Endo and Osteo Disorders

which medication is derived from a natural source and may be prescribed for the treatment of osteoporosis?

calcitonin [out of blood into bone]

induced hypothyroidism s/s

fatigue, dry skin, lethargy, weight gain, low temp

which advice will the nurse include when discussing postoperative medication therapy with a client admitted to the hospital for a subtotal thyroidectomy?

if you develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased due to the thyroid replacement therapy [lifelong med]

effect of corticosteroids regarding osteoporosis

long-term steroid therapy will accelerate bone demineralization.

which medication to treat osteoporosis would be contraindicated for a client who has a history of renal calculi?

os-cal [calcium supplement]

hyperthyroidism s/s

tremors, heat intolerance, normal or INCREASED BP, weight loss, tachycardia, restlessness, exophthalmos,

prominent jaw

acromegaly

Which intervention would the nurse implement during the first 6-8hrs when caring for a client after a thyroidectomy?

assess the sides and back of the client's neck for evidence of bleeding

is iodine administered before or after surgery?

before surgery

which interventions would the nurse implement when providing care to a client after a subtotal thyroidectomy?

(a) assess for frequent swallowing; (b) ambulate the client the evening of surgery; (c) assess for facial spasms, apprehension, or tingling of the lips, fingers, or toes; (d) ensure that oxygen, suction equipment, and a trach tray are at the bedside.

decreased URINE osmolarity is seen in

DI.. insufficient ADH decreases water uptake by the kidney tubules, resulting in very dilute urine with low osmolarity.

which one of these cause calcium being moved from bones? hyperparathyroidism or hypoparathyroidism?

HYPERparathyroidism causes bone decalcification by taking Ca from bones to BLOOD [could increase risk for osteoporosis]. HYPOparathyroidism decreases movement of calcium from the bone, thereby reducing the serum level of calcium.

the nurse is reviewing the electronic health record of a client admitted with syndrome of inappropriate antidiuretic hormone [SIADH]. Which medication order would the nurse question?

IV 0.9% NaCl... this should be administered cautiously in clients with SIADH, as it can further potentiate fluid volume overload. Instead, use 3% NaCl [hypertonic] to treat the severe hyponatremia that comes with SIADH.

which parameter would the nurse monitor to evaluate the effectiveness of desmopressin acetate (DDAVP) administered to a client with diabetes insipidus?

Intake and output. DDVAP replaces ADH, facilitating the reabsorption of water and the consequent return of balanced fluid intake and urinary output. [[NOT for effectiveness assessment but monitor BP before and during therapy as this med is a vasopressor]

on the third postoperative day after a subtotal thyroidectomy for a tumor, a client complains of a "funny, jittery feeling." Which intervention is appropriate for the nurse to take?

Test for Chvostek and Trousseau signs and notify the primary health care provider of the complaints.

carbamazepine

[anticonvulsant] usually given to DI patients to decrease their thirst

which outcome is the main focus of treatment for a client with Addison disease?

restoration of electrolyte balance.

after a teaching session, the nurse evaluates the client's understanding of hypoparathyroidism. Which statement made by the client indicates the need for further education? (a) i should eat an orange a day, (b) i should include yogurt in my diet, (c) i should perform mild exercises daily, (d) i should sit outside in the sun.

(b) i should include yogurt in my diet. further education is needed for the client. Clients with hypoparathyroidism have hypocalcemia. To replenish calcium levels of the body, the client should consume foods that are rich in calcium. However, foods rich in phosphorus such as yogurt, processed cheese, and milk should be avoided. All the other comments are correct and require no further education by the nurse. Oranges are good source of vitamin C and fibers. They help improve healing and remove wastes from the body. Exercising is good for overall health. Sitting in the sun allows exposure of the client to sunlight, which is a natural source of vitamin D. Vitamin D helps in the absorption of calcium from the GI tract.

the nurse is caring for a client who underwent a total thyroidectomy. Which assessment finding would lead the nurse to notify the rapid response team?

stridor, indication of respiratory distress.