Examl 1:l NRl 325l NR325l Latestl 2026l

Examl 1:l NRl 325/l NR325l (Latestl 2026/l

2027l Update)l Adultl Healthl IIl Review|l Q/Al |l Gradel A|l 100%l Correctl (Verifiedl Answers)l -Chamberlain

Q:l Whatl arel thel 3l adrenall glandl hormones?

Answer:

-l glucocorticoidsl (cortisol) -l mineralocorticoidsl (aldosterone) -l sexl hormonesl (androgens)

Q:l retainsl sodiuml andl water,l excretesl potassium

Answer:

aldosterone

Q:l -l adrenall hormonel insufficiency

Causes:

-l directl injuryl orl autoimmunel destructionl tol thel adrenall glandsl -l adrenall hemorrhagesl -l infectionsl (sepsis,l TB,l HIV)

Manifestations:

-l posturall hypotension -l hyponatremial (duel tol lowl cortisoll andl aldosterone)l -l hyperkalemial (duel tol lossl ofl aldosterone)l -l hypoglycemial (froml lackl ofl glucocorticoids) -l hyperpigmentationl ofl thel skinl (duel tol elevatedl ACTHl andl MSH) -l weakness,l fatigue,l anorexia,l andl weightl lossl (duel tol lowl cortisol) -l alteredl hairl distributionl (duel tol lossl ofl androgens)

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Treatment:

-l hydrocortisonel (hormonel replacementl drugl forl cortisol) -l hyperkalemial treatmentl -->l kayexalatel akal sodiuml polystyrenel sulfonate -l treatl hypoglycemial

Nursingl management:

-l monitor/correctl fluidl andl electrolytes -l cardiacl monitoring -l dailyl weight -l I&O's -l protectl patientl froml noise,l light,l andl environmentall temperaturel extremesl (theyl cannotl copel withl thesel stresses)

Teaching:

-

Answer:

Addison'sl disease

Q:l Causes: -l stress -l infection -l discontinuationl ofl corticosteroidsl -l traumal

Manifestations:

-l profoundl fatigue -l dehydration -l hyponatremia -l hyperkalemial -l vascularl collapsel (hypotension)l

Teaching:

-l drinkl lotsl ofl fluids -l saltl shouldl notl bel restricted -l needl additionall corticosteroidsl duringl timesl ofl illnessl orl stress

Answer:

adrenall (addisonian)l crisis 2 / 4

Q:l -l adrenall hyperfunction

-l excessivel amountsl ofl glucocorticoidl hormonel (cortisol)l andl otherl adrenall hormonesl

Causes:

-l long-l terml corticosteroidl usel (treatmentl ofl autoimmunel diseases) -l ACTHl secretingl pituitaryl adenomal (Cushing'sl disease) -l adrenall tumorsl andl ectopicl ACTHl productionl byl tumorsl (usuallyl ofl thel lungl orl pancreas)

Manifestations:

-l musclel weaknessl (froml lowl potassium) -l buffalol hump -l moonl face -l truncall obesity -l pepticl ulcers -l irritability -l edemal -l hypertensionl (froml sodiuml andl waterl retention) -l increasedl susceptibilityl tol infectionl -l hyperglycemia -l hypokalemia -l osteoporosis -l purplel striael -l androgenl excessl (excessl sexl hormones)l =l acne,l hirsutisml andl menstruall irregularitiesl inl women,l feminizationl andl gynecomastial inl men

Treatment:

-l taperl orl discontinuel steroidl medication -l surgeryl

Nursingl management:

-l monitorl BP,l administerl medicationsl ifl needed -l monitorl bloodl sugar,l administerl insulin

Answer:

Cushing'sl syndrome

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Q:l -l fluidl retention,l edema,l hypertension

-l hypernatremia,l hypokalemia,l hyperglycemia -l weightl gain,l truncall obesity,l buffalol hump,l moonl face -l immunosuppression -l moodl swings,l euphoria -l nausea,l vomiting,l pepticl ulcers,l GIl bleedl risk -l increasedl fracturel riskl withl longl terml use -l skinl mayl bruisel easilyl orl becomel paperl thin,l woundl healingl isl delayed -l increasedl infectionl risk -l lossl ofl menstruation,l hirsutism,l gynecomastia -l adrenall insufficiencyl ifl stoppedl suddenly

Answer:

corticosteroidsl sidel effects

Q:l lowl tsh,l highl t3l andl t4

Answer:

hyperthyroidism

Q:l highl tsh,l lowl t3l andl t4

Answer:

hypothyroidism

Q:l Whol wouldl havel al lowerl temperature,l hyperl orl hypothyroidl patients?

Answer:

hypothyroidisml patients

Q:l Worriedl aboutl orthostaticl bloodl pressurel withl SIADHl orl DI?

Answer:

DI

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