasopressin Disorder of the pituitary gland that causes excess ADH hormone? - correct answer SIADH
College of Nursing Questions And
Answers
What does a person with Myxedema look like? - correct answer Sluggish, heavy, fluid overloaded, sagging eyes What is a side effect of Synthroid in the elderly? - correct answer Angina What does the parathyroid gland regulate? - correct answer Calcium and phosphorus What might a patient with hypoparathyroidism present with? - correct answer Tetany and seizures What might a patient with hyperparathyroidism present with? - correct answer renal calculi, nausea and vomiting, cardiac dysrythmias, musle and bone weakness What levels of Calcium indicate a hypercalcemic crisis? - correct answer Greater than 14
College of Nursing Questions And
Answers
What is Pheochromocytoma? - correct answer Hyperactivity of the adrenal medulla - or always in fight or flight because of too much adrenaline S/S of Pheochromocytoma? - correct answer Pounding headache and elevated BP Adrenal Medulla secretes what hormones? - correct answer Epi and norepi (Fight or Flight response) Adrenal Cortex secretes what hormones? - correct answer Glucocorticoids, aldosterone (increase blood sugar, stimulate digestion, regulate NA and K) Addison's disease is? - correct answer chronic adrenal insufficiency Treatment for Addison's disease? - correct answer Lifetime replacement of corticosteroids, patient carries an injection kit of dexamethasone. Also, encourage fluids and foods high in sodium DKA - correct answer Only Type 1 diabetics, absence of insulin
College of Nursing Questions And
Answers
If a high pressure alarm goes off on a mechanical ventilator what needs to be done by the nurse? - correct answer The patient needs to be assessed for suction If a low pressure alarm goes off on a mechanical ventilator what needs to be done by the nurse? - correct answer There is a disconnection somewhere and the nurse needs to bag the patient with oxygen What can be done to prevent ventilator pneumonia? - correct answer Oral care Q2H What does Acute Respiratory Failure lead to if untreated?
correct answer ARDS What does ARDS lead to if not treated properly? - correct answer Pulmonary Edema Treatment for Pulmonary Edema? - correct answer Lots of lasix, morphine, must have a foley
College of Nursing Questions And
Answers
What position is a good position for a patient following a thyroidectomy? - correct answer Semi fowlers to promote good breathing S/S of hypocalcemia - correct answer numbness and tingling in face,neck and around mouth, respiratory wheezing What foods contain a lot of phosphorus? - correct answer milk and cheese Adrenal glands produce what hormones? - correct answer epi, norepi, corticosteroids, aldosterone Stress can cause? - correct answer Adrenal insufficiency and Thyroid Storm Prevention of DKA? - correct answer hydration, insulin and diabetes education What is pleurisy? - correct answer chest pain aggravated by cough
College of Nursing Questions And
Answers
What are paradoxical chest movements? - correct answer unequal chest movements When are paradoxical chest movements seen? - correct answer After a chest trauma, the 2 sides won't move together, this is an emergency What is the difference between the nursing diagnosis' Impaired Gas Exchange and Ineffective Airway? - correct answer ABG's are necessary for a nursing diagnosis of Impaired Gas Exchange What is PEEP? - correct answer It opens the alveoli and keeps them from collapsing and improves gas exchange to the capillary bed What is refractory hypoxemia? - correct answer When the hypoxia does not respond to Oxygen therapy Medication treatment for Diabetes Insipidus? - correct answer high doses of desmopressin
College of Nursing Questions And
Answers
What is a patient after thyroidectomy at risk for? - correct answer airway problems What is needed at the bedside for a patient post thyroidectomy? - correct answer Trach kit, Oxygen, Suction Beta blockers promote what in patients with diabetes? - correct answer Hypoglycemia (especially in elderly) If a diabetic patient is taking a betablocker, what might need to be adjusted? - correct answer Their insulin Cushing's disease priority intervention? - correct answer Skin breakdown Addison's disease priority intervention? - correct answer Safety Why does a hypothyroidism patient receive cardiac medications? - correct answer Because of their tachycardia
