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WorksheetsThyroid, Pituitary, etc.
Total questions: 16
Worksheet time: 8mins
While reviewing your patient's bloodwork, you note an elevated TSH. Knowing the patho behind thyroid alterations, what do you expect to find when you review the T3 & T4?
T3 is Higher while T4 is Lower than normal
Low T3/ High T4
Both T3 & T4 are Lower than Normal
Both T3 & T4 are Higher than Normal
While talking with your patient, they tell you they have been extremely tired, cold all of the time, gaining weight, and their hair has become thin and brittle. What autoimmune disorder is commonly associated with these symptoms?
Type 1 Diabetes
Hashimoto's
Systemic Lupus Erythematosis
Addison's Disease
Graves Disease and Toxic Nodular Goiter have similar signs and symptoms, EXCEPT:
Goiter in Toxic Nodular Goiter
Heat Intolerance in Graves Disease
Exophthalmus in Toxic Nodular Goiter
Exopthalmus in Graves Disease
You are teaching your patient who has a new prescription for Levothyroxine (Synthroid). What are you going to include in your patient education?
Take this medication at bedtime with a snack
Take this medication 30-60 minutes before breakfast
You can take this with your Warfarin
This medication will lower your heart rate. Watch for dizziness.
The ICU has just transferred a patient, recovering from thyrotoxic crisis, to your floor. When reviewing their medications, you note the provider has ordered Propylthioruacil (PTU). Why might this have been preferred over Methimazole?
PTU inhibits T3/T4 synthesis
PTU tends to work faster than Methimazole
No reason. Both of these work the same.
It should not have been. Methimazole is the preferred PO med for this condition.
Posterior pituitary hormones are synthesized in what gland(s)?
Hypothalmus
Adrenal
Pituitary
Pineal
When teaching your patient about Somatropin, you are going to include all of the following EXCEPT:
Do not use if the solution is cloudy. It should be clear.
Do not use if the solution is clear. It should be cloudy
Gently roll the solution to mix. Do not shake.
Rotate the injection site to avoid lipodystrophy
In adults, an excess of growth hormone manifests as acromegaly. Which medication has been shown to be highly effective to treat this?
Octreotide (Sandostatin)
Lanreotide (Somutuline Depot)
Removal of the pituitary adenoma is the only treatment
Pegvisomant (Somavert)
Antidiuretic Hormone (ADH) is regulated by the hypothalmus. This means that the hypothalmus:
Releases ADH when the body is losing too much fluid in the urine
Releases ADH when the body is too cold to regulate body temperature
Releases ADH when the body is not releasing enough fluid in the urine
Releases ADH when the body is stressed during the sympathetic response
The provider has prescribed Vasopressin (Pitressin) for a patient with ADH deficiency. What are you going to teach your patient?
Drink plenty of water while taking this medication
Headache and drowsiness are normal side effects of this medication
Limit your fluid intake to avoid water toxicity
This medication can lower your blood pressure. Watch for dizziness.
In addition to helping patients increase their fluid output, ADH Antagonists also treat which electrolyte abnormality?
Hypernatremia
Hyponatremia
Hyperkalemia
Hypokalemia
Cabergolin and Bromocriptine mimic what to suppress the effects of Prolactin?
Progesterone
Estrogen
Luteinizing Hormone
Dopamine
You are admitting a Type 2 diabetic who is being treated by Metformin (Glucophage) to control their diabetes. The provider orders Regular Insulin Sliding Scale ACHS. Since the stress of illness causes the body to produce more cortisol, what is the rationale for this?
Cortisol deactivates PO diabetic medications
Cortisol decreases the availability of glucose in the bloodstream causing hypoglycemia
Cortisol increases the availability of glucose in the bloodstream causing hyperglycemia
There is not rationale for this. The order should be questioned.
As an ER nurse, you are caring for a patient in Acute Adrenal Crisis. You expect to give all of the following EXCEPT:
IV fluids
Insulin
Glucocorticoids
Glucose
The Dexamethasone Challenge Test is used to diagnose Cushings Disease. What indicates positive results for Cushings Disease?
Higher than normal Cortisol level
Lower than normal Cortisol level
Dexamethasone toxicity
None of the Above
Patients with primary hyperaldosteronism require a specific diuretic for treatment. That diuretic is?
Furosemide
Hydroclorothiazide
Bumetanide (Bumex)
Spironolactone
