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Exam (elaborations)

ATI Endocrine Exam Questions With Correct Answers

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ATI Endocrine Exam Questions With Correct Answers Diabetes Insipidus & ADH - answerToo little antidiuretic hormone (ADH) SIADH & ADH - answerToo much antidiuretic hormone (ADH) DI Manifestations - answer- Polyuria - Urine output 5-20 L/day - Polydipsia - Drinking 4-30 L/day - Dehydration - Po...

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  • November 11, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
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  • ATI
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©THEBRIGHT EXAM SOLUTIONS

11/7/2024 12:35 PM


ATI Endocrine Exam Questions With
Correct Answers



Diabetes Insipidus & ADH - answer✔Too little antidiuretic hormone (ADH)

SIADH & ADH - answer✔Too much antidiuretic hormone (ADH)

DI Manifestations - answer✔- Polyuria - Urine output 5-20 L/day
- Polydipsia - Drinking 4-30 L/day
- Dehydration - Poor skin turgor, dry mucous membranes, hypotension, tachycardia, wt. loss,
headache, dizziness, constipation
- Hypovolemic shock - hypotension, tachycardia, decreased CO, decreased cerebral perfusion

SIADH Manifestations - answer✔- Oliguria - excretion of Na+, reabsorption of water
- Fluid volume excess - wt gain w/o edema, crackles, distended neck veins, taut skin,
tachycardia, HTN


- Early manifestations - headache, weakness, anorexia, muscle cramps, wt gain
- Late manifestations - personality changes, hostility, decreased deep-tendon reflexes, n&v,
diarrhea, confusion, lethargy, Cheyne-Stokes respirations, seizures, coma, death

DI (Urine & Serum Concentration) - answer✔URINE DILUTE/SERUM CONCENTRATED


Urine
• Specific gravity less than 1.005
• Low osmolality (50-200 mOsm/kg)

, ©THEBRIGHT EXAM SOLUTIONS

11/7/2024 12:35 PM

• Decreased pH
• Decreased urine sodium
• Decreased urine potassium


Serum
• Increased serum osmolality (greater than 295 mOsm/kg)
• Increased serum sodium
• Increased serum potassium
• Serum Na+ & K+ are high only because serum is concentrated

SIADH (Urine & Serum Concentration) - answer✔URINE CONCENTRATED/SERUM DILUTE


Urine
• Specific gravity greater than 1.025
• High osmolality (greater than 295 mOsm/kg)
• Increased urine sodium
• Increased urine potassium


Serum
• Decreased serum osmolality (less than 270 mOsm/kg)
• Decreased serum sodium
• Decreased serum potassium

Most definitive test for Addison's disease - answer✔ACTH stimulation test
PTU is given to suppress the thyroid hormone. Tx goals have been met when client reports... -
answer✔An increase in weight


(Note: Will also cause decrease in sweat, stool, and appetite)

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