Thyroid Hormone Case Study

Increased thyroid hormone levels in the blood result in
A) further stimulus to produce thyroid hormone.
B) decreased release of thyroid-stimulating hormone from the anterior pituitary.
C) increased secretion of thyrotropin-releasing hormone from the hypothalamus.
D) inhibition of parathyroid hormone release from the parathyroid glands.
2.
Growth hormone is secreted into the bloodstream by the
A) anterior pituitary.
B) posterior pituitary.
C) hypothalamus.
D) thymus.
3.
A patient has syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Which primary action will the nurse expect to occur in the patient’s body?
A) Polyuria
B) Sodium and water excretion
C) Acid secretion
D) Water reabsorption
4.
A nurse is caring
for a patient with SIADH. What severe complication should the nurse assess for?
A) Panhypopituitarism
B) Diabetes insipidus
C) Neurologic damage
D) Renal failure
5.
A patient has damage to the posterior pituitary caused by a tumor.
Which type of diabetes insipidus (DI) should the nurse monitor for in this patient?
A) Vascular
B) Nephrogenic
C) Psychogenic
D) Neurogenic
6.
When a nurse is asked what causes acromegaly, how should the nurse respond? Acromegaly is caused by increased secretion of
A) prolactin.
B) growth hormone.
C) insulin.
D) glucocorticoids.
7.
A 35-year-old female with Graves disease is admitted to a medical-surgical unit. Which of the following symptoms would the nurse expect to find before treatment?
A) Weight gain, cold intolerance
B) Slow heart rate, rash
C) Skin hot and moist, rapid heart rate
D) Constipation, confusion
8.
A nurse is discussing the pathophysiology of Graves’s disease. Which information should the nurse include? Graves disease is characterized by
A) ectopic secretion of thyroid hormone by a tumor.
B) excessive production of circulating thyroid-stimulating immunoglobulin.
C) autoimmune destruction of the thyroid gland.
D) injury to the pituitary, resulting in decreased thyroid-stimulating hormone secretion.
9.
While reading a patients history, the nurse discovers the patient had exposure to ionizing radiation to the head and neck. Which disease should the nurse assess for in this
patient?
A) Graves disease
B) Hashimoto thyroiditis
C) Thyroid cancer
D) Subacute thyroiditis
10.
When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include
A) weight loss and muscle wasing.
B) pallor and swollen tongue.
C) truncal obesity and moon face.
D) depigmented skin and eyelid lag.