Endocrine System Tests and Nursing Interventions Quiz
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Questions and Answers

What is the primary function of administering dexamethasone to a client with a thyroid crisis?

  • To inhibit the release of thyroid hormone (correct)
  • To help with irregular menstruation
  • To lower fever
  • To control hypertension and tachycardia

    • Which of the following symptoms is NOT commonly associated with hypothyroidism?

  • Hyperlipidemia & atherosclerosis
  • Cold intolerance
  • Enlarged tongue (correct)
  • Anorexia

    • What is the primary pharmacotherapy for managing hypothyroidism?

  • Administration of anti-inflammatory drugs
  • Use of diuretics
  • Prescribing high-calorie diet supplements
  • Thyroid hormonal replacement therapy (correct)

    • Which of the following hormones is NOT produced by the thyroid gland?

    <p>Thyrocalcitonin (D)</p> Signup and view all the answers

    What is a notable sign of myxedema coma?

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

    What is a crucial measure in the management of myxedema coma?

    <p>Maintaining vital functions (B)</p> Signup and view all the answers

    What type of stroke results from a blood vessel breaking open in the brain?

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

    Which diagnostic test may show occlusion or malformation of blood vessels in patients with a stroke?

    <p>Cerebral arteriography (D)</p> Signup and view all the answers

    What is the main consequence if blood flow is stopped for longer than a few seconds in a stroke?

    <p>Brain cells can die (D)</p> Signup and view all the answers

    What are the generalized signs that can be observed during the assessment of a patient with a stroke?

    <p>Vomiting, seizures, confusion (C)</p> Signup and view all the answers

    What is the purpose of maintaining complete bed rest for patients in the acute stage of a stroke?

    <p>To prevent seizures (C)</p> Signup and view all the answers

    Which stage of development involves a brief period of neurologic deficit lasting less than 24 hours with complete resolution of symptoms?

    <p>Transient ischemic attack (C)</p> Signup and view all the answers

    What symptoms are expected in a patient with a blood Phenytoin level between 20 and 30?

    <p>Ataxia and slurred speech (A)</p> Signup and view all the answers

    What is a common side effect of Carbamazepine?

    <p>Fatigue and dizziness (D)</p> Signup and view all the answers

    Which medication may decrease the effectiveness of hormonal contraceptives?

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

    What effect does Phenobarbital have when used in combination with Phenytoin?

    <p>Elevates the seizure threshold (C)</p> Signup and view all the answers

    'Lower than 10 - Rare' refers to which condition?

    <p>Rare occurrence of symptoms (D)</p> Signup and view all the answers

    'Higher than 50 - Coma and seizures' is associated with what medication?

    <p>Phenytoin (D)</p> Signup and view all the answers

    What is the normal level range for Normetanephrine?

    <p>18-111 pg/ml (B)</p> Signup and view all the answers

    What is the primary site of production for Vanillyl Mandelic Acid (VMA)?

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

    Which parameter should be closely monitored for a client undergoing adrenalectomy?

    <p>Vital signs (D)</p> Signup and view all the answers

    What is the primary role of Parathyroid Hormone (PTH) produced by the parathyroid gland?

    <p>Regulating calcium and phosphorous balance (C)</p> Signup and view all the answers

    Which substance is a major product of epinephrine and norepinephrine metabolism?

    <p>Vanillyl Mandelic Acid (VMA) (C)</p> Signup and view all the answers

    What must be avoided for 48 hours before a test involving Normetanephrine?

    <p>Coffee, tea, cocoa, chocolate (A)</p> Signup and view all the answers

    What immediate complications can arise from a head injury?

    <p>Cerebral bleeding and seizures (C)</p> Signup and view all the answers

    Which type of skull fracture involves a break in the cranial bone with depression of the bone toward the brain?

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

    What is the common cause of a subdural hematoma?

    <p>Venous bleed under the dura mater (D)</p> Signup and view all the answers

    Which intervention is appropriate if a CSF leak is present following a head injury?

    <p>Instruct not to blow nose and elevate HOB 30 degrees (B)</p> Signup and view all the answers

    Which factor does NOT increase the risk of a cerebrovascular accident (CVA)?

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

    What are clinical manifestations of increased intracranial pressure (ICP) due to a head injury?

    <p>Visual disturbances and pupillary changes (A)</p> Signup and view all the answers

    What does a closed head injury typically result in?

    <p>Microscopic jarring of the brain within the skull (A)</p> Signup and view all the answers

    Which type of hematoma occurs under the dura as a result of tears in the veins crossing the subdural space?

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

    What is one typical nursing intervention when managing a patient with a head injury?

    <p>Observe for signs of meningitis if CSF leak is present (B)</p> Signup and view all the answers

    What are common factors that can cause a cerebrovascular accident (CVA)?

    <p>Hypertension and diabetes mellitus (A)</p> Signup and view all the answers

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