NUR 421- Pituitary Gland Disorders Test Questions and Correct Answers
0 view 0 purchase
Course
NUR 421
Institution
NUR 421
Hypothalamus hypothalamic hormones regulate the synthesis and secretion of pituitary gland hormones
Hyperpituitarism - over secretion of the anterior pituitary gland
Causes - pituitary adenomas (cancer) - extra pituitary tumors - hypothalamic lesions
Increased secretion of growth hormone giganti...
NUR 421- Pituitary Gland Disorders Test
Questions and Correct Answers
Hypothalamus ✅hypothalamic hormones regulate the synthesis and secretion of
pituitary gland hormones
Hyperpituitarism ✅- over secretion of the anterior pituitary gland
Increased secretion of growth hormone ✅gigantism
- excess of gh *before puberty* and fusion of long bones
Acromegaly
- gh excess *after puberty* and fusion of long bones
- soft tissues continue to grow
- increase in size of body parts but not height
- enlargement of organs (heart and liver)
- can cause htn, dm, and cardiomyopathy
Acromegaly: clinical manifestations ✅- severe headaches
- visual disturbances
- thick lips with coarse facial structures
- enlarged hands and feet
- barrel shaped chest
- lower jaw protrusion
- increasing head size
- change in menstral pattern
Acromegaly: diagnostic test ✅growth hormone suppression test
- use of glucose, which suppresses gh secretion in normal functioning pituitary gland
Xray of skull
Ct or mri of head
Cerebraal angiography
Acromegaly treatment: hypophysectomy ✅removal of the pituitary gland through the
nose or upper lip
Preoperative nursing implications
- notify client that hormone replacement therapy will be lifelong
, - informed consent
- vital signs
Postoperative nursing implications
- monitor loc
- monitor drainage to mustache dressing
- notify provider if leakage drainage contains glucose
- maintain high fowlers position
- encourage deep breathing *but limit coughing*
- assess for s/s of meningitis
- administer replacement hormones
Client education
- do not brush teeth (use rinses)
- do not blow nose
- do not bend over at the waist
- report any nasal drip
- increase fiber in diet
Syndrome of inappropriate antidiuretic hormone (siadh) ✅*"soaked inside"*
- failure for negative feedback system to regulate adh
- adh controls reabsorption of water by the kidneys
Clinical manifestations
- water retention without edema/intoxication
- dilutional hyponatremia
- decreased urine output
Siadh: dilutional hyponatremia ✅- muscle cramps/weakness
- n/v/d
- lethargy, disorientation, ha
- confusion, depression of dtr
- seizures, coma
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
