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NSG 4100 Exam 2 Questions With Complete Solution1.
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NSG 4100 Exam 2 Questions With Complete Solution1.
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NSG 4100 Exam 2 Questions With Complete SolutionsAddison's Disease Medication's Correct Answer
Hydrocortisone (Solu-Cortef), 5% Dextrose in normal saline,
vasopressors may be required if hypotension persists, an
antibiotics.
After hypohysectomy you see clear nasal drainage what do you
test for? Correct Answer Test the drainage for glucose.
Aldosteronism (Conn's Syndrome) Correct Answer Excessive
aldosterone production usually occurs due to an aldosterone
secreting tumor.
Best position for post-op thyroidectomy Correct Answer Set
patient at Semi-Fowlers with two pillow support.
Care plan for Cushing's Disease Correct Answer Risk for
impaired cardiac function associated with changes in cardiac
function, risk of injury due to weakness, risk for infection due to
altered immune system, impaired skin integrity, distributed body
image, difficulty.
Understand how to prevent addisonian crisis (low blood sugar,
low BP, and high potassium)
Watch for signs of infection due to possible adrenalectomy
which will do transsphenoidal hypophysectomy
Clinical Manifestations for Addison's Disease Correct Answer
Low sodium, high potassium, low blood pressure, low glucose,
high WBC, muscle weakness, anorexia, GI symptoms, fatigue,
, emaciation, dark pigmentation of the mucous membrane and
skin, depression, confusion
Chronic- severe dehydration.
Clinical Manifestations of SIADH Correct Answer Increase in
ADH, fluid retention, increase body weight, muscle cramps, low
NA, fatigue, anorxia, vomiting, abdominal cramps, twitching,
sz, confusion, fluid shift from extracellular space to inside the
cell
Complications of SIADH Correct Answer Overhydrated
swimming in fluid caused by a increase in ADH which also
causes lethargy
Complications s/s of post-op transsphenoidal hypophysectomy
Correct Answer Clear drainage on nasal drip pad, leukocytosis
(increase WBC), urine output 800 ml/hr, visual disturbances,
post-op meningitis, pneumocephalus (air in the intracranial
cavity).
Diabetes Insipidus Medication Correct Answer Desmopressin
(DDAVP)- watch on patients with coronary disease AND
increase in urine specific gravity.
Chlorpropamide (Diabines) and Thiazide Diuretics- watch for
high BS.
Diabetes Insipidus Patho Correct Answer Disorder of the
posterior gland that results in an ADH deficiency. Secondary to
head trauma, brain tumor, or surgical ablation or irradiation of
the pituitary gland, infection of the CNS or with tumors.
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