ADH (Anti diuretic hormone) is released in response to which stimuli? Select all that apply.
Increased serum osmolality
Decreased plasma volume
Increased peripheral vascular resistance
Decreased blood pressure
Which of these options in the main stimuli for ADH secretion?
The main function of ADH is to:
act on collecting ducts and tubules of the kidney to conserve water to maintain blood pressure
increase rate and strength of heart
increase excretion of water and Na+
decrease serum osmolality
Early clinical manifestations of Diabetes Insipidus are: (Select all that apply.)
Nocturia
Thirst
Serum Na of 135 mg/dL
Decreased specific gravity
Increased hematocrit
Management of patients with Diabetes Insipidus includes
Nitoprusside and Desmopressin
Loop diuretics and Pitressin therapy
Desmopressin and Pitressin therapy
Increase fluid intake
Actions of thyroid hormones include
increase metabolic activity
decrease oxygen demand
increase breakdown of fatty acids
increases rate and depth of respiration and heart
inhibits gluconeogenesis
Diagnosis of hypothyroidism is by which main clinical manifestation?
Decreased thyroid hormones T4 and T3
Myxedema
Weight loss of 5lbs in one week
Increased TSH production
Your patient's medication order for thyroid hormone replacement is prescribed to be taken in the morning after breakfast, you know that this is because
Thyroid hormone replacements medications cause frequent urination
Patients often report feeling hyper-excitable after taking their replacement therapy
Thyroid hormone replacement regimen should mimic natural circadian rhythm
Bagels taste good with hormone replacement meds
You notice that the new medical intern increased your patient's dose of Ambien (Zolpidem) to 10mg, PO 2x day since she was complaining of not being able to sleep as a result of her diagnosis of Hashimoto's disease. You question this order for your patient because?
decreased metabolism of drugs can cause dangerous adverse effects
your patient is narcoleptic
hypothyroidism can cause increased metabolism of drugs and the new order won't be enough to make any difference.
your patient has a history of narcotic abuse
Myxedema Coma is characterized by which clinical symptoms?
Hypoventilation
Hyperthermia
Bradycardia
Tachycardia
Hypoglycemia
Hypothermia
Hypocarbia
Hypercarbia
What is the priority treatment for your patient experiencing myxedema coma?
Thyroid Hormone Replacement
Supportive Treatment
Fluid Management
Beta-Blockers
Clinical manifestations of hyperthyroidism include:
Decreased gastric activity
Heat intolerance
Exopthalmos
Increased heat production
Weight loss
Your patient is a 32 year old woman who is complaining of increased weight loss, diaphoresis, and menstrual irregularities. After reviewing her information with the physician you expect to prepare your patient for which treatment method?
Radioiodine therapy
Thyroidectomy
Iodine therapy
Birth control administration
Once you have explained to your patient that she will be having her thyroid removed for correction of her hyperthyroidism you explain to her that she will have to take medication prior to her surgery, these pre-op medications include
Iodine
Beta blockers
Tapazole
Benadryl
After your patient's successful thyroidectomy procedure she complains of tingling and itching around her mouth, you immediately call the Dr. More and ask that he order
Blistex
Herpes screening
Calcium supplement
Potassium supplement
What nursing interventions do you expect to implement for your patient who is post thyroidectomy?
Elevate the HOB
Restricting movement
Tracheostomy tray at bedside
Humidified oxygen
Post thyroidectomy your patient starts experiencing severe tachycardia, high fever, and is very irritable. You recognize these symptoms as that of a thyroid storm and expect to administer which priority treatment?
IV fluids and electrolyte replacement
Glucose
Beta blockers and anti-thyroid medications
Glucocorticoids
Clinical manifestations of acute adrenal insufficiency are
IV fluids
D50
Dexamethasone
Fludrocortisone
Mrs. M is a 45 year old woman who presents with a round face and bruises on her body. She complains of feeling emotional all the time and weight gain in strange places of her body. Her glucose level is 173 and he BP is 150/92 mmHg. When reviewing her HPI you are not surprised to discover that
She was diagnosed with clinical depression two months ago
She just recently stopped taking her Hydrocortisone two weeks ago when her prescription ran out
She has a history of CHF
She has begun hormone therapy and has been taking estrogen supplements
this clinical presentation is associated with which diagnosis?
Adrenal cortex hyperfunction
Excess thyroid hormone production
Inappropriate ADH function
Gastrointestinal tumor
This clinical presentation is associated with which diagnosis
Autoimmune destruction of the thyroid gland
Hypersecretion of the thyroid gland
Increased production of glucocorticoids
result of staring at complex lecture for too long
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