NURS 611 - Advanced Pathophysiology
Exam 3
Question:
The common cause of elevated levels of antidiuretic hormone (ADH)
secretion is:
Answer:
Ectopically produced ADH
Question:
Which laboratory value would the nurse expect to find if a person is experiencing syndrome of inappropriate antidiuretic hormone (SIADH)?
Answer:
Serum Na level of 120 and serum hypo-osmolatlity.
Question:
A patient who is diagnosed with a closed head injury has a urine output of 6 to 8 L/day. Electrolytes are within normal limits, but his antidiuretic hormone (ADH) level is low. Although he has had no intake for 4 hours, no change in his polyuria level has occurred. These symptoms support a diagnosis of 1 / 4
Answer:
Neurogenic diabetes insipidus.
Question:
Diabetes insipidus, diabetes mellitus, and syndrome of inappropriate antidiuretic hormone all exhibit which symptom?
Answer:
polydipsia
Question:
The cause of neurogenic diabetes insipidus (DI) is related to an organic
Answer:
lesion of the posterior pituitary, hypothalamus, or pituitary stalk.
Question:
Which form of diabetic insipidus (DI) will result if the target cells for antidiuretic hormone (ADH) in the renal collecting tubules demonstrate insensitivity?
Answer:
Nephrogenic.
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Question:
Which laboratory value is consistently low in a patient with diabetes insipidus (DI)?
Answer:
Urine-specific gravity.
Question:
Which form of diabetes insipidus (DI) is treatable with exogenous antidiuretic hormone (ADH)?
Answer:
Neurogenic DI
Question:
The term used to describe a person who experiences a lack of all hormones
associated with the anterior pituitary is:
Answer:
Panhypopituitarism
Question:
Diabetes insipidus is a result of:
Answer:
ADH hyposecretion 3 / 4
Question:
Visual disturbances are a result of a pituitary adenoma because of the:
Answer:
Pressure of the tumor on the optic chiasm
Question:
Which hormone is involved in the regulation of serum calcium levels?
Answer:
PTH
Question:
Target cells for parathyroid hormone are located in the:
Answer:
Tubules of nephrons.
Question:
Renal failure is the most common cause of which type of hyperparathyroidism?
Answer:
Secondary.
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