Quiz 1 Study Guide for Medical Surgical ll

The parathyroid hormone (parathormone, PTH) plays a critical role in regulating?

Calcium

A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a patient admitted with acute gallbladder inflammation, the nurse will question which of the following foods on the tray?

Fried chicken

If thyroid crisis is not treated it will eventually lead to death from:

Heart failure

Which of the following fluid and electrolyte imbalances may be seen in patients with Addison's disease?

Hyponatremia and dehydration

A 55-year-old male with acute pancreatitis is being admitted. What is the critical care nurse aware of concerning the common description of acute pancreatitis?

Pancreatic enzymes digest the pancreas.

You are assessing a patient newly admitted with chronic pancreatitis. What would you anticipate potential dysfunction of?

Pancreatic islet cells

When the metabolic rate falls, the hypothalamus stimulates the pituitary gland to secrete:

TSH

Mrs. Saaran, a forty-six-year-old attorney, presents with a history of progressive weight loss of 10 pounds over the last 8 weeks. She states she feels "anxious and tense all the time." You note a fine tremor of her hands while taking her vital signs. Mrs. Saaran is scheduled for a variety of lab test tomorrow, including T-3, T-4, and thyroid stimulating hormone. Of the medications listed below, which Mrs. Saaran reports she has been taking recently, would be most important to note specifically on the lab requisition:

Birth Control Pills

A patient has just been diagnosed with chronic pancreatitis. The patient is underweight and in severe pain. The physician's notes indicate that over 80% of the patient's pancreas has been destroyed. The patient asks you why the diagnosis wasn't made earlier in the disease process. What would be the nurse's best response?

"Chronic pancreatitis often goes undetected until more than 80% of the pancreatic tissue is destroyed."

A patient is brought to the emergency department by ambulance. He has hematemesis and alteration in mental status. The patient has tachycardia, cool clammy skin, and hypotension. The patient has a history of alcohol abuse. What would the nurse suspect the patient has?

Bleeding esophageal varices