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

Flashcards

Dexamethasone's function in thyroid crisis

Inhibits the release of thyroid hormone.

Hypothyroidism pharmacotherapy

Thyroid hormonal replacement therapy.

Notable sign of myxedema coma

Unconsciousness and hypothermia.

Crucial measure in myxedema coma

Maintaining vital functions (ABCs).

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Hemorrhagic stroke

A blood vessel breaks open in the brain.

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Consequence of stopped blood flow (stroke)

Brain cells can die.

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Generalized stroke signs

Vomiting, seizures, confusion.

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Bed rest for acute stroke patients

To prevent seizures.

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Transient Ischemic Attack (TIA)

Brief neurologic deficit, less than 24 hours, complete resolution.

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Symptoms: Phenytoin level 20-30

Ataxia and slurred speech.

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Common side effect of Carbamazepine

Fatigue and dizziness.

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Contraceptive effectiveness reducer

Phenytoin.

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Phenobarbital + Phenytoin effect

Elevates the seizure threshold.

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Phenytoin level lower than 10

Rare occurrence of symptoms.

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Coma and seizures (level higher than 50)

Phenytoin.

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PTH role

Regulating calcium and phosphorous balance.

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Avoid before Normetanephrine test

Coffee, tea, cocoa, chocolate.

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Immediate head injury complications

Cerebral bleeding and seizures.

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Depressed fracture

Break in cranial bone with depression toward the brain.

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Subdural hematoma cause

Venous bleed under the dura mater.

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Head injury CSF leak intervention

Instruct not to blow nose and elevate HOB 30 degrees.

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Increased ICP signs

Visual disturbances and pupillary changes.

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Closed head injury result

Microscopic jarring of the brain within the skull.

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Subdural Hematoma

Tears in the veins crossing the subdural space.

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Nursing intervention: head injury

Observe for signs of meningitis if CSF leak is present.

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Common CVA (stroke) causes

Hypertension and diabetes mellitus.

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