Page 62 nursing.elitecme.com Complete Your CE Test Online - Click Here Answers: 1.F, 2.F, 3.T, 4.T, 5.T, 6.T, 7.F, 8.F, 9.T, 10.F In addition to pursuing their own educational opportunities nurses must enhance their skills as patient/family educators. Many endocrine diseases require life-long follow-up including hormonal replacement. The abilities of patients and families to adhere to life-long treatment regimens depend, in large part, on the ability of nurses to effectively teach them how to do so. Nurses must assess patient/family knowledge acquisition objectively by having them demonstrate necessary psychomotor skills and verbally explain other important points such as a description of signs and symptoms, how to deal with complications, and medication side effects. To conclude, pathologies of the endocrine system can prove to be challenging to nurses and other HCPs. They are complex, often uncommon diseases and disorders. Nurses may be among the first HCPs to recognize their existence. They may also be among the first to facilitate proper evaluation and treatment of these conditions. References 1. Comerford, K. C. (Ed.). Anatomy & physiology made incredibly easy. Philadelphia: Wolters Kluwer Health/Lippincott Williams Wilkins. 2. Emedicinehealth. (2014). Anatomy of the endocrine system. Retrieved May 5, 2014 from http://www. emedicinehealth.com/anatomy_of_the_endocrine_system/article_em.htm 3. Van De Graaff, K., & Rhees, R. W. (2011). Schaum’s easy outlines: Human anatomy and physiology (2nd. Ed.). New York: McGraw-Hill. 4. Corenblum, B. (2013). Hypopituitarism (Panhypopituitarism). Retrieved may 24, 2014 from http:// emedicine.medscape.com/article/122287-overview 5. Durkin, M. T. (2013). Professional guide to diseases (10th ed.). Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins. 6. Nettina, S. M. (2010). Lippincott manual of nursing practice (9th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. 7. Mayo Clinic. (2013). Hypopituitarism. Retrieved May 26, 2014 from http://www.mayoclinic.org/ diseases-conditions/hypopituitarism/basics/treatment/con-20019292?p=1. 8. Mayo Clinic. (2013). Acromegaly. Retrieved May 26, 2014 from http://www.mayoclinic.org/diseases- conditions/acromegaly/basics/definition/con-20019216 9. Pagana, K. D., & Pagana, T. J. (2014). Mosby’s manual of diagnostic and laboratory tests (5th ed.). St. Louis: Elsevier Mosby. 10. Khardori, R. (2014). Diabetes insipidus. Retrieved May 28, 2014 from http://emedicine.medscape. com/article/117648-overview 11. Eckman, M., & Share, D. (Eds.). (2013). Pathophysiology made incredibly easy (5th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. 12. Children’s Hospital of Philadelphia. (no date given). Hypothyroidism in children. Retrieved May 28, 2014 from http://www.chop.edu/service/pediatric-thyroid-center/pediatric-thyroid-disorders/ hypothyroidism.html#hypothyroidism-treatment 13. Medline Plus. (2014). Chronic thyroiditis (Hashimoto’s disease). Retrieved May 30, 2014 from http:// www.nlm.nih.gov/medlineplus/ency/article/000371.htm 14. Comerford, K. C. (2014). Nursing 2014 drug handbook. Philadelphia: Wolters Kluwer Health/ Lippincott Williams & Wilkins. 15. emedicinehealth. (2014). Hypothyroidism medications. Retrieved May 30, 2014 from http://www. emedicinehealth.com/hypothyroidism/page6_em.htm#hypothyroidism_medications 16. Mayo Clinic. (2011). Graves’ disease. Retrieved June 2, 2014 from http://www.mayoclinic.org/ diseases-conditions/graves-disease/basics/risk-factors/con-20025811?p=1 17. University of Maryland Medical Center. (2013). Thyroiditis. Retrieved June 1, 2014 from https://umm. edu/health/medical/altmed/condition/thyroiditis 18. Mayo Clinic. (2013). Postpartum thyroiditis. Retrieved June 1, 2014 fromhttp://www.mayoclinic.org/ diseases-conditions/postpartum- thyroiditis/basics/definition/con-20035474?p=1 19. NHS. (2012). Thyroiditis. Retrieved June 1, 2014 from http://www.nhs.uk/conditions/thyroiditis/ Pages/Introduction.aspx 20. Lee, S. L. (2012). Subacute thyroiditis. Retrieved June 1, 2014 from http://emedicine.medscape.com/ article/125648-overview 21. Guerin, C. K. (2014). Riedel thyroiditis. Retrieved June 2, 2014 from http://emedicine.medscape.com/ article/125243-overview. 21] 22. Lee, S. L. (2013). Nontoxic goiter. Retrieved June 4, 2014 from http://emedicine.medscape.com/ article/120392-overview 23. Mayo Clinic. (2014). Hypoparathyroidism. Retrieved June 5, 2014 from http://www.mayoclinic.org/ diseases-conditions/hypoparathyroidism/basics/definition/con-20030780?p=1 24. Kim, L. (2014). Hyperparathyroidism. Retrieved June 5, 2014 from http://emedicine.medscape.com/ article/127351-overview 25. NIH. (2014). Adrenal insufficiency and Addison’s disease. Retrieved June 5, 2014 from http:// endocrine.niddk.nih.gov/pubs/addison/addisons_508.pdf 26. Chrousos, G. P. (2012). Hyperaldosteronism. Retrieved June 8, 2014 from http://emedicine.medscape. com/article/920713-overview 27. The American Association of Endocrine Surgeons. (no date given). Primary hyperaldosteronism: Diagnosis. Retrieved June 11, 2014 from http://endocrinediseases.org/adrenal/hyperaldosteronism_ diagnosis.shtml 28. National Endocrine and Metabolic Diseases Information Service. (2012). Cushing’s Syndrome. Retrieved June 8, 2014 from http://endocrine.niddk.nih.gov/pubs/cushings/cushings.aspx 29. Mayo Clinic. (2014). Congenital adrenal hyperplasia. Retrieved June 10, 2014 from http:// www.mayoclinic.org/diseases-conditions/congenital-adrenal-hyperplasia/basics/definition/con- 20030910?p=1 30. MedlinePlus. (2012). Congenital adrenal hyperplasia. Retrieved June 10, 2014 from http://www.nlm. nih.gov/medlineplus/ency/article/000411.htm 31. Blake, M. A. (2014). Pheochromocytoma. Retrieved June 8, 2041 from http://emedicine.medscape. com/article/124059-overview 32. MedlinePlus. (2012). Multiple endocrine neoplasia (MEN) I. Retrieved June 8, 2014 from http://www. nlm.nih.gov/medlineplus/ency/article/000398.htm. Type 1 33. Medscape. (2014). Type 2 multiple endocrine neoplasia. Retrieved June 8, 2014 from http://emedicine. medscape.com/article/123447-overview DISORDERS OF THE ENDOCRINE SYSTEM: ANATOMY, PHYSIOLOGY, AND CURRENT TREATMENT INITIATIVES Self-Evaluation Exercises Select the best answer for each question and check your answers at the bottom of the page. You do not need to submit this self-evaluation exercise with your participant sheet. 1. Luteinizing hormone stimulates the adrenal cortex to produce and secrete various steroid hormones. a. True. b. False. 2. Beta blockers can be used as part of the treatment for hyperthyroidism because they inhibit thyroid hormone production. a. True. b. False. 3. Adrenal crisis or evidence of adrenal hypofunction in the first week of life suggests salt-losing problem such as congenital adrenal hyperplasia (CAH). a. True. b. False. 4. Women who have had Gestational Diabetes Mellitus have a 40% to 60% chance of developing type 2 diabetes within five to 10 years. a. True. b. False. 5. The gonads are the primary source of sex hormones and include the ovaries in females and the testes in males. a. True. b. False. 6. Since orthostatic hypotension is a possibility in patients with hypopituitarism nurses should teach patients to move slowly when changing positions. a. True. b. False. 7. Surgical removal of pituitary tumors may be followed by stereotactic radiosurgery if tumor cells remain following surgery. Stereotactic radiosurgery is a commonly performed procedure available at most major medical centers. a. True. b. False. 8. Breast-fed infants with infantile cretinism experience a rapid onset of symptoms because breast milk interferes with thyroid hormone production in children with this disorder. a. True. b. False. 9. Currently all states in the United States test for CH as part of the routine newborn screening initiatives. a. True. b. False. 10. When working with pregnant women nurses should explain how important it is to have a diet that limits intake of iodine-rich foods. a. True. b. False.