Chapter 38 Endocrine System Function and Assessment PDF

Chapter 38 Endocrine System Function and Assessment Copyright ©2019 F.A. Davis Company  Learning Outcomes ▪ Identify the glands of the endocrine system. ▪ Explain the f...

Chapter 38 Endocrine System Function and Assessment Copyright ©2019 F.A. Davis Company  Learning Outcomes ▪ Identify the glands of the endocrine system. ▪ Explain the function of each of the hormones in the endocrine system. ▪ Describe the effects of aging on endocrine system function. ▪ List data to collect when caring for a patient with a disorder of the endocrine system. ▪ Plan nursing care for patients undergoing testing for an endocrine disorder. Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_1) Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_2) Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_3) Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_4) Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_5) Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_6) Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_7) Copyright ©2019 F.A. Davis Company  Review of Anatomy and Physiology (continued_8) Copyright ©2019 F.A. Davis Company  Effects of Aging Copyright ©2019 F.A. Davis Company  Nursing Assessment ▪ Health history Neuromuscular Weight change Excessive thirst or urination Heat or cold tolerance Mood and memory Family history Copyright ©2019 F.A. Davis Company  Physical Assessment ▪ Vital signs ▪ Affect ▪ Weight ▪ Exophthalmos ▪ Skin changes ▪ Fat pads ▪ Tremor ▪ Thyroid size Copyright ©2019 F.A. Davis Company  Common Laboratory Tests ▪ Thyroid tests Thyroid-stimulating hormone (T S H) Triiodothyronine (T3) and thyroxine (T4) ▪ Parathyroid tests Parathyroid hormone (P T H) Calcium Phosphorus Copyright ©2019 F.A. Davis Company  Common Laboratory Tests (continued_1) ▪ Pituitary tests Growth hormone (G H) Antidiuretic hormone (A D H) Urine specific gravity Adrenocorticotropic hormone (A C T H) ▪ Adrenal tests Cortisol 24-hour urine for vanillylmandelic acid (V M A) Copyright ©2019 F.A. Davis Company  Common Laboratory Tests (continued_2) ▪ Pancreatic function tests (diabetes) Fasting blood glucose Oral glucose tolerance Glycosylated hemoglobin Copyright ©2019 F.A. Davis Company  Review Question Which hormone increases water retention by the kidneys? 1. Growth hormone (G H) 2. Antidiuretic hormone (A D H) 3. Thyroid-stimulating hormone (T S H) 4. Follicle-stimulating hormone (F S H) Copyright ©2019 F.A. Davis Company  Review Question Answer Correct Answer: 2 Copyright ©2019 F.A. Davis Company  Review Question (continued_1) Which hormone raises serum calcium level? 1. Calcitonin 2. Thyroxine 3. Insulin 4. Parathyroid hormone Copyright ©2019 F.A. Davis Company  Review Question Answer (continued_1) Correct Answer: 4 Copyright ©2019 F.A. Davis Company  Review Question (continued_2) Which hormone increases heart rate and blood glucose? 1. Epinephrine 2. Insulin 3. Aldosterone 4. Prolactin Copyright ©2019 F.A. Davis Company  Review Question Answer (continued_2) Correct Answer: 1 Copyright ©2019 F.A. Davis Company  Review Question (continued_3) Excess of which hormone can cause weight loss? 1. ADH 2. Cortisol 3. Aldosterone 4. Thyroxine Copyright ©2019 F.A. Davis Company  Review Question Answer (continued_3) Correct Answer: 4 Copyright ©2019 F.A. Davis Company  Review Question (continued_4) Excess of which hormone is associated with moon face and buffalo hump? 1. Cortisol 2. Glucagon 3. Growth hormone 4. Calcitonin Copyright ©2019 F.A. Davis Company  Review Question Answer (continued_4) Correct Answer: 1 Copyright ©2019 F.A. Davis Company