34 Questions
What is the primary function of administering dexamethasone to a client with a thyroid crisis?
To inhibit the release of thyroid hormone
Which of the following symptoms is NOT commonly associated with hypothyroidism?
Enlarged tongue
What is the primary pharmacotherapy for managing hypothyroidism?
Thyroid hormonal replacement therapy
Which of the following hormones is NOT produced by the thyroid gland?
Thyrocalcitonin
What is a notable sign of myxedema coma?
Unconsciousness and hypothermia
What is a crucial measure in the management of myxedema coma?
Maintaining vital functions
What type of stroke results from a blood vessel breaking open in the brain?
Hemorrhagic stroke
Which diagnostic test may show occlusion or malformation of blood vessels in patients with a stroke?
Cerebral arteriography
What is the main consequence if blood flow is stopped for longer than a few seconds in a stroke?
Brain cells can die
What are the generalized signs that can be observed during the assessment of a patient with a stroke?
Vomiting, seizures, confusion
What is the purpose of maintaining complete bed rest for patients in the acute stage of a stroke?
To prevent seizures
Which stage of development involves a brief period of neurologic deficit lasting less than 24 hours with complete resolution of symptoms?
Transient ischemic attack
What symptoms are expected in a patient with a blood Phenytoin level between 20 and 30?
Ataxia and slurred speech
What is a common side effect of Carbamazepine?
Fatigue and dizziness
Which medication may decrease the effectiveness of hormonal contraceptives?
Phenytoin
What effect does Phenobarbital have when used in combination with Phenytoin?
Elevates the seizure threshold
'Lower than 10 - Rare' refers to which condition?
Rare occurrence of symptoms
'Higher than 50 - Coma and seizures' is associated with what medication?
Phenytoin
What is the normal level range for Normetanephrine?
18-111 pg/ml
What is the primary site of production for Vanillyl Mandelic Acid (VMA)?
Liver
Which parameter should be closely monitored for a client undergoing adrenalectomy?
Vital signs
What is the primary role of Parathyroid Hormone (PTH) produced by the parathyroid gland?
Regulating calcium and phosphorous balance
Which substance is a major product of epinephrine and norepinephrine metabolism?
Vanillyl Mandelic Acid (VMA)
What must be avoided for 48 hours before a test involving Normetanephrine?
Coffee, tea, cocoa, chocolate
What immediate complications can arise from a head injury?
Cerebral bleeding and seizures
Which type of skull fracture involves a break in the cranial bone with depression of the bone toward the brain?
Depressed fracture
What is the common cause of a subdural hematoma?
Venous bleed under the dura mater
Which intervention is appropriate if a CSF leak is present following a head injury?
Instruct not to blow nose and elevate HOB 30 degrees
Which factor does NOT increase the risk of a cerebrovascular accident (CVA)?
Regular exercise
What are clinical manifestations of increased intracranial pressure (ICP) due to a head injury?
Visual disturbances and pupillary changes
What does a closed head injury typically result in?
Microscopic jarring of the brain within the skull
Which type of hematoma occurs under the dura as a result of tears in the veins crossing the subdural space?
Subdural Hematoma
What is one typical nursing intervention when managing a patient with a head injury?
Observe for signs of meningitis if CSF leak is present
What are common factors that can cause a cerebrovascular accident (CVA)?
Hypertension and diabetes mellitus
Test your knowledge on endocrine system tests such as normetanephrine, metanephrine, urine catecholamines, and VMA. Learn about nursing interventions including monitoring vital signs and administering medications to control hypertension. Be prepared for questions on test preparation and normal levels.
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