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NUR 405 ( LATEST 2024 / 2025 ) FINAL EXAM | QUESTIONS & ANSWERS (SOLVED)
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NUR 405 ( LATEST 2024 / 2025 ) FINAL EXAM | QUESTIONS & ANSWERS (SOLVED)
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NUR 405 Final Exam1. neurogenic shock
young males at increased risk s/s = hypotension and bradycardia
Neurogenic shock develops as a result of the loss of autonomic nervous system function below
the level of the lesion.
venous pooling in the extremities, paralyzed portions don't sweat so monitor closely for signs of
fever, need to increase BP
2. if a pt is bucking the vent, what do you do?
increase sedation = propofol,
Versed, Ativan
you want the machine to do the work, not have the patient try to override the machine
3. signs DKA is improving in your pt
decreased blood glucose level
4. diagnostics and manifestations of DKA
Elevated glucose, low bicarb/pH= metabolic acidosis, positive ketones, elevated
,BUN/creatinine
Manifestations
+ ketones, Kussmaul resp, fruity breath, high blood sugars, 3 Ps, confusion and/or headache,
abdominal pain
5. diagnostics and manifestations of DI
Fluid deprivation test
withholding fluid for 8-12 hrs/until 3-5% body weight is lost > stop if tachycardiac or
hypotensive
Manifestations
low SG, tachycardia, confusion, polydipsia (increase thirst), polyuria (increased urination)
6. diagnostics and manifestations of SIADH
Hyponatremia < 135, increased urine osmolality
Manifestations
, headache = early sign of too low sodium, increased BP, decreased urine output, hypothermic,
hypervolemia
7. diagnostics and manifestations of Cushing's
24 hour urine test, increased cortisol, dexamethasone suppression test (decreased cortisol = +)
Manifestations
truncal obesity, moon face, buffalo hump, hirsutism, purple striae, higher sugars, elevated BP,
weight gain
8. diagnostics and manifestations of Addison's
ACTH stimulation test (no in- crease after 30 min & 1 hr)
Manifestations
tan looking/bronze pigmentation, hyperkalemia, weight loss, de-
creased BP, hypoglycemia, fatigue, alopecia, hyponatremia
** Addisonian Crisis
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