Hormones
What are the 2 parts of the pituitary
anterior and posterior
The nurse is assessing a patient diagnosed with Graves. what physical characteristic of Graves disease would the nurse expect to find?
Bulging eyes (exopthalmus)
A patient has developed SIADH and has been admitted to an acute care facility. What should the nurse monitor for when caring for this patient
Strict intake and output, Urine and blood chemistry, and neurological function.
A patient with Cushing is admitted for pituitary tumor removal. What would be most important for the nurse to monitor before, during and after surgery?
Blood glucose. The patient's blood glucose will be more volatile than body temperarture.
What is the type of drug used for type 2 diabetes to lower blood sugar?
What regulates the release of anterior pituitary hormones?
hypothalamus
A nurse is planning care for a patient with hyperthyroidism. What type of diet would she plan for this patient?
Small frequent meals,high in protein and calories.
The physician orders a deprivation test for a patient suspected having diabetes insipidus. During the test, the nurse should prioritize what assessment?
heart rate, bp. The fluid deprivation test is caried out by withholding fluids for 12 hours. The patient needs to be frequently monitored.
A patient with Cushing has been hospitalized after a fall. the dietician suggest what type of diet to optimize health?
What is the hormone injection that type 1 diabetics require?
Insulin
Name the 8 major endocrine glands
pituitary, thyroid, parathyroid, adrenal, pancreas, thymus, pineal, gonads
A patient has returned after thyroidectomy for thyroid cancer. The nurse knows that the parathyroid gland could be injured. An early indication of parathyroid gland injury would be?
hypocalcemia as evidenced by spasms of wrist or facial twitching
What is the priority nursing diagnosis for a patient with SIADH?
Excess fluid volume, as the patient retains fluids and develops a sodium deficiency. Restricting fluid intake is a typical intervention for managing this syndrome
Patient has adrenocortical insufficiency. What is the most common cause of this problem?
Therapeutic use of corticosteroids.
What is the type of diabetes obesity increases the risk for?
Type 2
Name the 6 major hormones produced by the pituitary gland
GH, THS, ACTH, FSH, LH, PRL
A 75 y/o patient with osteoporosis is at risk from developing what endocrine disorder?
hypothyroidism
A nurse is caring for a patient with diabetes insipidus and she is reviewing labs. What is an expected urinalysis finding?
Nurse caring for Cushing patient identifies risk for injury related to weakness. How does nurse reduce risk?
Establish fall prevention measures.
What is the test that measures how much sugar is attached to bloods hemoglobin?
A1C
What hormones are released by thyroid?
T3. T4. calcitonin
A patient as had thyroid surgery, how should the nurse best position the patient?
Semi-Fowlers with the head supported on 2 pillows.
What type of IV solution would be administer to patient with SIADH?
Hypertonic solution if sodium <110
Following Addisonian crisis, a patient adrenal function has been regained. The nurse educates the patient about the need for supplementary glucocorticoid therapy in which circumstances?
Why is it necessary to rotate insulin injection sites?
To prevent lipoatrophy