Acromegaly
Gigantism
Dwarfism
100
What statement by the patient indicates a need for further teaching? 1. “If I need hormone replacement therapy, I will need to continue this treatment throughout life.” 2. “The first choice of treatment is drug therapy, and this will be considered before any surgery.” 3. “Radiation therapy is used with a combination of drugs that will attempt to reduce GH levels.” 4. “Medications will be administered paternally or orally.
2. “The first choice of treatment is drug therapy, and this will be considered before any surgery.”
100
Overproduction of growth hormone will result in what? A. Addison disease B. Crushing disease C. Gigantism D. Diabetes E. none of the above
C. Gigantism
100
what is hypopituitory dwarfism? A. is not a condition but a disease of the parents B. is not a condition but a disease of the child C. is a condition caused by deficiency in GH D. is a condition caused by deficiency in the productive system of the mother F. none of the above
C. is a condition caused by deficiency in GH
200
. What should the nurse teach the patient with acromegaly to report immediately to the physician? 1. Discomfort at pin sites after surgery 2. Joint pain, backache, muscle pain 3. Increased headaches and visual disturbances 4. A change in their ring or shoe sizes
3. Increased headaches and visual disturbances
200
what age does gigantism occur? A. In a baby B. At any age C. In a adult D. In a child E. none of the above
D. In a child
200
what diagnostic test are done? select all that apply? A. liver scan and evaluation B. CT scan C. plasma levels of GH D. MRI scan E. radio-graphic evaluation F. none of the above
B. CT scan C. plasma levels of GH D. MRI scan E. radio-graphic evaluation
300
Acromegaly is most frequently diagnosed in: a. Middle-aged adults b. Newborns c. Children ages 2 to 5 d. Adults age 65 and older
a. Middle-aged adults
300
what is the average life span? A. shorter expectancy B. normal expectancy C. average expectancy D. longer expectancy E. none of the above
A. shorter expectancy
300
what complication are experienced with Dwarfism? select all that apply? A. musculoskeletal disorder B. eating disorders C. cardiovascular disorder D. weight disorder E. vision disorder F. none of the above
A. musculoskeletal disorder C. cardiovascular disorder D. weight disorder
400
. A person is recently diagnosed with Acromegaly. What statement indicates that the patient understands the disease process? 1. Acromegaly is caused by an increase in tropic hormones. 2. This disease is predominately caused by a neurological disorder. 3. Acromegaly results from excessive GH secretion when the epiphyseal plates are still open while in childhood. 4. In Acromegaly, an excess of GH, normally caused by a pituitary tumor, that leads to an overgrowth of bone and soft tissue
4. In Acromegaly, an excess of GH, normally caused by a pituitary tumor, that leads to an overgrowth of bone and soft tissue.
400
what are some nursing diagnoses for this? select all that apply? A. disturbed body image B. chronic pain C. impaired physical mobility D. sexual delayed development E. growth and development delay F. none of the above
A. disturbed body image B. chronic pain C. impaired physical mobility D. sexual delayed development E. growth and development delay
400
what is the medical treatment for this? select all that apply? A. only immediate surgeries over time B. surgery if indicated C. only replacement of GIH by injection D. replacement of hypoglycemia E. replacement of GH by injection an other hormones F. none of the above
B. surgery if indicated E. replacement of GH by injection an other hormones
500
2. Jemma, who weighs 210 lb (95 kg) and has been diagnosed with hyperglycemia tells the nurse that her husband sleeps in another room because her snoring keeps him awake. The nurse notices that she has large hands and a hoarse voice. Which of the following would the nurse suspect as a possible cause of the client’s hyperglycemia? a. Acromegaly b. Type 1 diabetes mellitus c. Hypothyroidism d. Deficient growth hormone
A. Acromegaly,
500
what should u assess for? select all that apply. A. the patient ability to learn to eat B. skin turgor and dehydration C. understanding of the disease process D. frequent measurement of height E. the patient ability to concentrate F. ability to verbalize emotional responses
C. understanding of the disease process D. frequent measurement of height F. ability to verbalize emotional responses
500
what are some clinical manifestation of dwarfism? select all that apply? A. appear younger than their chronological age B. sexual development is hyper advanced C. growth development is hyper advanced D. not able to reproduce off spring E. able to reproduce off spring F. none of the above
A. appear younger that their chronological age E. able to reproduce off spring
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