Exam (elaborations)
FINAL EXAM REVIEW NURS 6531 DECK 1| QUESTIONS AND ANSWERS
- Course
- Institution
FINAL EXAM REVIEW NURS 6531 DECK 1| QUESTIONS AND ANSWERS
[Show more]
Content preview
FINAL EXAM REVIEW NURS 6531 DECK 1|QUESTIONS AND ANSWERS
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic
hormone)? - Increased production of ADH (antidiuretic hormone), hyponatremia,
concentrated urine (from excess water resorption), elevated urine osmolality, mental
status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - Hypernatremia
Psychogenic polydipsia results in urine that is: - diluted with low osmolality and
hyponatremia
How would you determine the cause of a patient's AKI who presents with decreased
urine output, history of neurogenic bladder, chronic foley, dark urine, and Cr increase
from 1.3 to 2.1 over 3 months? - Flush the foley catheter to see if urine comes out and
assess the patency of the catheter. This action will unblock clogged sediment or biofilm
from chronic bacteriuria.
When a female patient presents to the ER after sexual assault, what medications should
be offered prior to discharge? - Ceftriaxone, azithromycin, Plan B, and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - hypernatremia,
hypokalemia, and hypertension
What causes Cushing syndrome? - Increased levels of glucocorticoids, can be
exogenous (from therapy) or endogenous (from adenoma or neoplasm).
Manifestations of Cushing syndrome? - hypertension, truncal obesity, osteoporosis,
skin fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary adrenocortical
insufficiency? - Skin hyperpigmentation is present in primary adrenocortical
insufficiency
What is Trousseau's sign? - A carpal spasm elicited by compression of the upper arm
with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - A hemifacial tic that is induced by tapping the facial nerve
below the maxilla that indicates hypocalcemia.
, What is Babinski's sign? - An upward response (extension) of the hallux when the sole
of the foot is stimulated with a blunt instrument. Can identify spinal cord disease in
adults.
What is Romberg's sign? - Loss of balance in standing when eyes are closed. Usually
indicating a loss of proprioception or lesion in the cerebellum.
What is Homan's sign? - pain on passive dorsiflexion of ankle, associated with DVT.
What is the clinical presentation of Goodpasture's syndrome? - Urinalysis: Specific
gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - Damage to alveolar and renal glomerular basement
membranes by cytotoxic antibody.
Initial treatment for Goodpasture's syndrome? - Hospitalization, pulse dose of steroids,
begin plasmapheresis and cyclophosphamide therapy.
Characteristics of Grave's disease - Ophthalmopathy (lid retraction, scleral show,
proptosis) and hyperthyroidism
What organism causes the formation of a staghorn calculus? - Proteus mirabilus
What organism causes Toxic shock syndrome? - Staphylococcus aureus
What electrolyte disturbance is most likely to lead to tetany and neuromuscular
irritability? - Hypocalcemia
Features of hypercalcemia include? - "Stones, groans, moans, and bones."
Delerium and renal stones
When you see hypochloremia, the patient may have? - Metabolic Alkalosis
Hyperkalemia is associated with what cardiac abnormalities? - peaked T-waves, wide
QRS, and ventricular arrhythmias.
A patient presents with arcus cornea, LDL 285, TG 110, HDL 45, and father died of an
MI at age 45. What is his most likely diagnosis? - Heterozygous familial
hypercholesterolemia
A fasting blood glucose level of 130 mg/dL indicates: - Diabetes
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Mboffin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67163 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now