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NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II - Final Exam - Rasmussen R285,37   Add to cart

Exam (elaborations)

NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II - Final Exam - Rasmussen

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NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II - Final Exam - Rasmussen *PT PAP HOT* ▪ Pituitary ▪ Thyroid ▪ Pancreas ▪ Adrenals ▪ Parathyroid ▪ Hypothalamus ▪ Ovaries ▪ Testes - What are the glands of the endocrine system? (SATA Q?) Grave's disease - an aut...

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  • July 28, 2022
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  • 2021/2022
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NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II -
Final Exam - Rasmussen

*PT PAP HOT*

▪ Pituitary
▪ Thyroid

▪ Pancreas
▪ Adrenals
▪ Parathyroid

▪ Hypothalamus
▪ Ovaries
▪ Testes - What are the glands of the endocrine system? (SATA Q?)

Grave's disease - an autoimmune disorder that is caused by hyperthyroidism and is characterized by
*goiter and/or exophthalmos*

*Treatments*
▪ Rx: methimazole, atenolol, and *iodine-131*
▪ radiation therapy

*Nursing Interventions*
▪ provide a calm environment
▪ keep patients room cool
▪ assess pain
▪ prepare patient for surgery
▪ post-operative care
▪ maintain a patent airway
-------- same as hypothyroidism ---------
▪ provide periods of rest
▪ continuous cardiac monitoring
▪ monitor vital signs
▪ daily weight
▪ monitor I&O
▪ monitor laboratory tests
▪ apply antiembolism stockings to prevent DVT
▪ provide skin care - *HYPERthyroidism aka Grave's disease*

▪ Treatments

pituitary gland - _________ is considered to be the "master gland" as it secretes hormones that control
other parts of the endocrine system.

,▪ ACTH
▪ TSH

▪ are the most life threatening because they cause a decrease in the secretion of vital hormones from
the adrenal and thyroid glands. - *Anterior HYPOpituitarism*

▪ Deficiencies of which two hormones are the most life threatening?

Bloodwork (*all are DECREASED*)
▪ T3
▪ T4
▪ Prolactin
▪ Testosterone
▪ Estradiol

Scans (you'll always draw blood work first for diagnostics though)
▪ CT/MRI - detect bone or soft tissue lesions
▪ Skull X-ray - detect enlargement, erosions, and calcification of the sella turcica - *Anterior
HYPOpituitarism*

▪ Laboratory & Diagnostic Tests

TRUE! We have very small amounts of testosterone or estradiol no matter if we are men or women. -
T/F: do both men and women have testosterone and estradiol?

*INCREASED:*
▪ Prolactin - this might be the answer to the Q
▪ Cortisol
▪ TSH
▪ LH (men)
▪ FSH (men)
▪ Glucose

*DECREASED:*
▪ Gonadotropin - *Anterior HYPERpituitarism*

(SATA Q?)

▪ Laboratory Tests

▪ Prevent infection because they are immunosuppressed
▪ handwashing - HYPERcortisolism (aka Cushing's Disease)

*Priority Intervention*

diabetes insipidus - ▪ *Deficiency of ADH* resulting in large volumes of dilute urine
▪ A disorder of the posterior pituitary gland

, *They are losing a lot of water:*

• polyuria
• polydipsia
• dehydration
• fluid/electrolyte imbalance
• dilute, low urine specific gravity (<1.005)
• high plasma osmolarity
• output does not decrease when fluid intake decreases

*remember! your s/s are going to look like dehydration*
• tachycardia
• hypotension
• poor turgor
• dry mucous membranes
• decreased cognition
• ataxia
• irritability - *Posterior Pituitary Gland: Diabetes Insipidus:*

▪ What will the patient present with?/Key Symptoms

▪ desmopressin acetate (a synthetic form of *vasopressin*)
▪ can be PO, SL, or intranasal - *Posterior Pituitary Gland: Diabetes Insipidus:*

▪ Drug Therapy

Addison's disease - What is adrenal gland hypofunction?

▪ If the patient remains alert and oriented x 3 - *Addison's Disease*

▪ How do you know the therapy is working?

▪ Glucocorticoid drugs *MUST be withdrawn slowly so you don't wind up with Addison's or adrenal
insufficiency*

▪ This allows for pituitary protection of ACTH and activation of the adrenal cortex to produce cortisol -
*Addison's Disease*

▪ How do you discontinue glucocorticoid therapy to avoid secondary adrenal insufficiency?

*▪ Muscle weakness*
▪ Muscle/joint pain
▪ Fatigue - *Addison's Disease*

▪ Neuromuscular S/S

*▪ Hypertension*
▪ Dependent edema

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