Exam (elaborations)
Path NURS 3366 Exam Questions With Complete Solutions
- Course
- NURS 3366
- Institution
- University Of Texas - Arlington
Path NURS 3366 Exam Questions With Complete Solutions
[Show more]
Content preview
Path NURS 3366 Exam Questions With Complete SolutionsA patient is hospitalized in renal failure. Because of her kidneys'
inability to excrete water, she has generalized edema & a serum
sodium of 129. Because the kidneys have also lost the ability to
appropriately regulate potassium, she also has a serum
potassium of 5.9. These lab results show:
a. hypernatremia & hypokalemia.
b. hyperkalemia & hyponatremia.
c. hyperosmolality & hypernatremia.
d. hypoosmolality & hypocalcemia. Correct Answers b.
hyperkalemia/hyponatremia = high potassium and low sodium
A - incorrect hypernatremia/hypokalemia = high sodium and
low potassium
C - incorrect hyperkalemia/hyponatremia = high potassium and
low sodium
D - hypoosmolality/hypocalcemia = excess water and low
calcium
(Normal labs: Na+ = 135 to 145; K+ = 3.5 - 5.0; serum
osmolality ("osmo") = 280- 295; HCO3 = 22-28).
In the previous question, the edema is most likely due to fluid
shifting from the intravascular space into interstitial spaces
secondary to all the following EXCEPT:
a. hypertonicity of the plasma space.
b. hypotonicity of the plasma space.
c. hypoosmolality of the blood.
,d. diminished osmotic pressure of the blood. Correct Answers
a. hypertonicity (higher solute/concentration) of the plasma
space would mean that there was no edema as it would pull
excess fluid to the blood and not send it to the tissue.
B - true because hypotonicity means low solute/concentration in
the plasma space
C - true because hypoosmolality (low fluid) in the blood would
mean that the blood is more concentrated
D - true because hypoosmolality (low fluid) in the blood would
reduce osmotic pressure in the blood
A 28-year-old man presents with a low blood pressure due to
blood loss from a gunshot wound. The regulatory
action that will best compensate for this patient's fluid volume
deficit is:
a. increased action of the natriuretic peptide system.
b. increased action of the RAAS.
c. inhibition of renin secretion.
d. conversion of aldosterone into angiotensin II. Correct
Answers b. increased action of the RAAS.
A - incorrect as increased action of the natriuretic peptide
system would decompensate the patient
C - incorrect as inhibition of renin secretion would exacerbate
the low fluid volume
D - Incorrect as the conversion of aldosterone into angiotensin II
wouldn't correct the problem
,A 55 year old male is in the ER having a myocardial infarction
(heart attack, AKA "M.I."), which is caused by coronary arteries
that are clogged with fat and narrowed so that not enough
oxygen-rich blood is getting to his heart. He admits that his daily
nutrition is poor, consisting mainly of high-fat fast food. He has
a family history of cardiac disease-- his father had a heart attack
at age 46. The patient is obese and is a heavy cigarette smoker--
2 PPD (packs per day). The patient said he had decided to take
up jogging today and after a few minutes began having chest
pain, nausea and shortness of breath. He went to the ER and was
noted to have profuse diaphoresis (heavy sweating), tachycardia
(rapid heart rate), and significant changes on his
electrocardiogram (ECG or EKG). The patient recovers from
this acute heart attack but his heart is so damaged that
subsequently he has many episodes of congestive heart fail
Correct Answers A - having to be hospitalized frequently
because of problems associated with damaged heart
B - not correct as this is not indicated as a sequela in the
problem
C - not correct because the MI/heart damage has given the
patient a condition where he is now unable to jog more often
D - not correct because....well duh
A 55 year old male is in the ER having a myocardial infarction
(heart attack, AKA "M.I."), which is caused by coronary arteries
that are clogged with fat and narrowed so that not enough
oxygen-rich blood is getting to his heart. He admits that his daily
nutrition is poor, consisting mainly of high-fat fast food. He has
a family history of cardiac disease-- his father had a heart attack
at age 46. The patient is obese and is a heavy cigarette smoker--
, 2 PPD (packs per day). The patient said he had decided to take
up jogging today and after a few minutes began having chest
pain, nausea and shortness of breath. He went to the ER and was
noted to have profuse diaphoresis (heavy sweating), tachycardia
(rapid heart rate), and significant changes on his
electrocardiogram (ECG or EKG). The patient recovers from
this acute heart attack but his heart is so damaged that
subsequently he has many episodes of congestive heart fail
Correct Answers B - having profuse diaphoresis (excessive
sweating with no apparent cause) ; this is not a risk factor
A - heavy smoker is a risk factor
C -genetic predisposition or family history is a risk factor
D - high-fat diet is a risk factor
A 55 year old male is in the ER having a myocardial infarction
(heart attack, AKA "M.I."), which is caused by coronary arteries
that are clogged with fat and narrowed so that not enough
oxygen-rich blood is getting to his heart. He admits that his daily
nutrition is poor, consisting mainly of high-fat fast food. He has
a family history of cardiac disease-- his father had a heart attack
at age 46. The patient is obese and is a heavy cigarette smoker--
2 PPD (packs per day). The patient said he had decided to take
up jogging today and after a few minutes began having chest
pain, nausea and shortness of breath. He went to the ER and was
noted to have profuse diaphoresis (heavy sweating), tachycardia
(rapid heart rate), and significant changes on his
electrocardiogram (ECG or EKG). The patient recovers from
this acute heart attack but his heart is so damaged that
subsequently he has many episodes of congestive heart fail
Correct Answers C - c. High levels of fat in the blood from
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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83662 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now