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NUR 421- Pituitary Gland Disorders Test Questions and Correct Answers $8.99   Add to cart

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NUR 421- Pituitary Gland Disorders Test Questions and Correct Answers

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  • NUR 421
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  • 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...

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  • September 28, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 421
  • NUR 421
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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

Causes
- pituitary adenomas (cancer)
- extra pituitary tumors
- hypothalamic lesions

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

Siadh treatment: tetracycline derivative ✅demeclocycline

- stimulates urine flow
- contraindicated with clients with kidney disease
- avoid direct exposure to sunlight
- monitor for yeast infections
- avoid taking calcium, iron, magnesium, antacids, or milk products (decreases
absorption)

Siadh treatment: vasopressin antagonists ✅tolvaptan, conivaptan

- promotes water excretion without sodium losses

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