Frage 1
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ADH (Anti diuretic hormone) is released in response to which stimuli? Select all that apply.
Frage 2
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Which of these options in the main stimuli for ADH secretion?
Frage 3
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The main function of ADH is to:
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act on collecting ducts and tubules of the kidney to conserve water to maintain blood pressure
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increase rate and strength of heart
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increase excretion of water and Na+
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decrease serum osmolality
Frage 4
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Early clinical manifestations of Diabetes Insipidus are: (Select all that apply.)
Frage 5
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Management of patients with Diabetes Insipidus includes
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Nitoprusside and Desmopressin
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Loop diuretics and Pitressin therapy
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Desmopressin and Pitressin therapy
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Increase fluid intake
Frage 6
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Actions of thyroid hormones include
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increase metabolic activity
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decrease oxygen demand
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increase breakdown of fatty acids
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increases rate and depth of respiration and heart
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inhibits gluconeogenesis
Frage 7
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Diagnosis of hypothyroidism is by which main clinical manifestation?
Frage 8
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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
Antworten
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Thyroid hormone replacements medications cause frequent urination
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Patients often report feeling hyper-excitable after taking their replacement therapy
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Thyroid hormone replacement regimen should mimic natural circadian rhythm
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Bagels taste good with hormone replacement meds
Frage 9
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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?
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decreased metabolism of drugs can cause dangerous adverse effects
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your patient is narcoleptic
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hypothyroidism can cause increased metabolism of drugs and the new order won't be enough to make any difference.
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your patient has a history of narcotic abuse
Frage 10
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Myxedema Coma is characterized by which clinical symptoms?
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Hypoventilation
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Hyperthermia
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Bradycardia
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Tachycardia
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Hypoglycemia
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Hypothermia
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Hypocarbia
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Hypercarbia
Frage 11
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What is the priority treatment for your patient experiencing myxedema coma?
Frage 12
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Clinical manifestations of hyperthyroidism include:
Frage 13
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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?
Frage 14
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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
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Iodine
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Beta blockers
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Tapazole
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Benadryl
Frage 15
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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
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Blistex
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Herpes screening
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Calcium supplement
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Potassium supplement
Frage 16
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What nursing interventions do you expect to implement for your patient who is post thyroidectomy?
Frage 17
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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?
Frage 18
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Clinical manifestations of acute adrenal insufficiency are
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IV fluids
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D50
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Dexamethasone
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Fludrocortisone
Frage 19
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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
Antworten
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She was diagnosed with clinical depression two months ago
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She just recently stopped taking her Hydrocortisone two weeks ago when her prescription ran out
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She has a history of CHF
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She has begun hormone therapy and has been taking estrogen supplements
Frage 20
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this clinical presentation is associated with which diagnosis?
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Adrenal cortex hyperfunction
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Excess thyroid hormone production
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Inappropriate ADH function
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Gastrointestinal tumor
Frage 21
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This clinical presentation is associated with which diagnosis
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Autoimmune destruction of the thyroid gland
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Hypersecretion of the thyroid gland
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Increased production of glucocorticoids
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result of staring at complex lecture for too long