Med Surg Endocrine system
### Preoperative Care for Transsphenoidal Hypophysectomy
1. What postoperative instructions should be provided to a patient after a transsphenoidal
hypophysectomy? - A. Avoid sneezing - B. Drink through a straw - C. Cough forcefully - D. Wash mouth out with peroxide ...
### Preoperative Care for Transsphenoidal Hypophysectomy
1. What postoperative instructions should be provided to a patient after a transsphenoidal
hypophysectomy?
- A. Avoid sneezing
- B. Drink through a straw
- C. Cough forcefully
- D. Wash mouth out with peroxide
- Correct Answer: A. Avoid sneezing
### Acromegaly Evaluation
2. What causes the prominent facial features of a patient with acromegaly?
- A. Prolactin
- B. Growth hormone
- C. Thyroid-stimulating hormone
- D. Adrenocorticotropic hormone
- Correct Answer: B. Growth hormone
### Symptoms of Diabetes Insipidus (DI)
3. What are the classic symptoms associated with diabetes insipidus?
- A. Diuresis, tachycardia, and weakness
- B. Dizziness, hypertension, and excitability
- C. Stress incontinence, vomiting, and edema
- D. Bradycardia, insomnia, and muscle cramps
- Correct Answer: A. Diuresis, tachycardia, and weakness
,### Purpose of Hydrocortisone in Addison's Disease
4. Why is hydrocortisone prescribed for a patient with Addison's disease?
- A. Increase cardiac output
- B. Regulate the excretion of potassium and sodium
- C. Decrease the level of cortisol
- D. Lower the blood sugar level
- Correct Answer: B. Regulate the excretion of potassium and sodium
### Understanding Nephrogenic vs. Neurogenic Diabetes Insipidus
5. How does nephrogenic diabetes insipidus differ from neurogenic diabetes insipidus?
- A. Will eventually resolve without medication
- B. Requires the nasal spray lypressin
- C. Does not respond to ADH
- D. Will require dialysis
- Correct Answer: C. Does not respond to ADH
### Identification of Pheochromocytoma
6. What is the primary clinical indication of a pheochromocytoma?
- A. Significant hypertension
- B. Extreme nausea
- C. Abdominal pain
- D. Edema in the legs
- Correct Answer: A. Significant hypertension
### Recognizing Adrenal Crisis in Addison's Disease
, 7. What symptoms might indicate an adrenal crisis in a patient with Addison's disease?
- A. Hypertension and abdominal pain
- B. Confusion and tachycardia
- C. Bradycardia and nausea
- D. Widening pulse pressure and shortness of breath
- Correct Answer: B. Confusion and tachycardia
### Teaching for Addison's Disease Management
8. What key instruction should be included in a teaching plan for a patient with Addison's disease?
- A. Discontinue hormonal replacement therapy if nausea or diarrhea occurs
- B. Decrease medication if under stress or being treated for infection
- C. Wear a medical alert tag and carry emergency dexamethasone
- D. Begin a vigorous exercise program to combat weakness and muscle wasting
- Correct Answer: C. Wear a medical alert tag and carry emergency dexamethasone
### Cushing Syndrome Post-Asthma Treatment
9. What is a likely cause of Cushing syndrome in a patient with a history of long-term asthma treatment?
- A. Taking corticosteroids for many years
- B. Abruptly withdrawing cortisone therapy
- C. Lack of ACTH, related to the pituitary gland
- D. Poorly functioning adrenal glands
- Correct Answer: A. Taking corticosteroids for many years
### Clinical Findings in Cushing Syndrome
10. What hallmark findings are expected when assessing a patient with Cushing syndrome?
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