NUR 2356 EXAM 1 WITH CORRECT QUESTIONS WITH CORRECTRY ANALYZED ANSWERS (ACTUAL EXAM) ALREADY GRADED A+ LATEST 2024 Head Trauma - ANSWERS -Mechanical force that causes some kind of injury to the skull and/or brain Accidental and Non accidental Physical Forces of Head Injury - ANSWERS -Acceleration - the stationary head receives a blow resulting in mass movement of the brain and deformation of the skull Deceleration - a head that is in motion, abruptly stops SIADH - ANSWERS -Caused by excessive secretion of ADH leading to excessive water reabsorption. Caused by CNS infections (meningitis), brain tumors, brain trauma, children with pulmonary disorders (pneumonia, asthma, cystic fibrosis), and children receiving positive pressure ventilation. HIGH and DRY SIADH s/s - ANSWERS -Hypertension JVD Crackles in the lungs Weight gain without edema Fluid and electrolyte imbalance Concentrated urine with high Specific gravity and decreased urine output SIADH Management - ANSWERS -Treat underlying cause Fluid restriction, strict I&O's Medications - diuretics, democloc ycline, and hypertonic saline IV fluids Lab specimen collection and review Education - foods high in water content, medical alert bracelet, daily weight Diabetes Insipidus - ANSWERS -The inability of the kidneys to concentrate urine LOW and WET Central (ne urogenic) DI - ANSWERS -Inadequate production of vasopressin (ADH) Caused by brain tumors, brain trauma, CNS infection, and neurosurgery Nephrogenic DI - ANSWERS -Ineffective action of ADH in the kidneys Caused by genetics (most common), drug toxicity, adve rse drug reaction, or renal illness DI s/s - ANSWERS -Polyuria Polydipsia Hypernatremia Dilute urine Dehydration Hypotension Tachycardia DI Management - ANSWERS -Medications: Central DI - treat with DDAVP (desmopressin acetate) Nephrogenic - treat with thiazide diuretics to rid Na+ for more concentrated urine and stimulate kidneys to reabsorb water Education - availability to fluids ATC, strict I&O's, daily weights, s/s of dehydration, medical alert bracelet, school IEP Type 1 DM - ANSWERS -Autoimmune destruction of insulin -
producing pancreatic beta cells in individuals who are genetically predisposed Type 1 DM s/s - ANSWERS -Polyuria Polydipsia Polyphagsia
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