Drugs Acting on the Endocrine System by Sarah Shelly

NCLEX Question #3 ANSWER

sarahxshelly — 2018-09-19 20:38:25 UTC

b. Notify the health care provider (HCP)

Tetany may occur after thyroidectomy if the parathyroid glands are accidentally injured or removed during surgery. This would cause a disturbance in serum calcium levels. An early sign of tetany is numbness and tingling of the fingers or toes and in the circumoral region.

NCLEX Question #3

sarahxshelly — 2018-09-19 20:38:55 UTC

One day following a subtotal thyroidectomy, a client begins to have tingling in the fingers and toes. The nurse should FIRST:

a. Encourage the client to flex and extend the fingers and toes
b. Notify the health care provider (HCP)
c. Assess the client for thrombophlebitis
c. Ask the client to speak

***Billing's p. 490 question # 14

NCLEX Question #2

sarahxshelly — 2018-09-19 20:47:33 UTC

Because of steroid excess after a bilateral adrenalectomy, the nurse should assess the client for:

a. Postoperative confusion
b. Delayed wound healing
c. Emboli
d. Malnutrition

***Billing's p. 498 question #103

NCLEX Question #2 ANSWER

sarahxshelly — 2018-09-19 20:52:20 UTC

b. Delayed wound healing

Persistent cortisol excess undermines the collagen matrix of the skin, impairing wound healing. It also carries an increased risk of infection and bleeding.

NCEX Question #1

sarahxshelly — 2018-09-19 21:10:43 UTC

After pituitary surgery, the nurse should assess the client for:

a. Urine specific gravity <1.010
b. Urine output between 1 and 2 L/day
c. Blood glucose level higher than 300 mg/dL
d. Urine negative for glucose and ketones

***Billing's p. 495 question #67

NCLEX Question #1 ANSWER

sarahxshelly — 2018-09-19 21:12:48 UTC

a. Urine specific gravity <1.010

Pituitary diabetes insipidus is a potential complication after pituitary surgery because of the possible interference with the production of ADH. One major manifestation of diabetes insipidus is polyuria because lack of ADH results in water reabsorption by the kidneys. The polyuria leads to a decreased urine specific gravity (between 1.001 and 1.010)

Drugs Acting on the Endocrine System

kkennedy771 — 2018-09-20 18:35:49 UTC

Thyroid: Levothyroxine

kkennedy771 — 2018-09-20 19:40:47 UTC

Antithyroid Agents: propylthiouracil

kkennedy771 — 2018-09-22 22:57:10 UTC

Prednisone

marie222297 — 2018-09-24 19:10:43 UTC

Adrenocortical Agents

Histrelin (Vantas)

sarahxshelly — 2018-09-27 12:07:07 UTC

Indication: palliative treatment of advanced prostate cancer
Actions: Inhibits gonadotropic secretion; decreases follicle-stimulating hormone and luteinizing hormone levels and testerone levels
Special Considerations: Surgically implanted (subcutaneously) and removed every 12 months, hot flashes are very common, monitor the insertion site

sarahxshelly — 2018-09-27 12:14:56 UTC

Strong Iodine Solutions

kkennedy771 — 2018-09-27 17:58:04 UTC

Calcitrol

kkennedy771 — 2018-09-27 18:00:11 UTC

Alendronate (Fosamax)

kkennedy771 — 2018-09-27 18:01:52 UTC

Parathyroid agent

Fosamax TV commercial

kkennedy771 — 2018-09-27 18:25:49 UTC

Fludrocortisone

marie222297 — 2018-09-28 00:28:27 UTC

Adrenocortical Agents

article

marie222297 — 2018-10-02 14:19:48 UTC

marie222297 — 2018-10-02 14:21:21 UTC

marie222297 — 2018-10-02 14:27:28 UTC

FLUDROCORTISONE

Somatropin

kkennedy771 — 2018-10-02 18:20:29 UTC

Hypothalamic and Pituitary Agents

Case Study - Part 1

sarahxshelly — 2018-10-02 18:21:27 UTC

During nurse hand-off report, you receive a report on a 25-year-old female patient being treated for meningitis with a history of renal impairment and seasonal allergies. Her vital signs have been stable and she has remained pleasant and cooperative throughout her stay.
Upon going in to administer her 8pm meds, you find her erratic in the bathroom drinking water from the toilet. You call a code, she is stabilized, and diagnosed with diabetes insipidus.

Octreotide

kkennedy771 — 2018-10-02 18:21:45 UTC

Hypothalamic and Pituitary Agents

Desmporessin

kkennedy771 — 2018-10-02 18:22:18 UTC

Hypothalamic and Pituitary Agents

Cast Study - Part 2

kkennedy771 — 2018-10-02 18:35:00 UTC

To treat her diabetes insipidus, she is ordered 2mcg IV bid of Desmopressin.
--> Are there any contraindications for this medication?
--> What are some adverse effects you should anticipate for this client?

Cast Study - Part 3

kkennedy771 — 2018-10-02 18:40:45 UTC

After 3 days on desmopressin, the patient is no longer exhibiting signs of excessive thirst, but is complaining of dizziness, nausea, vomiting, and muscle weakness.
--> Considering patient history and current medication, what is she most likely demonstrating signs of?
--> What are the priority nursing interventions?

Works Cited

kkennedy771 — 2018-10-02 19:08:06 UTC

kkennedy771 — 2018-10-03 12:15:02 UTC