NURS 5334 Problem Set Study Questions along with Accurate Marking Scheme 2024
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Course
NUR 5334
Institution
NUR 5334
NURS 5334 Problem Set Study Questions along with Accurate Marking Scheme 2024
Bisphosphonates MOA - correct answer Inhibit bone resorption by decreasing the activity of osteoclasts
Hypo parathyroid cause - correct answer Cause: Inadvertent removal of parathyroid glands during surgery on the thyro...
NURS 5334 Problem Set Study Questions
along with Accurate Marking Scheme 2024
Bisphosphonates MOA - correct answer Inhibit bone resorption by decreasing the activity of osteoclasts
Hypo parathyroid cause - correct answer Cause: Inadvertent removal of parathyroid glands during surgery on the thyroid gland
Treatment: Calcium supplements Hyper parathyroid cause - correct answer Cause: Usually results from a benign parathyroid adenoma
Treatment: Surgical resection of parathyroid glands; calcium-lowering drugs—cinacalcet
[Sensipar]
Secondary hyperparathyroidism cause? Tx? - correct answer Cause: Common complication of chronic kidney disease (CKD)
Characterized by high levels of PTH and disturbances of calcium and phosphorus homeostasis
Treatment
Vitamin D sterol (e.g., paricalcitol) and calcium-containing phosphate-binding agents
Cinacalcet [Sensipar]: Can reduce PTH and has a positive effect on calcium and phosphorus levels (Kidney Disease: Improving Global Outcomes (KDIGO) does not recommend use of this in the early or predialysis stages of KD
Calcium salts therapeutic use? - correct answer Mild hypocalcemia
Dietary supplements
PMS
Colorectal adenoma Calcium salts AE? - correct answer Hypercalcemia especially in patients taking high doses of vitamin D
Benefits of Vit D? - correct answer Vitamin D may also protect against diabetes, arthritis, cardiovascular disease, autoimmune disorders, and cancers of the breast, colon, prostate, and ovary [need more definitive data].
What lab tests done to check Vit D levels? Normal value? - correct answer Serum concentration of 25-hydroxyvitamin D (25-[OH]D)
Target level of 25-(OH)D is usually 30 to 60 ng/mL
Vit D as a hormone? - correct answer With sufficient exposure to sunlight, the body can manufacture all the vitamin D it needs. Activated vitamin D then travels to various sites in the body (bone, intestine, kidney) to exert regulatory actions. Also like other hormones, vitamin D undergoes feedback regulation: Ca low> Vit D increases; Ca high> activation of Vit D decreases
Vit D toxicity? - correct answer Early symptoms: Weakness, fatigue, nausea, vomiting, anorexia, abdominal cramping, constipation
Later symptoms: Kidney function is affected, resulting in polyuria, nocturia, and proteinuria
Neurologic: Seizures, confusion, ataxia
Cardiac dysrhythmia
Coma Calcium deposition in soft tissues which damages heart, blood vessels, and lungs
Decalcification of bone with very large doses of vitamin D
Calcitonin therapeutic uses? - correct answer Osteoporosis
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