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Med Surg Endocrine system

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Med Surg Endocrine system ### Preoperative Care for Transsphenoidal Hypophysectomy 1. What postoperative instructions should be provided to a patient after a transsphenoidal hypophysectomy? - A. Avoid sneezing - B. Drink through a straw - C. Cough forcefully - D. Wash mouth out with peroxide ...

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  • August 3, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • med surg endocrine system

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Med Surg Endocrine system


### Preoperative Care for Transsphenoidal Hypophysectomy



1. What postoperative instructions should be provided to a patient after a transsphenoidal
hypophysectomy?

- A. Avoid sneezing

- B. Drink through a straw

- C. Cough forcefully

- D. Wash mouth out with peroxide

- Correct Answer: A. Avoid sneezing



### Acromegaly Evaluation



2. What causes the prominent facial features of a patient with acromegaly?

- A. Prolactin

- B. Growth hormone

- C. Thyroid-stimulating hormone

- D. Adrenocorticotropic hormone

- Correct Answer: B. Growth hormone



### Symptoms of Diabetes Insipidus (DI)



3. What are the classic symptoms associated with diabetes insipidus?

- A. Diuresis, tachycardia, and weakness

- B. Dizziness, hypertension, and excitability

- C. Stress incontinence, vomiting, and edema

- D. Bradycardia, insomnia, and muscle cramps

- Correct Answer: A. Diuresis, tachycardia, and weakness

,### Purpose of Hydrocortisone in Addison's Disease



4. Why is hydrocortisone prescribed for a patient with Addison's disease?

- A. Increase cardiac output

- B. Regulate the excretion of potassium and sodium

- C. Decrease the level of cortisol

- D. Lower the blood sugar level

- Correct Answer: B. Regulate the excretion of potassium and sodium



### Understanding Nephrogenic vs. Neurogenic Diabetes Insipidus



5. How does nephrogenic diabetes insipidus differ from neurogenic diabetes insipidus?

- A. Will eventually resolve without medication

- B. Requires the nasal spray lypressin

- C. Does not respond to ADH

- D. Will require dialysis

- Correct Answer: C. Does not respond to ADH



### Identification of Pheochromocytoma



6. What is the primary clinical indication of a pheochromocytoma?

- A. Significant hypertension

- B. Extreme nausea

- C. Abdominal pain

- D. Edema in the legs

- Correct Answer: A. Significant hypertension



### Recognizing Adrenal Crisis in Addison's Disease

, 7. What symptoms might indicate an adrenal crisis in a patient with Addison's disease?

- A. Hypertension and abdominal pain

- B. Confusion and tachycardia

- C. Bradycardia and nausea

- D. Widening pulse pressure and shortness of breath

- Correct Answer: B. Confusion and tachycardia



### Teaching for Addison's Disease Management



8. What key instruction should be included in a teaching plan for a patient with Addison's disease?

- A. Discontinue hormonal replacement therapy if nausea or diarrhea occurs

- B. Decrease medication if under stress or being treated for infection

- C. Wear a medical alert tag and carry emergency dexamethasone

- D. Begin a vigorous exercise program to combat weakness and muscle wasting

- Correct Answer: C. Wear a medical alert tag and carry emergency dexamethasone



### Cushing Syndrome Post-Asthma Treatment



9. What is a likely cause of Cushing syndrome in a patient with a history of long-term asthma treatment?

- A. Taking corticosteroids for many years

- B. Abruptly withdrawing cortisone therapy

- C. Lack of ACTH, related to the pituitary gland

- D. Poorly functioning adrenal glands

- Correct Answer: A. Taking corticosteroids for many years



### Clinical Findings in Cushing Syndrome



10. What hallmark findings are expected when assessing a patient with Cushing syndrome?

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