1.
In Addison's disease a person will retain too much?
Correct Answer
C. Potassium
Explanation
In Addison's disease, the adrenal glands do not produce enough hormones, including aldosterone. Aldosterone helps regulate the balance of electrolytes in the body, including sodium and potassium. Without enough aldosterone, the body retains too much potassium and excretes too much sodium. This imbalance can lead to symptoms such as weakness, fatigue, and low blood pressure. Therefore, in Addison's disease, a person will retain too much potassium.
2.
What are some signs ans symptoms that Kimberly Wright presented with that are caused by Addison's disease?
Correct Answer(s)
A. Nausea/Vomiting
B. Dizziness/Syncope
D. Irregular menstral cycle
Explanation
Kimberly Wright presented with symptoms such as nausea/vomiting, dizziness/syncope, and irregular menstrual cycle. These symptoms are commonly associated with Addison's disease. Addison's disease is a condition where the adrenal glands do not produce enough cortisol and aldosterone hormones. Nausea/vomiting can occur due to electrolyte imbalances caused by adrenal insufficiency. Dizziness/syncope can result from low blood pressure and inadequate blood flow to the brain. Irregular menstrual cycles can be caused by hormonal disruptions due to adrenal gland dysfunction. Therefore, these symptoms align with the signs and symptoms typically seen in Addison's disease.
3.
Adrenal glands are located where?
Correct Answer(s)
On top of the kidneys
Explanation
The adrenal glands are located on top of the kidneys. These small, triangular-shaped glands are part of the endocrine system and are responsible for producing and releasing hormones such as adrenaline, cortisol, and aldosterone. Their location on top of the kidneys allows them to have direct access to the bloodstream, facilitating the quick release of hormones when needed.
4.
Which factors below are triggers or will induce an adrenal crisis? Select all that apply
Correct Answer(s)
A. Heat or cold
B. Stress
C. Surgery
D. Illness
E. Nursing school at Eastern University
Explanation
The factors that can trigger or induce an adrenal crisis include heat or cold, stress, surgery, and illness. These factors can put excessive strain on the adrenal glands, leading to a decrease in cortisol production. Nursing school at Eastern University is not a factor that can directly trigger an adrenal crisis.
5.
The primary cause of Addison's disease is overproduction of the adrenalcortical hormone.
Correct Answer
B. False
Explanation
The primary cause of Addison's disease is not overproduction of the adrenalcortical hormone. Addison's disease is actually caused by the insufficient production of hormones by the adrenal glands. This can occur due to various reasons, such as autoimmune disorders, infections, or damage to the adrenal glands.
6.
Name 3 Nursing Interventions / Management issues when caring for a patient with Addison's Disease?
Correct Answer
record i&o's
daily weights
vital signs
monitor labs
skin assessment
medication teaching
stress management techniques
Explanation
The given answer lists several nursing interventions/management issues when caring for a patient with Addison's Disease. These include recording intake and output, monitoring daily weights, monitoring vital signs, monitoring lab results, conducting skin assessments, providing medication teaching, and implementing stress management techniques. These interventions are important in managing the symptoms and complications associated with Addison's Disease, such as fluid and electrolyte imbalances, weight fluctuations, blood pressure changes, medication adherence, and stress management.
7.
What are some important medication teachings to cover with Regina Wright? Select all that apply
Correct Answer(s)
B. Take your medication at the prescribed times
C. Weight gain is a side effect
D. Good hand hygiene and avoiding large crowds is recommended to reduce exposure to infection
Explanation
The important medication teachings to cover with Regina Wright include taking her medication at the prescribed times, being aware that weight gain is a possible side effect, and practicing good hand hygiene and avoiding large crowds to reduce the risk of infection.
8.
______________________ regulates the secretion of sodium and potassium.
Correct Answer(s)
Aldosterone
Explanation
Aldosterone is a hormone that plays a crucial role in regulating the levels of sodium and potassium in the body. It is produced by the adrenal glands and acts on the kidneys to increase the reabsorption of sodium and the excretion of potassium. This helps in maintaining the balance of these electrolytes in the body, which is important for various physiological processes including fluid balance, blood pressure regulation, and nerve and muscle function.
9.
Regina Wright had skin hyperpigmentation due to loss of calcium.
Correct Answer
B. False
Explanation
The statement "Regina Wright had skin hyperpigmentation due to loss of calcium" is false. Skin hyperpigmentation is not caused by a loss of calcium. Hyperpigmentation can be caused by various factors such as sun exposure, hormonal changes, inflammation, or certain medical conditions. Calcium deficiency may lead to other symptoms such as weak bones or muscle cramps, but it does not directly cause skin hyperpigmentation.
10.
Name 3 factors that contributed to Regina's level of stress and what are some non-pharmacological treatment options?
Correct Answer
Divorce
kids
family
job
money
ex husband
money issues
lack of support
not going to church
family
children
deep breathing
aromatherapy
meditation
imagery
church
Explanation
Regina's level of stress is likely caused by several factors, including her divorce, issues with her ex-husband, financial problems, lack of support, and the responsibilities of being a parent. These stressors can be overwhelming and contribute to her overall stress level. Non-pharmacological treatment options such as deep breathing, aromatherapy, meditation, and imagery can help Regina manage her stress. Additionally, reconnecting with her faith and attending church may provide her with emotional support and a sense of community.
11.
Addison's disease is usually diagnosed early and present with sign and symptoms right away.
Correct Answer
B. False
Explanation
Addison's disease is a condition where the adrenal glands do not produce enough hormones. The symptoms of Addison's disease can be vague and nonspecific, making it difficult to diagnose early on. In fact, many individuals with Addison's disease may not experience any symptoms until the disease has progressed. Therefore, it is not true that Addison's disease is usually diagnosed early and presents with signs and symptoms right away.
12.
________________________________ fluid solution should be used to replace fluid volume and restore electrolyte imbalance.
Correct Answer
5% Dextrose in 0.9% saline solution
5% Dextrose in 0.9% normal saline
5% Dextrose in 0.9% saline
5% Dextrose in 0.9% NSS
Dextrose in NSS
Explanation
The correct answer is any of the options listed. All of these solutions contain 5% dextrose and 0.9% saline, which makes them suitable for replacing fluid volume and restoring electrolyte imbalance. The combination of dextrose and saline helps provide both energy and essential electrolytes to the body.
13.
The primary nursing diagnosis for Regina Wright are which of the following: select all that apply
Correct Answer(s)
B. Altered nutrition: Less than body requirements related to anorexia, vomiting, and nausea
C. Risk for Infection
D. Altered Body Image
Explanation
The primary nursing diagnosis for Regina Wright includes Altered nutrition: Less than body requirements related to anorexia, vomiting, and nausea because her symptoms suggest that she is not receiving adequate nutrition. Risk for Infection is also a primary diagnosis because her weakened immune system due to poor nutrition puts her at a higher risk for infections. Lastly, Altered Body Image is a primary diagnosis because her symptoms may affect her perception of her own body.
14.
Which famous person suffered with Addison's Disease?
Correct Answer
B. John F. Kennedy
Explanation
John F. Kennedy suffered from Addison's Disease. This autoimmune disorder affects the adrenal glands, leading to a deficiency in cortisol and aldosterone production. Kennedy's medical records indicate that he was diagnosed with Addison's Disease in the early 1940s. The condition requires lifelong treatment with hormone replacement therapy to manage symptoms such as fatigue, weight loss, and low blood pressure. Despite his health challenges, Kennedy went on to become the 35th President of the United States, serving from 1961 until his assassination in 1963.
15.
Name a treatment for Addison's Disease?
Correct Answer
Glucocorticoid , corticosteroids, Minercorticoid , Corticosteroid Replacement, Steroids, hormone therapy, hormones
Explanation
The correct answer is Corticosteroid Replacement, Glucocorticoid, Minercorticoid, Steroids, hormone therapy, hormones. Addison's Disease is a condition in which the adrenal glands do not produce enough cortisol and aldosterone. Corticosteroid Replacement is the main treatment for this disease, as it involves replacing the deficient hormones with synthetic ones. Glucocorticoids and minercorticoids are types of corticosteroids that can be used in this treatment. Steroids, hormone therapy, and hormones are all general terms that can refer to the medications and therapies used to manage Addison's Disease.