What Am I
A 50-year-old man outputs 15 L of urine within a 24-hour period. He has poor skin turgor with low blood pressure and increased heart rate. You would plan to administer which medication?
Desmopressin (DDAVP)
This medication is the 1st line of defense against hypothyroidism. Every patient that has hypothyroidism is started on this medication. What is my name?
What is Levothyroxine (Synthroid)
The nurse admits a patient whose assessment reveals prominent brow ridge, large hands and feet, and large lips and nose. Which pituitary hormone does the nurse suspect is elevated?
Growth hormone
This gland is considered the "Nurse manager" of the body
What is the anterior pituitary gland?
What position should the new post op patient that had a transphenoidial hypophysectomy be ALWAYS placed?
What is semi-fowlers? 45-75 degree angle
This occurs when a "coffee ring" appears on a napkin after the patient wipes their nose. What is my name and am I an emergency?
What is a halo ring? Call the MD STAT or press the rapid response button.
What are signs and symptoms of hypothyroidism? (Select all that apply.) (4 responses)
sluggish mental activity
weight gain
constipation
hypotension
A nurse cares for a patient who is prescribed vasopressin (DDAVP) for diabetes insipidus. Which assessment findings indicate a therapeutic response to this therapy? Select all that apply. (Three responses)
Urine output is decreased.
Specific gravity is increased.
Urine osmolality is increased.
A patient has been admitted to the medical unit for treatment of Addison’s disease. Which clinical manifestations of the disease does the nurse anticipate being present? Select all that apply. (3 responses)
Nausea
Glucose 50 mg/dL
Blood pressure 90/70
This gland is stimulated by the anterior pituitary gland, and it tells this organ to "fight or flight" What is the organ?
What is the Adrenals?
The nurse caring for a client scheduled for a transsphenoidal hypophysectomy to remove a tumor in the pituitary gland assists in developing a plan of care for the client. The nurse suggests including which specific information in the preoperative teaching plan?
Breathing through the mouth will be essential after surgery while nasal packing is in place.
This condition can cause severe hypovolemia and is considered life threatening if left untreated. What Am I?
What is diabetes insipidus?
While walking in the mall an LPN notices an obese woman with a rounded face and facial hair. The LPN suspects the woman has Cushing’s disease. Which of the following health concerns would most likely also be present in the woman? Select all that apply. (2 responses)
Hypertension
Hyperglycemia
The nurse should inform a client with BPH that side effects of medication may include? (Multiple choices, at least 3)
Hypotension
Decreased Libido
Dizziness
The nurse monitors for which clinical manifestations in the patient diagnosed with hyperthyroidism? Select all that apply (4 responses)
Thinning hair
10-pound weight loss
Hyperactive bowel sounds
Heart rate 150 bpm
This gland is the sized of a pea. What is my name?
What is the pituitary gland?
The nurse reviews a plan of care for a postoperative client following a thyroidectomy and notes that the client is at risk for breathing difficulty. Which nursing intervention should the nurse include in the plan of care?
Ensure a tracheostomy kit is at the bedside at all times.
What does normal cerebrospinal fluid look like?
Clear like water
Excessive secretions of the growth hormone in children. What Am I?
What is gigantism?
The nurse would question a prescription for somatropin (Genotropin) in a patient with which condition?
What is acromegaly?
The nurse understands the client diagnosed with acromegaly will display some of the following clinical manifestations. Select all that apply (3 responses)
Coarsened, enlarged facial features.
Oily, coarse, thickened skin.
Enlarged hands and feel
This organ secretes glucagon and insulin. What is my name?
What is the pancreas?
Which lab value should be monitored by the nurse for the client diagnosed with diabetes insipidus?
What is serum sodium?
A client has returned to his room after a thyroidectomy with signs of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potential lethal complication of?
Congestive heart failure.
This is what occurs with the eyes in Grave's Disease. What is my name?
What is exothalmous?
The healthcare provider prescribes Proscar for a 67-year-old client who has benign prostatic hyperplasia. When teaching the client about the drug, the nurse informs him that?
Sexual activity may decrease while he is taking the medication
Goiter is an enlargement of what gland
What is the Thyroid Gland?
What gland secretes melatonin?
What is the pineal gland?
The LPN is monitoring a patient who has been noncompliant with treatment for hyperthyroidism. Which clinical condition should the LPN be most concerned with as a potential complication?
What is
Thyroid storm?
A nurse assesses a patient who is experiencing diabetic ketoacidosis (DKA). For which manifestations would the nurse monitor the patient? Select all that apply.
Tachycardia
Deep and fast respirations
Orthostatic hypotension
I cause urinary retention and I am treated with salt. What Am I?
What is SIADH?
Which therapies and medication is the health care provider likely to order for a patient who is experiencing an Addisonian crisis?
Fluid bolus and IV hydrocortisone (Solu-Cortef)
Which hormone acts on bone to release calcium into the blood?
What is parathyroid hormone?
The posterior lobe of pituitary gland secretes which hormones? (2 responses)
ADH and Oxytocin
The nurse is administering an iodine preparation to a patient. What is a nursing implication in administering this drug?
Diluting and administering through a straw to prevent staining the teeth
A nurse assesses a patient who is recovering from a total thyroidectomy and notes the development of stridor. What action does the nurse take first?
Contact the provider and prepare for intubation
Pituitary tumors cause increased pressure and damage this. What am I?
What is Optic Chiasm?
The client is treated with intranasal Vasopressin, 2 sprays four times a day as needed. What is this medication used for?
What is Diabetes Insipidus?
Which organ functions as endocrine gland when it secretes ANP (atrial natriuretic peptide) & BNP (brain natriuretic peptide)?
What is the heart?
This gland is considered the "CEO" of the endocrine system. What's my name?
What is the hypothalamus gland?
The nurse is caring for a client who struggles to maintain glycemic control at night and during early morning hours. Which statement explains the reason for this problem?
Counterregulatory hormones produce hyperglycemia
A 78-year-old female taking Synthroid who has an irregular pulse of 144 and temperature of 102.8F. What is the emergency?
What is the beginning of a Thyroid Storm?
What is the name of the tumor of the pituitary gland called?
What is adenoma?
A nurse is collecting data from a client who has taken methimazole for a thyroid disorder over the past month. Which of the following findings demonstrates an expected response to methimazole?
Decreased body temperature
A nurse is caring for a client who had a thyroidectomy to treat hyperthyroidism cause by an adenoma. Which findings should the nurse report to the provider? (3 responses)
Laryngeal stridor and hoarseness
Tachycardia and hypertension
Positive Trousseau's sign
Name all of the hormones secreted by the anterior pituitary gland.
Growth hormone, TSH, ACTH, FSH, Prolactin
The nurses notes that the HbA1c level of a client was 9.4% and dropped to 6.4%. What should the nurse understand that this means?
The client has shown more control of the blood glucose level over the last 120 days
What is the number one cause of death in untreated Thyroid Storm?
What is Cardiomyopathy?