NUR 421- Pituitary Gland Disorders Test Questions and Correct Answers
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Course
NUR 421
Institution
NUR 421
Hypothalamus hypothalamic hormones regulate the synthesis and secretion of pituitary gland hormones
Hyperpituitarism - over secretion of the anterior pituitary gland
Causes - pituitary adenomas (cancer) - extra pituitary tumors - hypothalamic lesions
Increased secretion of growth hormone giganti...
NUR 421- Pituitary Gland Disorders Test
Questions and Correct Answers
Hypothalamus ✅hypothalamic hormones regulate the synthesis and secretion of
pituitary gland hormones
Hyperpituitarism ✅- over secretion of the anterior pituitary gland
Increased secretion of growth hormone ✅gigantism
- excess of gh *before puberty* and fusion of long bones
Acromegaly
- gh excess *after puberty* and fusion of long bones
- soft tissues continue to grow
- increase in size of body parts but not height
- enlargement of organs (heart and liver)
- can cause htn, dm, and cardiomyopathy
Acromegaly: clinical manifestations ✅- severe headaches
- visual disturbances
- thick lips with coarse facial structures
- enlarged hands and feet
- barrel shaped chest
- lower jaw protrusion
- increasing head size
- change in menstral pattern
Acromegaly: diagnostic test ✅growth hormone suppression test
- use of glucose, which suppresses gh secretion in normal functioning pituitary gland
Xray of skull
Ct or mri of head
Cerebraal angiography
Acromegaly treatment: hypophysectomy ✅removal of the pituitary gland through the
nose or upper lip
Preoperative nursing implications
- notify client that hormone replacement therapy will be lifelong
, - informed consent
- vital signs
Postoperative nursing implications
- monitor loc
- monitor drainage to mustache dressing
- notify provider if leakage drainage contains glucose
- maintain high fowlers position
- encourage deep breathing *but limit coughing*
- assess for s/s of meningitis
- administer replacement hormones
Client education
- do not brush teeth (use rinses)
- do not blow nose
- do not bend over at the waist
- report any nasal drip
- increase fiber in diet
Syndrome of inappropriate antidiuretic hormone (siadh) ✅*"soaked inside"*
- failure for negative feedback system to regulate adh
- adh controls reabsorption of water by the kidneys
Clinical manifestations
- water retention without edema/intoxication
- dilutional hyponatremia
- decreased urine output
Siadh: dilutional hyponatremia ✅- muscle cramps/weakness
- n/v/d
- lethargy, disorientation, ha
- confusion, depression of dtr
- seizures, coma
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