NURSING CARE OF PATIENTS WITH ENDOCRINE DISORDERS – Flashcards
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AMENORRHEA
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ABSENCE OR SUPPRESSION OF MENSTRUATION
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ECTOPIC
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ECTOPIC HORMONES ARE SECRETED FROM OTHER SITES OTHER THAN THE GLAND WHERE THEY WOULD NORMALLY BE FOUND
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EUTHYROID
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NORMAL THYROID PRODUCTIONQ
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GOITROGENIC
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FOODS OR MEDS THAT CAUSE GOITER
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GOITROGENS
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FOODS OR MEDS THAT CAUSE GOITER
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HYPERPLASIA
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EXCESSIVE INCREASE IN THE NUMBER OF NORMAL CELLS
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HYPOPHYSECTOMY
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SURGICAL REMOVAL OF THE PITUITARY GLAND
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MYXEDEMA
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CONDITION RESULTING FROM THE HYPOFUNCTION OF THE THYROID GLAND
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NEPHROGENIC
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CAUSED BY THE KIDNEYS
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NOCTURIA
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EXCESSIVE URINATION AT NIGHT
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OSMOLALITY
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OSMOTIC CONCENTRATION; IONIC CONCENTRATION OF THE DISSOLVED SUBST. PER UNIT OF SOLVENT
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PHEOCHROMOCYTOMA
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RARE TUMOR OF THE ADRENAL SYSTEM THAT SECRETES CATECHOLAMINES
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POLYDIPSIA
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EXCESSIVE THIRST
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POLYURIA
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EXCESSIVE URINATION
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PSYCHOGENIC
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OF MENTAL ORIGIN
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TETANY
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MUSCLE SPASMS, NUMBNESS, AND TINGLING CAUSED BY CHANGES IN pH AND LOW SERUM CALCIUM
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DIABETES INSIPIDUS
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PROBLEM- ADH (ANTIDIRURETIC HORMONE) DEFICIENCY; S/S- POLYURIA
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SYNDROME OF INAPPROPRIATE ADH (SIADH)
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PROBLEM- EXCESS ADH; S/S- H2O RETENTION
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CUSHINGS SYNDROME
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PROBLEM- STEROID EXCESS; S/S- MOONFACE
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ADDISONS DISEASE
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PROBLEM- STEROID DEFICIENCY; S/S- HYPOTENSION
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GRAVES DISEASE
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PROBLEM- HIGH LEVELS OF T3 AND T4 IN BLOOD; S/S- EXOPTHALMUS
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HYPOTHYROID
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PROBLEM- LOW T3 AND T4 LEVELS; S/S -WT. GAIN AND BODY FAT EXCESS
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PHEOCHROMOCYTOMA
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PROBLEM- EPINEPHRINE EXCESS; S/S- LABILE HYPERTENSION
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HYPERPARATHYROID
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PROBLEM- HIGH SERUM CALCIUM BLOOD LEVELS ; S/S- MUSCLE WEAKNESS; BRITTLE BONES
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SHORT STATURE
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PROBLEM- LOW LEVELS OF GROWTH HORMONE IN THE BLOOD; S/S- FAILURE TO GROW AND DEVELOP; FAILURE TO THRIVE
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ACROMEGALY
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PROBLEM- GROWTH HORMONE EXCESS; S/S- CONSTANT GROWTH OF ABNORMALLY LARGE HANDS AND FEET
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HYPOPARATHYROID
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PROBLEM- LOW SERUM CALCIUM LEVELS IN THE BLOOD; S/S- TETANY
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A NORMALLY FUNCTIONING THYROID GLAND PRODUCES A _____ ____.
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EUTHYROID STATE
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ENLARGEMENT OF THE THYROID GLAND IS CALLED A ___
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GOITER
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EXCESSIVE THIRST IS CALLED______
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POLYDIPSIA
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EXCESSIVE URINATION IS CALLED---
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POLYURIA
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A ____ IS A TUMOR OF THE ADRENAL MEDULA
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PHEOCHROMOCYTOMA
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DIFFICULTY SWALLOWING IS CALLED_____
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DYSPHAGIA
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UNTREATED HYPOTHYROIDISM CAN LEAD TO
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MYEDEMA COMA
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-------- IS THE WORD FOR GETTING UP TO VOID DURING THE NIGHT
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NOCTURIA
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ABSENCE OF MENSES IS CALLED________
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AMENORRHEA
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SOMETIMES HORMONES ARE PRODUCED OUTSIDE THE ENDOCRINE GLAND IN AN ___ STATE
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ECTOPIC STATE
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MR. SAMUELS IS DIAGNOSED WITH SIADH RELATED LUNG CANCER. WHAT FLUID RELATED NURSING DIAGNOSIS WOULD BE MOST APPROPRIATE FOR MR. SAMUELS?
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EXCESS FLUID VOLUME (TOO MUCH ADH)
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MR. SAMUELS IS DIAGNOSED WITH SIADH RELATED LUNG CANCER. HOW WILL YOU MONITOR MR. SAMUELS' FLUID BALANCE
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MONITOR WEIGHT DAILY,, I&O, VITALS, URINE SPECIFIC GRAVITY, LUNG SOUNDS, SKIN TURGOR
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MR. SAMUELS IS DIAGNOSED WITH SIADH RELATED LUNG CANCER. WHY IS MR. SAMUELS AT RISK FOR SEIZURES?
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DUE TO H2O RETENTION REDUCED OSMOLALITY OF BLOOD
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MR. SAMUELS IS DIAGNOSED WITH SIADH RELATED LUNG CANCER. HOW WILL YOU REDUCE HIS RISK FOR INJURY FROM SEIZURES?
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PADDED SIDE RAILS
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MR. SAMUELS IS DIAGNOSED WITH SIADH RELATED LUNG CANCER. WHAT DO YOU EXPECT MR. SAMUELS URINE TO LOOK LIKE?
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CONCENTRATED
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MR. SAMUELS IS DIAGNOSED WITH SIADH RELATED LUNG CANCER. WHAT WILL HIS URINE LOOK LIKE AFTER TREATMENT HAS BEGUN?
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MORE DILUTE
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MRS. JORGENSEN IS HOSPITALIZED FOLLOWING A MOTOR VEHICLE ACCIDENT IN WHICH SHE SUSTAINED A HEAD INJURY. SHE DEVELOPS DIABETES INSIPIDUS. WHY DOES HEAD INJURY PLACE MRS. JORGENSEN AT RISK FOR DI?
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HEAD INJURY CAN INDIRECTLY DAMMAGE THE PITUITARY
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MRS. JORGENSEN IS HOSPITALIZED FOLLOWING A MOTOR VEHICLE ACCIDENT IN WHICH SHE SUSTAINED A HEAD INJURY. SHE DEVELOPS DIABETES INSIPIDUS. WHAT SYMPTOMS DO DI AND DM HAVE IN COMMON?
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POLYURIA AND POLYDIPSIA ARE COMMON
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MRS. JORGENSEN IS HOSPITALIZED FOLLOWING A MOTOR VEHICLE ACCIDENT IN WHICH SHE SUSTAINED A HEAD INJURY. SHE DEVELOPS DIABETES INSIPIDUS. WILL MS. JORGENSENS URINE SPEC. GRAVITY BE HIGH OR LOW?
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LOW
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MRS. JORGENSEN IS HOSPITALIZED FOLLOWING A MOTOR VEHICLE ACCIDENT IN WHICH SHE SUSTAINED A HEAD INJURY. SHE DEVELOPS DIABETES INSIPIDUS. WILL MRS. JORGENSEN SERUM OSMOLALITY BE HIGH OR LOW?
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HIGH
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MRS. JORGENSEN IS HOSPITALIZED FOLLOWING A MOTOR VEHICLE ACCIDENT IN WHICH SHE SUSTAINED A HEAD INJURY. SHE DEVELOPS DIABETES INSIPIDUS. FOR WHICH FLUID RELATED NURSING DIAGNOSIS IS MRS JORGENSEN AT RISK?
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DEF. FLUID VOLUME
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MRS. JORGENSEN IS HOSPITALIZED FOLLOWING A MOTOR VEHICLE ACCIDENT IN WHICH SHE SUSTAINED A HEAD INJURY. SHE DEVELOPS DIABETES INSIPIDUS. MRS.. JORGENSEN BEGINS TREATMENT WITH DDAVP. TO WHAT SIGNS OF OVERDOSE SHOULD MRS. JORGENSEN BE ALERT?
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SIGNS OF FLUID OVERLOAD
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM: BRADYCARDIA
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HYPOTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM: LETHARGY
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HYPOTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM: RESTLESSNESS
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HYPERTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM:FREQUENT STOOLS
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HYPERTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM: HYPERCHOLESTEROLEMIA
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HYPOTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM:DRY HAIR
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HYPOTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM:TREMOR
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HYPERTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM:INSOMNIA
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HYPERTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM:,MENTAL DULLNESS,CONFUSION
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HYPOTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM: WARM DIAPHORETIC SKIN
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HYPERTHYOIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM: WEIGHT LOSS
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HYPERTHYROIDISM
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LABEL THE SYMPTOM AS A SIGN OF HYPOTHYROIDISM OR HYPERTHYROIDISM:DECREASED APPETITE
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HYPOTHYROIDISM
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DURING SURGERY FOR THYROIDECTOMY, THE NURSE WATCHES CAREFULLY FOR WHICH SIGN AND SYMPTOM OF TETANY:
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NUMB FINGERS AND MUSCLE CRAMPS
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WHAT ASSESSMENT FINDINGS SHOULD THE NURSE MONITOR TO DETECT THE ONSET OF THYROTOXICOSIS IN A PATIENT WITH HYPERTHYROIDISM:
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VITAL SIGNS
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WHAT DIETARY RECOMMENDATIONS WILL REDUCE THE RISK OF KIDNEY STONES IN THE PATIENT WITH HYPERPARATHYROIDISM
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INCREASE FLUIDS
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AN EXCESS OF WHICH HORMONE IS RESPONSIBLE FOR ACROMEGALY
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GROWTH HORMONE
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WHAT NURSING DIAGNOSES IS MOST APPROPRIATE FOR THE PATIENT ADMITTED IN ADDISONIAN CRISIS
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DEFICIENT FLUID VOLUME
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A 42-Y/O WOMAN ENTERS AN OUTPATIENT CLINIC WITH SYMPTOMS OF WEIGHT GAIN AND FATIGUE. LAB TESTS ARE DONE AND SHE IS DIAGNOSED WITH PRIMARY HYPOTHYROIDISM. SHE ASKS WHY HER TSH LEVEL IS ELEVATED. WHAT IS THE BEST RESPONSE BY THE NURSE?
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THE PITUITARY MAKES MORE TSH TO TRY TO STIMULATE THE UNDERACTIVE THYROID.