New Hesi Exam Notes For Caci Endocrine Disorders | Gate Pass To Grade A | Verified Exam Guide

l NEW HESI EXAM NOTES FOR CACI ENDOCRINE DISORDERS | GATE PASS TO GRADE A | VERIFIED EXAM GUIDE Assessment of endocrine function Physical Assessment Inspection The nurse completes a head-to-toe assessment when evaluating a patient for an endocrine disorder, because changes in physical appearance may be apparent. Auscultation During the assessment, the nurse auscultates the chest to assess cardiac rate and rhythm because some endocrine disorders affect cardiovascular function. In patients with hyperthyroidism, tach dysrhythmias may occur and may be auscultated. Palpation The nurse uses palpation to assess the testes and the thyroid glands; both are evaluated for size, symmetry, shape, and any nodules or changes in texture Dx Studies: CT scan, MRI, and X-ray Table 40.3 Laboratory Tests for Endocrine DisordersTe s tNormal Range for AdultsSignicanceLabs/diagnosticsCalcium8.2-10.2 mg/dLDecreased in hypoparathyroidism Increased in hyperparathyroidism Decreased by thyrocalcitonin from thyroid glandIonized calcium4.6-5.3 mg/dLDecreased in hypoparathyroidism Increased in hyperparathyroidismCortisol5-25 mcg/dL (morning) 3-16 mcg/dL (afternoon)Decreased in hypocortisolism (Addisons) Elevated in hypercortisolism (Cushings)Glucose65-99 mg/dLIncreased in diabetes mellitus Increased in hypercortisolismMagnesium1.6-2.6 mg/dLDecreased in hypoparathyroidismPhosphorus2.5-4.5 mg/dLIncreased in hypoparathyroidism Decreased in hyperparathyroidismPotassium3.5-5.0 mEq/LIncreased in hypocortisolism (Addisons) Decreased in hypercortisolism (Cushings)Sodium135-145 mEq/L (Actual sodium levels may be normal as uid is retained or lost as the sodium is