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Chapter 46 Pituitary, Thyroid, Parathyroid, and Adrenal Disorders Questions &Exam (elaborations) answers 100% satisfaction guarantee
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Chapter 46 Pituitary, Thyroid, Parathyroid, and Adrenal Disorders Questions &Exam (elaborations) answers 100% satisfaction guarantee

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  • August 11, 2024
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  • 2024/2025
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  • chapter 46 pituitary thyroid parathyroid and a
  • chapter 46 pituitary thyroid parathyroid and ad

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STUVIA 2024/2025
Chapter 46: Pituitary, Thyroid, Parathyroid, and
Adrenal Disorders
A 35-year-old woman reports lethargy, difficulty remembering things, facial edema, dry skin, and
cessation of menses. The nurse notes a heart rate of 60 beats per minute and a weight increase of 5
pounds from a previous visit. The nurse suspects the patient will be diagnosed with which of the
following?
a. Cretinism
b. Early menopause
c. Hyperthyroidism
d. Myxedema - ✔✔ANS: D

Myxedema is severe hypothyroidism characterized by this woman's symptoms. Cretinism is
congenital hypothyroidism. Early menopause is not characterized by memory loss, facial edema, dry
skin, or bradycardia. Hyperthyroidism would include tachycardia and weight loss.

A child exhibits acromegaly caused by a tumor that cannot be destroyed with radiation. Which
medication would be appropriate to treat this child?
a. Bromocriptine mesylate (Parlodel)
%


b. Conivaptan (Vaprisol)
c. Somatrem (Protropin)
d. Somatropin (Genotropin) - ✔✔ANS: A

Bromocriptine is used to inhibit release of growth hormone from the pituitary gland if the tumor cannot
be destroyed by radiation. Conivaptan is used for symptomatic euvolemic hyponatremia associated
with SIADH. Somatrem and somatropin are used to treat growth hormone deficiency and would make
acromegaly worse.

A patient has hypocalcemia caused by parathyroid hormone deficiency. Which medication will the
nurse anticipate giving to this patient?
a. Calcitonin
b. Calcitriol
c. Calcium
d. Vitamin D - ✔✔ANS: B

Calcitriol is given for management of hypocalcemia caused by parathyroid hormone deficiency.
Calcitonin is used to treat hyperparathyroidism. Calcium and vitamin D are not useful in parathyroid
deficiency.



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, STUVIA 2024/2025
A patient is admitted to the hospital with myxedema and requires treatment for hypothyroidism. For
rapid improvement in symptoms, the nurse will expect to administer which medication?
a. Levothyroxine sodium (Synthroid)
b. Liothyronine (Cytomel)
c. Liotrix (Thyrolar)
d. Thyroid desiccated (Armour Thyroid) - ✔✔ANS: B

Liothyronine has a short t1/2 and rapid onset of action and is not recommended for maintenance
therapy but is used as initial therapy for severe myxedema. Levothyroxine is the drug of choice for
replacement therapy. Liotrix is a second-line drug. Thyroid desiccated is used for hypothyroidism to
reduce goiter size.

A patient is receiving a glucocorticoid medication to treat an inflammatory condition, and the provider
has ordered a slow taper in order to discontinue this medication. The nurse explains to the patient
that this is done to prevent which condition?
a. Acromegaly
b. Adrenocortical insufficiency
c. Hypertensive crisis
d. Thyroid storm - ✔✔ANS: B
%

Patients receiving glucocorticoids stop making their own cortisol. These drugs should be tapered
slowly to allow the body to resume making this hormone. Acromegaly is associated with growth
hormone hypersecretion. Hypertensive crisis and thyroid storm are associated with thyroid
replacement.

A patient is taking prednisolone and fludrocortisone (Florinef). When teaching this patient about
dietary intake, the nurse will instruct the patient to consume a diet that is:
a. high in carbohydrates.
b. high in fat.
c. high in protein.
d. low in potassium. - ✔✔ANS: C

Patients receiving fludrocortisone are at risk for negative nitrogen balance and should consume a
high-protein diet.

A patient who takes high-dose aspirin to treat arthritis will need to take prednisone to treat an acute
flare of symptoms. What action will the nurse perform?
a. Observe the patient for hypoglycemia.
b. Monitor closely for increased urine output.
c. Observe the patient for hypotension.


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