Exam (elaborations)
Nurs 5338 Mod 2 Pretest Questions With Complete Solutions.pdf
- Course
- Nurs 5338
- Institution
- Chamberlain College Of Nursing
Nurs 5338 Mod 2 Pretest Questions With Complete S
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Nurs 5338 Mod 2 Pretest Questions With Complete Solutions1. Describe the relationship of TSH and T3/T4 in hyperthyroidism: - decreased
TSH
- increased T3/T4
2. Describe the relationship of TSH and T3/T4 in hypothyroidism: - increased
TSH
- decreased T3/T4
3. Describe symptoms of hypothyroidism: 1. weight gain (inability to use fat
stores for ATP production)
2. cold (already lowered body temp)
3. slow heart rate (bradycardia)
4. slowed nervous system (fatigue, brain fog, & depression)
5. lose outer third of eyebrow (slow hair cell mitosis)
4. Describe symptoms of hyperthyroidism: 1. weight loss (burning through glu-
cose and fat stores)
2. hot, flushed face (already have relatively high body temp)
3. fast, irregular heart rate and blood pressure
4. agitation, irritability, trouble sleeping
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,5. frequent bowel movements and diarrhea
6. exophthalmos (bulging eyes)
5. Describe the Somogyi effect: *Caused by untreated hypoglycemia (overuse of
insulin)*, a dip in blood sugars causes a compensatory glucagon release causing
hyperglycemia in the morning
6. Which hormones cause an increase in glucose?: - glucagon
- epinephrine
- growth hormone
- cortisol
7. Describe how an elevated glucose affects hormones: - increased insulin
secretion
- insulin decreases glucagon levels
- growth hormone decreases
8. Describe how decreased glucose affects hormones: - increased glucagon
- increased epinephrine
9. Describe "Dawn Phenomenon": this is when the patient becomes hyper-
glycemic between 5-6 am because of a nighttime release of growth hormone. The
treatment: give more insulin for the overnight period. For instance, give NPH at 10
pm. The diagnosis is made by checking blood glucose during the night.
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, 10. During the Dawn Phenomenon, growth hormone will: - cause the elevation
of glucose
- as glucose levels rise, growth hormone decreases
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