Adrenal Insufficiency and Cushing's Syndrome Quiz
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Questions and Answers

What are the clinical manifestations of Addison's disease?

  • Truncal obesity, buffalo hump, fragile skin, hyperglycemia
  • Moon face, hirsutism, slow healing of cuts, hypernatremia
  • Muscle weakness, dark pigmentation, hypotension, hyperkalemia (correct)
  • Emaciation, striae, sleep disturbances, hypokalemia

What diagnostic test is specific to Addison's disease?

  • Elevated serum cortisol
  • Low-dose dexamethasone suppression test (correct)
  • Increased ACTH with high Cortisol
  • Elevated urine cortisol

What is a nursing intervention for managing hypovolemia in Addison's disease?

  • Avoid cold temperatures and emotional stress
  • Increase fluids and sodium (correct)
  • Monitor and replace hypocalcemia
  • Administer high doses of corticosteroids

What are the signs and symptoms of a crisis/surgery in Addison's disease?

<p>Hypotension, cyanosis, fever, shock (A)</p> Signup and view all the answers

What is a key postoperative nursing consideration for a patient undergoing adrenalectomy for Addison's disease?

<p>Monitor for signs of diabetes insipidus (D)</p> Signup and view all the answers

How can adrenal insufficiency be precipitated in a patient with Addison's disease?

<p>Exposure to extreme temperatures (B)</p> Signup and view all the answers

What is the main cause of adrenal insufficiency in Addison's disease?

<p>Tumor of the pituitary gland producing ACTH (C)</p> Signup and view all the answers

Which symptom is NOT typically associated with Addison's disease?

<p>Truncal obesity (A)</p> Signup and view all the answers

What is a common complication of Addison's disease that requires monitoring and replacement therapy?

<p>Hypokalemia (A)</p> Signup and view all the answers

How can a crisis/surgery in Addison's disease be identified?

<p>Cyanosis, fever, shock, vomiting (D)</p> Signup and view all the answers

What is a key nursing intervention to prevent postoperative complications following adrenalectomy in Addison's disease?

<p>Avoiding coughing, sneezing, and straining (A)</p> Signup and view all the answers

What is the main hormone replacement therapy required for patients with Addison's disease?

<p>Glucocorticoids (B)</p> Signup and view all the answers

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