Exam (elaborations)
NURS 3366 PATHO
- Course
- Institution
NURS 3366 PATHO FINAL EXAM ACTUAL EXAM 2 VERSIONS COMPLETE ACCURATE 171 EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED A+
[Show more]
Seller
Follow
Content preview
NURS 3366 PATHO FINAL EXAM ACTUAL EXAM 2VERSIONS COMPLETE ACCURATE 171 EXAM
QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
Primary Biliary Cirrhosis - ANSWER..Autoimmune Disorder that causes
Cirrhosis
2 Problems involving Cirrhosis - ANSWER..Diminished Hepatocyte FXN &
Portal HTN
4 Problems involving Diminished Hepatocyte FXN - ANSWER..These problems
are the cause of what:
1. Nutritional Malabsorption
2. Protein Depletion
3. Decreased Metabolism
4. Decreased Kupffer Cells3
How does Nutritional Malabsorption happen? - ANSWER..In Cirrhosis →
hepatocytes diminish their fxn.
1. VITAMIN DEFICIENCY & WEIGHT LOSS (bile salts → unable to absorb
fat & fat soluble vitamins)
2. IMPAIRED FAT & CHOLESTEROL METABOLISM (impairs synthesis of
lipoproteins thus alters cholesterol levels)
3. IMPAIRED GLYCOGENOSIS & GLUCONEOGENESIS (hypoglycemic)
How does Protein Depletion happen? - ANSWER..In Cirrhosis → hepatocytes
diminish in fxn:
1. ASCITES & EDEMA (fluid shift from abdominal portal veins to abdominal
cavity → fluid accrues & skin stretches)
2. FIBRINOGEN & PROTHROMBIN (↓ clotting+ easy bleeding)
3. Thrombocytopenia from splenomegaly
How does Decrease Metabolism happen - ANSWER..In Cirrhosis → hepatocytes
diminish in fxn:
,1. can't breakdown AMMONIA → UREA → Hepatic Encephalopathy (low
mentation, blurred vision, tremors - asterixis, seizures)
2. can't breakdown DRUGS → low albumin binding thus DRUGS are highly
effective.
3. can't breakdown HORMONES (men-Glenocomastia - breast growth) (women-
Hirsutism - manly hair growth).
4. can't breakdown GLUCOCORTICOIDS → hypercortisolism - cushing's
5. can't breakdown ALDOSTERONE → ascites, edema, water retention
How does decrease Kupffer cells happen - ANSWER..In Cirrhosis → diminished
Hepatocyte in fxn:
1. cells are no longer able to FILTER OUT BACTERIA. + pt suffers from
Leukopenia from splenomegaly → increase risk for infection.
3 Problems involving Portal HTN - ANSWER..These problems are causes of
what:
1. Ascites
2. Splenomegaly
3. Varices
Portal HTN & Ascites - ANSWER..back pressure cause FLUID to back into
SMALL ARTERIES & CAPILLARIES → increase hydrostatic pressure → fluid
leak into abdominal tissue → abdominal cavity → abdomen swells
Portal HTN & Splenomegaly - ANSWER..back pressure cause VENOUS
BLOOD to back into LIVER→ blood overcomes resistance → pressure increases
→ liver cells dilate & liver becomes larger → venous stasis in enlarged spleen →
breakdown of RBC, Thrombocytes, Leukopenia, Anemia (easy bleeding, increase
risk of infection)
Portal HTN & Varices - ANSWER..back pressure cause VENOUS BLOOD to
back into ESOPHAGUS & RECTUM
Esophagus Varice - ANSWER..If veins from esophagus ruptures → pt can bleed
to death
Rectum Varices - ANSWER..Hemorrhoids
, DX Cirrhosis - ANSWER..Lab value of Bilirubin, AST, ALT, ALP & Liver
Biopsy
TX of Cirrhosis - ANSWER..quit ETOH, Drugs. Low Protein Diet. Give diuretics
& IV Albumin.
Types of CNS disorders - ANSWER..Migraine, Seizures, Meningitis
S&S of Migraines - ANSWER..Phonophobia and Photophobia and Unilateral
headache
CNS Disorders - ANSWER..Migraines, Seizures, Meningitis are what kind of
disorder
TX of Migraines - ANSWER..Abortive - Imitrex
Prodrome of Migraine - ANSWER..Photophobia & Phonophobia
Postdrome of Migraine - ANSWER..washed out - tired- weak
Types of Seizure - ANSWER..General
&
Partial
S&S of Seizures - ANSWER..tonic-clonic muscle contraction & movement
completely or partially unconsciousness
Post Seizure Symptoms - ANSWER..Confused, Dazed, Combative
S&S of Bacterial Meningitis - ANSWER..Brain Edema: Photophobia - eye pain,
blurred vision, N&V, headaches.
Spinal Cord Edema: stiff neck and movement. positive Brudniski & Kernig's
signs
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 carolmwende945. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82265 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now