100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II - Final Exam - Rasmussen $15.99   Add to cart

Exam (elaborations)

NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II - Final Exam - Rasmussen

 8 views  0 purchase
  • Course
  • Institution

NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II - Final Exam - Rasmussen *PT PAP HOT* ▪ Pituitary ▪ Thyroid ▪ Pancreas ▪ Adrenals ▪ Parathyroid ▪ Hypothalamus ▪ Ovaries ▪ Testes - What are the glands of the endocrine system? (SATA Q?) Grave's disease - an aut...

[Show more]

Preview 3 out of 19  pages

  • July 28, 2022
  • 19
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers
avatar-seller
NUR2755 / NUR 2755 Multidimensional Care 2 / MDC II -
Final Exam - Rasmussen

*PT PAP HOT*

▪ Pituitary
▪ Thyroid

▪ Pancreas
▪ Adrenals
▪ Parathyroid

▪ Hypothalamus
▪ Ovaries
▪ Testes - What are the glands of the endocrine system? (SATA Q?)

Grave's disease - an autoimmune disorder that is caused by hyperthyroidism and is characterized by
*goiter and/or exophthalmos*

*Treatments*
▪ Rx: methimazole, atenolol, and *iodine-131*
▪ radiation therapy

*Nursing Interventions*
▪ provide a calm environment
▪ keep patients room cool
▪ assess pain
▪ prepare patient for surgery
▪ post-operative care
▪ maintain a patent airway
-------- same as hypothyroidism ---------
▪ provide periods of rest
▪ continuous cardiac monitoring
▪ monitor vital signs
▪ daily weight
▪ monitor I&O
▪ monitor laboratory tests
▪ apply antiembolism stockings to prevent DVT
▪ provide skin care - *HYPERthyroidism aka Grave's disease*

▪ Treatments

pituitary gland - _________ is considered to be the "master gland" as it secretes hormones that control
other parts of the endocrine system.

,▪ ACTH
▪ TSH

▪ are the most life threatening because they cause a decrease in the secretion of vital hormones from
the adrenal and thyroid glands. - *Anterior HYPOpituitarism*

▪ Deficiencies of which two hormones are the most life threatening?

Bloodwork (*all are DECREASED*)
▪ T3
▪ T4
▪ Prolactin
▪ Testosterone
▪ Estradiol

Scans (you'll always draw blood work first for diagnostics though)
▪ CT/MRI - detect bone or soft tissue lesions
▪ Skull X-ray - detect enlargement, erosions, and calcification of the sella turcica - *Anterior
HYPOpituitarism*

▪ Laboratory & Diagnostic Tests

TRUE! We have very small amounts of testosterone or estradiol no matter if we are men or women. -
T/F: do both men and women have testosterone and estradiol?

*INCREASED:*
▪ Prolactin - this might be the answer to the Q
▪ Cortisol
▪ TSH
▪ LH (men)
▪ FSH (men)
▪ Glucose

*DECREASED:*
▪ Gonadotropin - *Anterior HYPERpituitarism*

(SATA Q?)

▪ Laboratory Tests

▪ Prevent infection because they are immunosuppressed
▪ handwashing - HYPERcortisolism (aka Cushing's Disease)

*Priority Intervention*

diabetes insipidus - ▪ *Deficiency of ADH* resulting in large volumes of dilute urine
▪ A disorder of the posterior pituitary gland

, *They are losing a lot of water:*

• polyuria
• polydipsia
• dehydration
• fluid/electrolyte imbalance
• dilute, low urine specific gravity (<1.005)
• high plasma osmolarity
• output does not decrease when fluid intake decreases

*remember! your s/s are going to look like dehydration*
• tachycardia
• hypotension
• poor turgor
• dry mucous membranes
• decreased cognition
• ataxia
• irritability - *Posterior Pituitary Gland: Diabetes Insipidus:*

▪ What will the patient present with?/Key Symptoms

▪ desmopressin acetate (a synthetic form of *vasopressin*)
▪ can be PO, SL, or intranasal - *Posterior Pituitary Gland: Diabetes Insipidus:*

▪ Drug Therapy

Addison's disease - What is adrenal gland hypofunction?

▪ If the patient remains alert and oriented x 3 - *Addison's Disease*

▪ How do you know the therapy is working?

▪ Glucocorticoid drugs *MUST be withdrawn slowly so you don't wind up with Addison's or adrenal
insufficiency*

▪ This allows for pituitary protection of ACTH and activation of the adrenal cortex to produce cortisol -
*Addison's Disease*

▪ How do you discontinue glucocorticoid therapy to avoid secondary adrenal insufficiency?

*▪ Muscle weakness*
▪ Muscle/joint pain
▪ Fatigue - *Addison's Disease*

▪ Neuromuscular S/S

*▪ Hypertension*
▪ Dependent edema

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75619 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$15.99
  • (0)
  Add to cart