100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Endocrine NSG 219- Endocrine Disorders, Diabetes Insipidus, and Diabetes Mellitus Questions and Answers CA$15.02   Add to cart
Quickly navigate to
Preview
  2.  
  3. NURS 219
  4.  
  5. NURS 219

Exam (elaborations)

Endocrine NSG 219- Endocrine Disorders, Diabetes Insipidus, and Diabetes Mellitus Questions and Answers
 3 views  0 purchase
  • Course
  • NURS 219
  • Institution
  • NURS 219

What is the job of the hypothalamus? to stimulate or inhibit the release of hormones from the pituitary gland The pituitary gland is the target tissue of the hypothalamus What hormones are secreted by the anterior pituitary? ACTH-stimulate corticosteroids GH-growth TSH-metabolism FSH/LH-sexual...

[Show more]

Preview 3 out of 18  pages

Document information

  • August 3, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • endocrine nsg 219 endocrine disorders diabetes
  • what is the job of the hypothalamus to stimulate
  • the pituitary gland is the target tissue of the hy

Written for

  • NURS 219
  • NURS 219

Seller

avatar-seller
twishfrancis

Reviews received

Content preview

Endocrine NSG 219- Endocrine
Disorders, Diabetes Insipidus, and
Diabetes Mellitus Questions and
Answers
What is the job of the hypothalamus? ✅to stimulate or inhibit the release of hormones
from the pituitary gland

The pituitary gland is the target tissue of the hypothalamus

What hormones are secreted by the anterior pituitary? ✅ACTH-stimulate
corticosteroids

GH-growth

TSH-metabolism

FSH/LH-sexual development

What hormones are secreted by the posterior pituitary? ✅ADH-maintain fluid and
electrolyte balance

Vasopressin-maintain fluid and electrolyte balance

Oxytocin

What is hypopituitarism?

How is it treated? ✅deficiency of one or more pituitary hormones

It is treated by HORMONE REPLACEMENT THERAPY-giving the hormones that
patient is lacking

Should HORMONE REPLACEMENT THERAPY be stopped for any reason?
✅NEVER, because it places a patients at risk in the future

What is hyperpituitarism?

What is the cause? ✅over secretion of hormones

Caused typically by benign tumors or adenomas

,What is Acromegaly? ✅over production of GH after puberty typically caused by a
benign tumor (anterior pituitary adenoma)

What are some physical assessment findings of acromegaly? ✅enlarged hands and
feet, protruding lower jaw, increased head shape

Hypertension, hyperglycemia, and SEVERE HEADACHE (increased ICP), visual
disturbances, joint pain

What lab/diagnostic tests do you expect do you anticipate for a patient with
acromegaly? ✅1. IGF-1 (insulin-like growth factor) and GH response to an OGTT (oral
glucose tolerance test)

2. Growth Hormone Suppression Test (high or climbing GH at risk)

3. CT or MRI of brain and head

What medication would you expect to give to a patient with acromegaly?
✅OCTREOTIDE, lanreotide (somatostatin analogs) -to reduce GH levels to normal

What interventions (surgical and treatment interventions) do you use for a patient with
acromegaly? ✅surgical-transphenoidal hypophysectomy (removal of pituitary gland)

Treatment-
Radiation to shrink
Life-long HRT

What surgical nursing considerations should you consider after a patient has had a
hypophysectomy? ✅-no bending at the waist, blowing nose, keep high-fowlers


Monitor:
-MONITOR URINE OUTPUT (concern with DI)
-check CSF for glucose (tell doctor)
-neuro and vision changes

What is the client education a nurse should give following a hypophysectomy? ✅-
report nasal drip and excessive swallowing
-do not brush teeth, but perform oral care q4h and rinse mouth regularly
-avoid activities that increase ICP
-consume diet high in fiber to avoid straining during defecation
-drip pad "mustache" under nose should stay in place 2-3 days

, Excess ACTH from acromegaly can lead to what other diseases? ✅diabetes mellitus.
Cushing's disease, and Cardiovascular disease

What are two disease processes that occur from the posterior pituitary independently
from problems from the anterior pituitary? ✅Diabetes insipidus

SIADH (syndrome of inappropriate antidiuretic hormone)

What is the cause of Diabetes Insipidus (DI) of the posterior pituitary? ✅deficiency
of/or response to ADH...
Over secreted ADH=kidney tubules and collecting ducts not absorbing water =>
increased volume of urine output => dehydration

Increased risk from brain injury, tumor, lesion, etc

What are assessment findings you should expect in a patient with DI? ✅"DI-Dry Inside"

-excessive thirst

-excessive urine output (2-20 L of dilute urine a day)

-dehydration causing tachycardia, hypotension, loss of skin turgor, dry mucous
membranes, weak P pulses

What are some lab findings you should expect in a patient with Diabetes insipidus? ✅-
hyperkalemia (^ K+)

-hypernatremia (^ Na+)

-low urine specific gravity ( <1.005)

-excessive urine output (2-20 L of dilute urine a day) (dilute)

-concentrated blood (high blood serum osmolality) (concentrated)

What are some nursing interventions you should expect to perform for a patient with
Diabetes Insipidus? ✅-PLACE ON TELEMETRY (MONITOR FOR PEAK T-WAVES)

-DAILY WEIGHTS

-urine I's and o's

-avoid caffeine

-IV and oral hydration

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$15.02. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

85169 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$15.02
  • (0)
  Add to cart