NUR 212 Unit1B - Survivors of Abuse and Neglect & Social and Environmental Influences on the Child Q&A
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Course
NUR 212
Institution
NUR 212
A kindergarten student is frequently violent toward other children. A school nurse notices bruises and burns on the child's face and arms. What other symptom should indicate to the nurse that the child may have been physically abused? The child shrinks at the approach of adults.
A woman presents w...
NUR 212 Endocrine System Review
Questions and Correct Answers
Prediabetes ✅patients who are at risk for diabetes but can reverse with lifestyle
changes
What is the endocrine system? ✅a hormonal system that affects development growth,
reproduction, the ability to participate in activities, sexuality, ability to handle stress,
nutrition, and self perception/concept/ identity
also effects fluid and electrolytes
True or False: to look for abnormalities within the endocrine system, you HAVE to draw
blood work based on a specific hormone ✅True
Where is the pituitary gland located? ✅within the brain
What does the pituitary gland stimulate? ✅thyroid gland, adrenal glands, and gonads
What does the pituitary gland secrete? ✅Growth hormone, ADH, thyroid stimulating
hormone
Explain how the pituitary gland controls hormone levels ✅The pituitary gland senses
when hormone levels in the circulating blood are low which stimulated the pituitary
gland to produce stimulating hormones
As we age, how is our endocrine system altered? ✅decrease in hormone levels
decrease in metabolism
delay and decreased release of insulin
decrease in production of liver enzymes
How do stressful situations affect elderly? ✅since there is a delay in the release of
insulin and a decreased amount of insulin, blood glucose levels stay higher for longer
(release of cortisol) so they are hyperglycemic for longer
puts elderly at an increased risk for DKA
Increased in TIIDM
True or False: mother hormones do not affect the fetus ✅False
CM of hypothyroid babies ✅"good baby"
good sleeper
not fussy
, What happens if hypothyroidism is left untreated in babies ✅can cause growth and
cognitive development to be impaired as well as their appetite and metabolism will be
affected
Diagnostic tests for the endocrine system ✅First: Blood test
MRI for nodules/tumors
CT Scan: check for glands in abdomen
Ultrasound: specific to the thyroid gland (only tells anatomical structure)
True or false: an overactive gland is larger in size ✅True
What does SIADH stand for? ✅Syndrome of Inappropriate AntiDiuretic Hormone
Explain what happens in SIADH ✅there is a serious increase of ADH which causes
water retention (little u/o) and leads to swelling and fluid volume EXCESS
Is SIADH a kidney or pituitary gland problem? ✅Pituitary gland
What is the most common cause of SIADH? ✅metastatic lung cancer because that
particular lung tumor also releases ADH in addition to the pituitary gland
Other causes for SIADH ✅pancreatic cancer
head injury or stroke
S/E of hypothyroidism
S/E of tegretol (anti-seizure) and SSRI
Hyper or hyponatremia in SIADH ✅hyponatremia because of a low serum osmo due to
fluid volume excess (watered down)
hypokalemia (PVC's), hypocalcemia, may look anemic
Will there be high or low u/o with SIADH? ✅low due to ADH and water retention
will have a high urine osmo/ dark in color
How do low Na levels present in a person? ✅sleepy (fall risk)
headache
confusion
Will a patient with SIADH be very thristy? ✅YES YES YESSSSSSS
What assessments will be made by a nurse that can indicate SIADH? ✅bounding
pulse, HTN, tachycardia, crackles in lungs or requires O2 or POX decreased
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