ANS Week 3: Non-Diabetic Endocrine Disorders

A patient with a history of head trauma is admitted with symptoms of hyponatremia and decreased urine output. Lab results show low serum osmolality and high urine osmolality. Which condition is most likely causing these findings?

A patient with SIADH is being treated with fluid restriction and diuretics. Which assessment finding warrants immediate notification of the physician?

Which of the following medications is least likely to be associated with causing SIADH?

A patient with SIADH secondary to small cell lung cancer is undergoing treatment. Which of the following nursing interventions is most important to include in the patient's plan of care?

Which of the following conditions is least likely to be a cause of SIADH?

Which of the following best describes the role of the hypothalamus within the endocrine system?

A patient is diagnosed with a pituitary tumor that selectively impairs the secretion of adrenocorticotropic hormone (ACTH). Which of the following hormonal imbalances would most likely be observed in this patient?

A patient with hypopituitarism is prescribed hormone replacement therapy. What key education should the nurse provide to the patient regarding their medication regimen?

Which of the following hormones directly promotes protein synthesis and fat metabolism while decreasing carbohydrate metabolism?

A patient presents with symptoms of fatigue, muscle weakness, and increased sensitivity to cold. Initial blood tests reveal low levels of thyroid hormones. Which pituitary hormone is most likely affected, leading to these symptoms?

Following a traumatic brain injury, a patient develops polyuria and polydipsia. Which hormone deficiency should be suspected?

A patient is diagnosed with panhypopituitarism. Which of the following is the most comprehensive approach to managing this condition?

A child is exhibiting signs of significantly stunted growth compared to their peers. After evaluation, a deficiency in a specific anterior pituitary hormone is suspected. Which hormone is most likely deficient?

A patient with Addison's disease is scheduled for elective surgery. Which adjustment to their medication regimen is most important to prevent an Addisonian crisis?

A patient with secondary adrenal insufficiency is being discharged. What is the most important point to emphasize in their discharge teaching regarding medication management?

A patient with Addison's disease reports experiencing increased fatigue, muscle weakness, and dizziness when standing. Which of the following electrolyte imbalances is most likely contributing to these symptoms?

Which of the following assessment parameters is most important for the nurse to monitor in a patient receiving mineralocorticoid replacement for Addison's disease?

A patient with Addison's disease is admitted to the emergency department with suspected adrenal crisis. After initiating intravenous access, which intervention should the nurse perform first?

A nurse is providing dietary education to a patient with Addison's disease. Which dietary modification is most important for the nurse to recommend?

What is the primary difference in the underlying cause between primary and secondary adrenal insufficiency (Addison's disease)?

Which of the following signs and symptoms would indicate that a patient with Addison's disease may be experiencing an Addisonian crisis?

A patient presents with fatigue, weight gain, and cold intolerance. Lab results show elevated TSH and low T3 and T4. What is the MOST likely diagnosis?

Which cardiovascular manifestation is associated with long-standing hypothyroidism, posing a significant health risk for affected individuals?

A patient undergoing treatment for hyperthyroidism develops a sudden, severe exacerbation of symptoms including fever, tachycardia and altered mental status. Which complication is MOST likely?

Following a thyroidectomy, a patient reports tingling around the mouth and fingertips, along with muscle spasms. Which electrolyte imbalance is the MOST likely cause?

What physiological response occurs when serum calcium levels are low, mediated by parathyroid hormone (PTH)?

A patient with chronic kidney disease develops secondary hyperparathyroidism. What is the underlying mechanism driving this endocrine disorder?

What is the primary mechanism by which aldosterone, a mineralocorticoid, regulates fluid and electrolyte balance?

A patient with Cushing's syndrome is at increased risk for infections. Which mechanism BEST explains this increased susceptibility?

A patient presents with muscle weakness, fatigue, and frequent urination. Lab results reveal hypokalemia, metabolic alkalosis, and hypertension. Which condition is MOST likely?

A patient is diagnosed with Cushing's syndrome due to a pituitary tumor. How does this etiology differ from Cushing’s syndrome caused by long-term steroid use?

A patient with a history of Hashimoto's thyroiditis is started on levothyroxine. After several weeks, the patient reports persistent fatigue and constipation despite taking the medication as prescribed. What is the MOST appropriate next step?

A patient who underwent a thyroidectomy is being discharged. Which of the following instructions is MOST critical to include in their discharge teaching?

A patient with hyperparathyroidism develops a kidney stone. What is the underlying mechanism linking hyperparathyroidism to kidney stone formation?

A patient with Cushing's syndrome presents with a new onset of hyperglycemia. What is the primary mechanism by which excess cortisol contributes to this metabolic complication?

A patient on long-term corticosteroid therapy is being evaluated for osteoporosis. What is the MOST important intervention to prevent or manage corticosteroid-induced bone loss?

A patient presents with frequent thirst and excessive urine output following a head trauma. Initial lab results show high serum osmolality and low urine osmolarity. Which of the following conditions is the most likely cause of these manifestations?

A patient is diagnosed with a pituitary tumor that is NOT secreting any hormones. Which of the following is the MOST likely endocrine consequence of this type of tumor?

A patient who recently underwent neurosurgery develops Syndrome of Inappropriate Antidiuretic Hormone (SIADH). Which of the following sets of electrolyte and fluid balance findings would you MOST likely see in this patient?

Why does a medical ID need to be worn at all times for a patient with Diabetes Insipidus?

A patient presents with progressive enlargement of the hands and feet, along with increased sweating and joint pain. The physician suspects a pituitary adenoma. Which hormone is MOST likely being over secreted in this patient?

A patient is diagnosed with Diabetes Insipidus (DI) following a head injury. Besides desmopressin, which instruction is MOST important for the nurse to include in the patient's discharge teaching plan?

What is the primary difference between Diabetes Insipidus caused by a brain tumor versus SIADH caused by malignant cells?

A patient with a known pituitary tumor develops hypopituitarism. What are the likely underlying mechanisms of this condition related to the tumor?

A patient with a head injury is producing excessive amounts of antidiuretic hormone (ADH). Which clinical manifestation would the nurse expect to observe?

A patient is diagnosed with Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) related to lung cancer. Which intervention is the priority for the nurse?

A patient is being treated for SIADH with hypertonic saline (3%). Which assessment finding requires the most immediate intervention?

A patient is scheduled for a transsphenoidal hypophysectomy. Which preoperative instruction should the nurse emphasize to the patient?

Following a transsphenoidal hypophysectomy, a patient reports a persistent headache and the nurse notes clear nasal drainage. What is the nurse's priority action?

A patient is being discharged after a transsphenoidal hypophysectomy. Which long-term education point is most important for the nurse to emphasize?

The hypothalamus releases thyrotropin-releasing hormone (TRH), which stimulates the pituitary gland to release thyroid-stimulating hormone (TSH). What is the primary role of TSH?

A patient has a tumor that is causing excessive secretion of calcitonin. Which laboratory finding would the nurse expect to see?

A patient with a known pituitary tumor is admitted for treatment of SIADH. Which medication from the patient's home medication list should the nurse question?

Following a transsphenoidal hypophysectomy, a patient is at risk for developing diabetes insipidus (DI). Which assessment finding would indicate the development of DI?

Hormones

Hypothalamus

Growth Hormone (GH)

Adrenocorticotropic Hormone (ACTH)

Thyroid-Stimulating Hormone (TSH)

Antidiuretic Hormone (ADH)

Hypopituitarism

Panhypopituitarism

Pituitary Tumors

Giantism

Acromegaly

Diabetes Insipidus (DI)

SIADH (Syndrome of Inappropriate Antidiuretic Hormone)

SIADH

SIADH Clinical Manifestations

SIADH Collaborative Care

Causes of DI & SIADH

Primary Addison's Disease

Secondary Addison's Disease

Hormone Levels in Addison's

Addison's Manifestations

Bronze Skin in Addison's

Addisonian Crisis Signs

Addison's Collaborative Care

Addisonian Crisis Causes

Hypophysectomy

Indications for Hypophysectomy

Approaches to Hypophysectomy

Post-op Care: Transsphenoidal Hypophysectomy

CSF Leak Indication

Long-Term Management After Hypophysectomy

Hypothalamus Hormone (Thyroid)

TSH Function

Thyroid Hormones Function

Calcitonin Action

Primary Hypothyroidism

Secondary Hypothyroidism

Hashimoto's Thyroiditis

Myxedema Coma

Hyperthyroidism Labs

Grave's Disease

Thyroid Storm

Exophthalmos

Goiter

Thyroidectomy

Hypocalcemia

Parathyroid Hormone (PTH)

Hypoparathyroidism

Hyperparathyroidism

Cushing's Syndrome/Disease