Exam 2 - Advanced Med Surg Galen
College of Nursing Questions with 100%
Correct Answers 2024
S/S of Hyperthyroidism - Correct Answer Atrial fibrillation, bruit or thrill over the thyroid,
Diaphoresis, Palpatations, Tachycardia, Heat Intolerance, Weight loss
S/S of Hypothyroidism - Correct Answer Fatigue, Mental sluggishness, Hypothermia,
Dry flaky skin and thinning nails, cold intolerance, weight gane
What sign is elicited by tapping over the facial nerve and results in a spasm? - Correct
Answer Chvostek sign
What does a positive Chvostek's sign indicate? - Correct Answer Hypocalcemia
What other sign other than Chvostek's sign indicated hypocalcemia? - Correct Answer
Trousseau's sign
If a patient has a positive Chvostek's sign what is a possible problem that could arise? -
Correct Answer Airway ineffectiveness
TSH levels in hyperthyroidism are increased or decreased? - Correct Answer
Decreased (body is trying to compensate)
T3 and T4 levels in hyperthyroidism are increased or decreased? - Correct Answer
Increased
TSH levels in hypothyroidism are increased or decreased? - Correct Answer Increased
(body is trying to compensate)
T3 and T4 levels in hypothyroidism are increased or decreased? - Correct Answer
Decreased
What group of people is most commonly affected by hypothyroidism? - Correct Answer
women
Hypocalcemia is common when what organ is injured during surgery? - Correct Answer
parathyroid
Dosages of this drug may need to be decreased if a client is also taking levothyroxine
(Synthroid)? - Correct Answer Coumadin
When should levothyroxine (Synthroid) be administered? - Correct Answer In the
morning, 2 hours away from any other drug
, Therapy often used to treat hyperthyroidism is ____________ - Correct Answer
Radioactive Iodine or Thyroidectomy
Name one factor that most commonly triggers a thyroid storm? - Correct Answer Stress
S/S of Thyroid storm? - Correct Answer High Fever, tachycardia, nausea, vomiting,
tremors, agitation, psychosis
Client teaching for Cushing's Syndrome? - Correct Answer Recognizing the signs and
symptoms of infection and fluid retention
Client teaching for Addison's Disease? - Correct Answer Carry injectable
dexamethasone (Decadron), will have to take this medication for life
Client teaching for Diabetes Insipidus? - Correct Answer Recognizing the signs and
symptoms of dehydration
Client teaching for Diabetes Mellitus? - Correct Answer Self monitoring for infection,
skin breakdown, changes in peripheral circulation, poor wound healing, numbness in
extremities, foot care
Client teaching for Hyperthyroidism? - Correct Answer Avoiding the use of stimulants
such as caffeine containing foods and drugs, avoid bulky foods/fiber
Client teaching for Hypothyroidism? - Correct Answer Avoiding sedatives
The classic signs of diabetes are: - Correct Answer PPPP - polyuria (peeing alot),
polyphagia (hungry alot), polydipsia (thirsty alot)
Hypothalamus is the what of the endocrine system? - Correct Answer heart
What does the hypothalamus do? - Correct Answer stimulates another gland to release
hormones
Pituitary gland is made of 2 parts ... - Correct Answer anterior and posterior
Disorder of the pituitary gland that causes a deficiency of ADH hormone? - Correct
Answer Diabetes Insipidus
What is Diabetes Insipidus treated with? - Correct Answer Vasopressin
Disorder of the pituitary gland that causes excess ADH hormone? - Correct Answer
SIADH
What is SIADH? - Correct Answer water retention and decreased NA (diluted)
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