PN3 FINAL EXAM 70+ QUESTIONS WITH VERIFIED ANSWERS A+ ALREADY GRADED
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Course
PN
Institution
PN
PN3 FINAL EXAM
70+ QUESTIONS WITH VERIFIED
ANSWERS
A+ ALREADY GRADED
Which drug decreased cortisol production? - ANSWER Aminoglutethimide
Which patient is at risk for developing secondary adrenal insufficiency? -
ANSWER Patient who suddenly stops taking high dose steroid therap...
PN3 FINAL EXAM
70+ QUESTIONS WITH VERIFIED
ANSWERS
A+ ALREADY GRADED
Which drug decreased cortisol production? - ANSWER ✔ Aminoglutethimide
Which patient is at risk for developing secondary adrenal insufficiency? -
ANSWER ✔ Patient who suddenly stops taking high dose steroid therapy
An ACTH stimulation tedt is the most definitive test for which disorder? -
ANSWER ✔ Adrenal insufficiency
Which interventions are necessary for a patient with acute adrenal insufficiency
(addisonian crisis)? Select all that apply. - ANSWER ✔ IV infusion of normal
saline
Houly glucose monitoring
Insulin administaton
Administer IV hydrocortisone sodium
A patient in the ED who reports lethargy, muscle weakness, nausea, vomiting, and
wegiht loss over the past weeks is diagnosed with addisonian crisis (acute adrenal
insufficicency). Which drug(s) does the nurse expect to administer to this patient? -
ANSWER ✔ Hydrocortisone sodium IV along with IM injections of
hydrocortisone
The nurse determines that the administration of hydrocortisone for addisonian
crisis is effective when whcih outcome is assessed? - ANSWER ✔ Lethargy
improving: patient alert and oriented
The nurse should instruct a patient who is taking hydrocortisone to report which
symptoms to the health care provider for possible dosage adustment? Select all that
apply. - ANSWER ✔ Rapid weight gain
Fluid retention
Round face
, The patient who is to be discharged with a prescription for prednisone asks the
nurse why it is necessary to report any illness to the health care provider. What is
the nurses best response? - ANSWER ✔ Because the usual daily dosage may not
be adequate during periods of illness or severe stress
Which are causes of secondary adrenal insufficieny? Select all that apply -
ANSWER ✔ Pituitary tumors
Hypophysectomy
High dose pituitary radiation
The patient with pheochromocytoma has intermittent episodes of hypertension.
What manifestations does the nurse expect? - ANSWER ✔ Severe headaches,
palpitations, and diaphoresis
The patient with hypercortisolism asks the nurse why she is prescribed the drug
ranitidine. What is nurses best response. - ANSWER ✔ Ranitidine blocks the H2-
receptor site to decrease formation of hydrochloric acid and prevents GI bleeding
What is the disorder that results from a deficiency of vasopressin (ADH) from the
posterior pituitary gland called? - ANSWER ✔ DI
Which statements about diabetes insipidus (DI) are accurate? Select all that apply
- ANSWER ✔ It is caused by ADH deficiency
Urine output of greater than 4L/24 hours is the first diagnostic indication
The water loss increases plasma osmolarity
Increased thirst is a mechanism of the body to attempt maintaining fluid balance
What does the nurse instruct patients with permanent diabetes insipidus (DI) to
do? - ANSWER ✔ Monitor for recurrence of polydipsia and polyuria
Monitor and record weight daily
Wear a medical alert bracelet
Urge the patient to drink fluids in an amount equal to urine output
A hospitalized patient is prescribed desmopressin acetate metered dose spray as a
replacement hormone for vasopressin (ADH). Which is an indication for another
dose? Select all that apply.' - ANSWER ✔ Excessive urination
Specific gravity of 1.003
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