Description
Edapt NR507 Week 6 Alterations in the Endocrine System

The Endocrine System
Advanced Pathophysiology-Tan > Unit 8
Which of the following is the main control center for hormonal regulation?
Adrenal glands
Parathyroid glands
Pituitary gland
Hypothalamus
Which of the following statements best describes the negative feedback loop guiding hormonal regulation?
A reaction that causes an increase in function to help maintain homeostasis
A reaction that causes a decrease in function to help maintain homeostasis
A reaction that remains constant to support homeostasis
A reaction that creates no change to maintain homeostasis
Question 1 / 2
Recognize Cues
Which of the following lab values indicates the client is experiencing an alteration in endocrine function related to the surgery? Select all that apply.
TSH: 4.7 mU/L (Reference range 2-10 mU/L)
Phosphate: 2.56 mmol/L (Reference range 0.97-1.45 mmol/L)
T3: 2.2 nmol/L (Reference range 1.2-3.4 nmol/L)
Total calcium: 5.2 mg/dL (Reference range 9-10.5 mg/dL)
Total T4: 107 nmol/L (Reference range 59-135 nmol/L)
Question 2 / 6
Analyze Cues
Review the electronic health record and answer the question that follows.
Question 3 / 6
Prioritize Hypotheses
Review the electronic health record and answer the question that follows.
Question 4 / 6
Generate Solutions
Review the electronic health record and answer the question that follows.
Which of the following is most specific for diagnosing primary hypothyroidism?
C-reactive protein
Serum TSH, T3, and T4 tests
Radioactive iodine uptake scan
Thyroid ultrasound
Question 5 / 6
Take Action
Review the electronic health record and answer the question that follows.
Which priority intervention should the nurse practitioner (NP) discuss with the client?
Melatonin to promote restful sleep
Oral levothyroxine hormone replacement therapy
Psychiatric evaluation for altered concentration
Low-calorie, low-fat diet for weight reduction
Question 6 / 6
Evaluate Outcomes
Review the most recent Laboratory Results and Progress Notes. Select the findings that indicate the client’s condition has improved.
Question 1 / 2
Recognize Cues
Review the electronic health record and address the question that follows.
The nurse practitioner (NP) is assessing a client at their first post-operative appointment. Based on the Progress Note, the NP should suspect which of the following endocrine alterations?
Hypothyroidism
Cushing’s syndrome
Thyroid storm
Addison’s disease
Question 2 / 2
Analyze Cues
Review the electronic health record and address the question that follows.
Solution: Edapt NR507 Week 6 Alterations in the Endocrine System



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