Galen NSG 4100 EXAM 2 Questions With Complete
Solutions
_______ will be present in a patient with DKA. Correct Answer
Ketones
a patient diagnosed with Cushing syndrome may experience
these
symptoms except:
A. Mooning Face
B. Weight Loss
C. Thin Extremities
D. Central-Type Obesity
E. HIRITUSIM (excessive growth of hair on face) Correct
Answer B
A patient has an their adrenal glands removed due to their
hyper-aldosteronism, this puts them at risk for.... Correct
Answer insufficient cortisol production
A patient has to use their Emergency Kit for an addisonian
crisis. What do they need to do next? Correct Answer Go to
ER. They still need to be assessed and treated.
A patient on steroids or with high cortisol levels need to be
educated on what, related to being outside? Correct Answer
They will have increase photosensitivity.
A patient presents with muscle weakness dark skin and lupus
membranes pigmentation and emotional lability these are
,clinical manifestations of what? Correct Answer
hypoaldosteronism
A patient was just prescribed DDAVP for diabetes insipidus.
What do you expect them to report that indicates the medication
is working? Correct Answer "I'm peeing less and my urine is
getting darker."
A patient with Addison's Disease has a heart rate of 140<, what
is the priority? Correct Answer Contact the PCP, this patient
could be entering an addisonian crisis.
A patient with Cushing syndrome should be assessed for signs
and symptoms of... (due to medications) Correct Answer
Addisonian Crisis
A patient with Diabetes Insipidus will have what kind of
electrolyte levels? Correct Answer Higher levels of electrolytes
due to dehydration.
A patient with pheochromocytoma is scheduled for an
Adrenalectomy in two weeks. What should you educate them on
related to pre-operative care? Correct Answer They will be
prescribed antihypertensives approximately two weeks before
the surgery to remain as healthy as possible.
A patient with SIADH must increase their serum sodium levels.
How would you encourage sodium intake? Correct Answer DO
NOT promote extra dietary sodium intake
- ONLY SMALL amts of sodium are needed to increase levels
- Encourage fluids high in Na like Broth & Tomato juice
, A post-operative patient who came back from a thyroidectomy
to remove their thyroid cancer reports feeling pressure, trouble
breathing, and a 'pulling sensation' at the surgical site. You listen
to their lungs and hear stridor.
What is the priority? Correct Answer Call the PCP. The airway
is about to compromise.
A priority Nursing considerations for a patient in HHS is...
Correct Answer Put the patient on a cardiac monitor due to low
potassium levels.
Addison's disease is a primary... Correct Answer adrenal
insufficiency
ADH (anti diuretic hormone) is also called arginine vasopressin
it is a hormone made by the hypothalamus in the brain and is
stored in the.... Correct Answer posterior pituitary gland
ADH constantly regulates and balances the amount of Correct
Answer water in your blood stream.
Aldosterone is produced by the... Correct Answer Adrenal
cortex
Aldosterone is secreted by the adrenal gland.
True or false? Correct Answer True
Aldosterone is under the control of the pituitary gland.
True or False? Correct Answer False
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