ATI Endocrine Questions And Answers
Rated A+ 2024.
Diabetes Insipidus & ADH - correct answer. Too little antidiuretic hormone (ADH)
SIADH & ADH - correct answer. Too much antidiuretic hormone (ADH)
DI Manifestations - correct answer. - Polyuria - Urine output 5-20 L/day
- Polydipsia - Drinking 4-30 L/day
- Dehydration - Poor skin turgor, dry mucous membranes, hypotension, tachycardia, wt.
loss, headache, dizziness, constipation
- Hypovolemic shock - hypotension, tachycardia, decreased CO, decreased cerebral
perfusion
SIADH Manifestations - correct answer. - Oliguria - excretion of Na+, reabsorption of
water
- Fluid volume excess - wt gain w/o edema, crackles, distended neck veins, taut skin,
tachycardia, HTN
- Early manifestations - headache, weakness, anorexia, muscle cramps, wt gain
- Late manifestations - personality changes, hostility, decreased deep-tendon reflexes,
n&v, diarrhea, confusion, lethargy, Cheyne-Stokes respirations, seizures, coma, death
DI (Urine & Serum Concentration) - correct answer. URINE DILUTE/SERUM
CONCENTRATED
Urine
• Specific gravity less than 1.005
• Low osmolality (50-200 mOsm/kg)
• Decreased pH
• Decreased urine sodium
• Decreased urine potassium
Serum
• Increased serum osmolality (greater than 295 mOsm/kg)
• Increased serum sodium
• Increased serum potassium
, • Serum Na+ & K+ are high only because serum is concentrated
SIADH (Urine & Serum Concentration) - correct answer. URINE
CONCENTRATED/SERUM DILUTE
Urine
• Specific gravity greater than 1.025
• High osmolality (greater than 295 mOsm/kg)
• Increased urine sodium
• Increased urine potassium
Serum
• Decreased serum osmolality (less than 270 mOsm/kg)
• Decreased serum sodium
• Decreased serum potassium
Most definitive test for Addison's disease - correct answer. ACTH stimulation test
PTU is given to suppress the thyroid hormone. Tx goals have been met when client
reports... - correct answer. An increase in weight
(Note: Will also cause decrease in sweat, stool, and appetite)
Before intranasal adm of desmopressin acetate (DDAVP), the nurse should instruct the
client to do this - correct answer. Prior to adm of this med, blow nose gently
Side effects of long term corticosteroid therapy include... - correct answer.
Osteoporosis (depletion of calcium), development of moon-shaped face (due to
distribution of fat in face, upper back, trunk), increased risk of infection, and muscle
wasting of extremities (depletion of nitrogen)
2 to 3 days prior to vanillylmandelic acid test, this should be avoided. - correct answer.
Caffeine should be avoided
To promote proper absorption, how should thyroid hormone replacement therapy be
taken? - correct answer. On an empty stomach
Increased hematocrit level is an expected finding related to... - correct answer.
Dehydration
Hyperglycemic-hyperosmolar nonketotic syndrome expected findings - correct answer.
- Blood glucose >600 mg/dl
- pH within expected range
For a client with pheochromocytoma, avoid palpation of... - correct answer.
Abdomen
