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Adult Health Exam 2 NUR 326 Questions And All Actual Answers.
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  • NUR 192
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  • NUR 192

Scope of hormone regulation - Answer Deficient hormone level (hypo) to excess hormone level (hyper) Endocrine glands - Answer hypothalamus, pituitary, thyroid, parathyroid, adrenal, pancreas, ovaries, testes Age related variations with hormones - Answer adolescents, older adults (gla...

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  • November 10, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • hormone regulation

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  • NUR 192
  • NUR 192

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Adult Health Exam 2 NUR 326 Questions
And All Actual Answers.
Scope of hormone regulation - Answer Deficient hormone level (hypo) to excess hormone level (hyper)



Endocrine glands - Answer hypothalamus, pituitary, thyroid, parathyroid, adrenal, pancreas, ovaries,
testes



Age related variations with hormones - Answer adolescents, older adults (glands become smaller with
reduced hormone production)



Consequences of hormone imbalance - Answer alterations in growth, development, cognition,
metabolism, reproduction, and adaptive responses



Risk factors for hormone imbalance - Answer hormonal supplement therapy, advanced age, obesity,
sedentary lifestyle, genetics, family history, stress, trauma, chronic conditions, cancer treatment



Hormone imbalance assessment - Answer vitals, height, weight, inspection, palpation, auscultation



What should be inspected with potential hormone imbalances? - Answer skin color/texture, hair
texture, posture, facial characteristics, affect



What should be palpated with potential hormone imbalances? - Answer thyroid, ovaries, testes



What should be auscultated with potential hormone imbalances? - Answer bruits in enlarged thyroid



Primary lab work with hormone imbalances - Answer thyroid, diabetic blood work



Recommended hormone screening for newborns - Answer routine newborn uniform congenital and
thyroid screening for 31 core conditions

,Recommended hormone screening in adults - Answer thyroid and diabetes in at-risk adults



Scope of thyroid function - Answer myxedema coma, hypothyroidism, euthyroid, hyperthyroidism,
thyrotoxicosis (thyroid storm)



Thyroid hormone axis - Answer hypothalamus (TRH), pituitary (TSH), thyroid (T3, T4, calcitonin)



How does T4 determine imbalance? - Answer high=hyperthyroid, low=hypothyroid



How does TSH determine imbalance? - Answer Low=hyperthyroidism, hypothyroidism secondary,
high=hypothyroidism primary



Disorders of the Thyroid Gland - Answer Goiter, nodules, hypothyroidism, and hyperthyroidism.



Graves disease - Answer an autoimmune disorder that is caused by hyperthyroidism and is
characterized by goiter and/or exophthalmos, cigarette smoking is risk



What is the most common cause of hyperthyroidism? - Answer Graves disease



Some causes of hyperthyroidism - Answer toxic nodular goiter, thyroiditis, excess iodine intake,
pituitary tumors, thyroid cancer



What population is most likely to have hyperthyroidism? - Answer women, 20-40 yrs



clinical manifestations of hyperthyroidism - Answer increased appetite w/ weight loss, diarrhea, heat
intolerance, increased sweating, HTN, tachycardia, arrhythmias, palpitations, insomnia, inability to
concentrate, restlessness, manic behavior, goiter, exophthalmos



exophthalamus (ophthalmopathy) - Answer bugling eyes, increased fat and fluids

, thyrotoxicosis (thyroid storm) - Answer an acute and potentially deadly condition caused by an
overactive thyroid, delirium, seizures, V/D, coma, results from infection, thyroidectomy, trauma, surgery



What test differentiates graves disease? - Answer radioactive iodine uptake (RAIU)



Treatment for hyperthyroidism - Answer Antithyroid medications, Radioactive iodine therapy (RAI),
Subtotal thyroidectomy (up to 50-90%)



What medications block the thyroid form producing thyroid hormone? - Answer propylthiouracil (PTU),
methimazole (Tapazole)



Nutritional therapy while trying to stabilize hyperthyroidism - Answer High calorie diet- 4000 to 5000
cal/day, 6 full meals w/ snacks in between, 1 to 2 g/kg of ideal body weight protein, increase
carbohydrates, avoid high-fiber/high seasoned/caffeine, dietitian referral



Nursing diagnosis for hyperthyroidism - Answer exercise intolerance, imbalanced nutrition: less than
body's requirements,



Goals of treatment with hyperthyroidism - Answer relief of symptoms, balanced nutrition, no
complications, adherence to therapeutic plan



hypothyroidism - Answer low thyroid hormone, slow metabolic rate, more common in women, over 60



Primary hypothyroidism - Answer caused by destruction of thyroid tissue or defective hormone
synthesis



Secondary hypothyroidism - Answer thyroid isn't being stimulated by pituitary to produce hormones
(decreased TRH or TSH)



Causes of hypothyroidism - Answer iodine deficiency, atrophy of gland, hyperthyroidism treatment,
drugs, cretinism (infancy- congenital deficiency of thyroid hormone)

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