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Final Exam Review Nurs 6531 Deck 1 | Questions & 100% Solutions| Rated A+
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Final Exam Review Nurs 6531 Deck 1 |Questions & 100% Solutions| Rated A+
What is the diagnosis and initial treatment of a patient with history of nonfunctional pituitary
macroadenoma with severe retro-orbital headache, nausea, vomiting, mental status change,
right third nerve palsy with stiff neck, and pituitary adenoma (enlarged) hemorrhage? - Pituitary
apoplexy
dexamethasone 2mg IV q 6hr then surgery if mental status change present.
What causes hypocalcemia in patients with end stage renal disease? - Decreased conversion of
Vitamin D.
What condition is associated with recurrent nephrolithiasis? - Primary hyperparathyroidism
What stabilizes the cardiac membrane in treatment of hyperkalemia? - Calcium gluconate
What medication acts rapidly to antagonize the membrane effects of potassium in
hyperkalemia? - Calcium is cardioprotective
What is the most common cause of euvolemic hyponatremia? - SIADH (syndrome of
inappropriate antidiuretic hormone secretion)
What causes are associated with hypervolemic hyponatremia? - Cirrhosis and CHF
, What is a long-term complication of radio-active iodine therapy? - Hypothyroidism
80% of acute pyelonephritis cases in women are caused by what pathogen? - E coli
Most common cause of acute scrotal pain in adults? - epididymitis
What are predisposing factors for hypocalcemia? - hypoparathyroidism, pancreatitis, vitamin
D deficiency, chronic alcohol use disorder, and medications such as phenytoin, cisplatin, and
estrogen.
What are prerenal causes of AKI? - decrease in extracellular fluid volume, decreased renal blood
flow, or altered intrarenal hemodynamics.
Post-renal causes of AKI - benign prostatic hyperplasia, bladder cancer, nephrolithiasis,
neuromuscular disorders, prostate cancer, strictures, trauma
What is are intrinsic causes of renal failure? - Acute glomerulonephritis, ischemic
injury, nephrotoxins, malignant hypertension
What classification of drugs cause urinary retention? - anticholinergics (ipratropium)
Common secondary causes of nephrotic syndrome - lupus and diabetes
Presenting symptoms of nephrotic syndrome - loss of appetite, fatigue, ascites, lower extremity
edema, proteinuria, low blood albumin, and hyperlipidemia.
What is the initial insulin loading dose for a patient in DKA? - 0.1 to 0.15 units/kg/hr
with hourly glucose monitoring
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