Pituitary
State the location of the pituitary gland.
Sella Turcica
Heart
Adrenal Cortex
Hypothalamus
Sella Turcica
Name the hormone secreted from the Pituitary gland that stimulates the thyroid gland. And name the two hormones produced by the thyroid gland.
Thyroxine (T4), TSH, Growth Hormone
Thyroid Stimulating Hormone, Thyroxine (T4) and Triiodothyronine (T3)
Thyroid Stimulating Hormone (TSH), Estrogen, ADH
Epinepherine, Norepinepherine, TSH, Triiodothyronine
Thyroid Stimulating Hormone, Thyroxine (T4) and Triiodothyronine (T3)
State the location of the adrenal cortex and the adrenal medulla.
The adrenal cortex is located within the pancreas.
The adrenal cortex is located superior to the kidneys
The adrenal cortex is located posterior to the kidneys
The adrenal cortex is located in the thoracic cavity
The adrenal cortex is located superior to the kidneys
A patient believed to have acromegaly asks the purpose of the diagnostic glucose tolerance test (GTT). What is the most accurate response?
“It tells whether your thyroid reacts to the high levels of sugar taken during this test.”
“It measures the growth hormone in the presence of oral glucose levels at a specified times."
“The doctor wants to know if you have either diabetes or acromegaly."
“The growth hormone will cause the glucose to be used up very quickly during the test.”
“It measures the growth hormone in the presence of oral glucose levels at specified times.”
A pediatric nurse is making a care plan for a 10-year-old boy with hyperpituitarism identifies a disturbed self-image. What should the nurse relate this nursing diagnosis to?
Small genitalia
Skin eruptions on the face
Lack of facial hair
Excessive height
Excessive height
The treatment of a person with Addison's disease includes which of the following medications?
Hydrocortisone
Insulin
Calcitonin
Growth hormone
Hydrocortisone
True or False:
Somatropin is given to children for impaired growth.
True
False
True
Another name for TSH is:
Thyroxine (T4), TSH, Growth Hormone
CalciumThyrotropin
Thyroxine
Thyrotropin
Name the two hormones released from the adrenal medulla.
Cortisol and Corticotropin
Neo-Synepherine and Epinepherine
Epinepherine and Norepinepherine
Leutinizing hormone and Oxytocin
Epinepherine and Norepinepherine
Wha is the purpose of the laboratory test to measure the serum level of adrenocorticotropic hormone (ACTH). What will that the laboratory test will determine?
Androgen metabolites are low or borderline.
The thyroid gland is not stimulating the production of ACTH.
The pituitary gland is sending the correct message to the adrenal glands.
The adrenal glands are not responding to produce cortisol.
The pituitary gland is sending the correct message to the adrenal glands.
A patient with Addison’s disease is being discharged after an Addrenal Crisis. Which instruction is most important for the nurse to reinforce?
Advise the patient to drink less water.
The importance of taking their steroid replacement medications as prescribed.
The importance of 30 minutes of exercise daily.
The need for a well balanced diet.
The importance of taking their steroid replacement medications as prescribed.
A patient, newly diagnosed with hypothyroidism, is anxious to begin her drug regimen. What should the nurse’s instructions relative to hormone replacement include?
“Be sure and take these drugs just before bedtime.”
“You will be able to notice the benefits of thyroid replacement therapy right away.”
“Don’t worry about the brand medication, they’re all the same.”
“Know the signs and symptoms of hyperthyroidism.”
“Know the signs and symptoms of hyperthyroidism.”
What is the name of the gland that connects the pituitary gland to the brain/central nervous system?
Pleural
Pituitary
Frontal Lobe Gland
Hypothalamus
Hypothalamus
What usually causes hypothyroidism?
Increased secretion of T3 and T4 by the thyroid.
No secretion of Parathormone by the thyroid.
Increased secretion of TSH by the pituitary.
Low or no secretion of T3 and T4 by the thyroid.
Low or no secretion of T3 and T4 by the thyroid.
Excessive production of aldosterone leads to hypertension.
True
False
True
A physician ordered T3 and T4 tests for a young woman. Which laboratory test results will confirm the diagnosis of hypothyroidism?
Both tests show increases.
The T3 test elevates, and the T4 test decreases.
Both tests show decreases.
The level of thyroxin rises and then falls back to subnormal levels.
Both tests show decreases.
What are the signs and symptoms of adrenal crisis?
Hypertension and abdominal pain
Widening pulse pressure and shortness of breath
Bradycardia and nausea
Confusion and tachycardia
Confusion and tachycardia
A patient is receiving the medication octreotide (Sandostatin) as a treatment for acromegaly. What should the nurse explain regarding this medication?
It suppresses the growth hormone.
It reverses the effects of acromegaly.
It increases insulin secretion causing hypoglycemia.
It should be given on a daily basis by injection.
It suppresses the growth hormone.
What is the major function of the pituitary gland?
The pituitary secretes enzymes that in turn control the secretion of hormones by other cellular glands.
The pituitary controls the cerebella activity of the brain and in turn skeletal function occurs.
The pituitary controls the function of the brain.
The pituitary secretes hormones that in turn control the secretion of hormones by other endocrine glands.
The pituitary secretes hormones that in turn control the secretion of hormones by other endocrine glands.
Parathormone regulates:
The level of calcium in the bloodstream.
The use of sugar by the cells.
The secretions of the adrenal cortex.
The reaction of the body to stress.
The level of calcium in the bloodstream.
Name the principal action of Aldosterone.
To ensure sodium is removed from the blood.
To conserve sodium in the kidneys.
Aldosterone causes magnesium to be retained.
To conserve sodium in the large intestines.
To conserve sodium in the kidneys.
A laboratory test for a patient, which showed a high level of thyroid-stimulating hormone (TSH) and a low level of T4. What is the nurses most accurate explanation to the patient?
“I am sorry. You will have to ask your physician about your laboratory results. We are not allowed to discuss them.”
“It means that you have an inconsistency in your thyroid tests, and you will need more testing.”
“That means that you will have to go on hormone therapy for the rest of your life.”
“The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn’t producing enough hormone.”
“The TSH is sending a message to your thyroid gland to increase production, but your thyroid isn’t producing enough hormone.”
What symptoms should a nurse anticipate in the history of a patient with hyperparathyroidism?
Poor muscle tone, bone pain, urinary calculi, and fractures
Tachycardia, air hunger, and nervousness
Hunger, thirst, and urinary retention
Fatigue, hyperactive reflexes, muscle cramps, and twitching
Poor muscle tone, bone pain, urinary calculi, and fractures
Which instruction should a nurse provide when a patient starts taking a saturated solution of potassium iodide (SSKI)?
Double the dose if a dose is missed.
Sip medication through a straw to prevent tooth staining.
Take before meals.
Expect excessive salivation.
Sip medication through a straw to prevent tooth staining.
Diabetes insipidus is caused by a lack of what pituitary hormone:
Mineralocorticoids
Glucocorticoids
Antidiuretic Hormone (ADH)
Insulin
Antidiuretic Hormone (ADH)
Name the hormone secreted by the Thyroid gland that controls the level of calcium being deposited in the bone?
Calcium
Phosphotase
Calcitonin
Parathormone
Calcitonin
The adrenal medulla functions as part of the __________ _______ ______.
Autonomic nervous system
Sympathetic nervous system
Muscle-skeletal nervous system
Circulatory nervous system
Autonomic nervous system
What action would initiate the Chvostek sign?
Ask the patient to grimace and note if the facial response is symmetrical.
Tap the face over the facial nerve and watch for a spasm of the facial muscle.
Check the pupillary response to light and determine whether the pupil accommodates and reacts.
Inflate a blood pressure cuff to the systolic level and watch for a carpopedal spasm.
Tap the face over the facial nerve and watch for a spasm of the facial muscle.
What are the classic symptoms of diabetes insipidus (DI)?
Dizziness, hypertension, and excitability
Bradycardia, insomnia, and muscle cramps
Diuresis, tachycardia, and weakness
Stress incontinence, vomiting, and edema
Diuresis, tachycardia, and weakness
What symptoms should a patient report if they are taking Tapazole (Thiamonide drug)? Choose all that apply
Jaundice
Urine retention
Rash
Becoming pregnant
Blood in the stool
Becoming pregnant
rash
jaundice
blood in the stool