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NR 325 Exam 1 Questions And Correct Answers
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NR 325 Exam 1 Questions And CorrectAnswers 2024-2025
What disorder is associated with low serum osmolality?
A. SIADH
B. DI - Answer A. SIADH
What disorder is associated with the hemoconcentration of electrolytes?
A. SIADH
B. DI - Answer B. DI (because you are peeing out all of the H2O)
What sound is a sign of a post-op thyroidectomy pt deteriorating quickly? - Answer
Stridor (upper airway obstruction)
What would a pt be at risk for with a thyroidectomy? What medication would they be on?
- Answer Pt would be at risk for hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss;
what do they have? - Answer Hyperthyroidism
Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt
experiencing? - Answer Myxedema coma
What conditions would cause the pt to have high BP? - Answer SIADH
Hyperthyroidism
, What condition would cause a low urine specific gravity? - Answer DI (<1.005)
What is the cause of low T3, T4 and high TSH? - Ans Hypothyroidism
A pt is voiding 19L a day and constantly thirst; what dx do they have? - Ans DI
What dx do you use desmopressin to treat? - Ans DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What dx do you use IV diuretics to treat? - Ans SIADH (bc of fluid retention)
What is the antidote for CT dye and Tylenol? -Answer Mucomyst (acetylcysteine)
What is the antidote for heparin? -Answer Protamine sulphate
What disorders cause an increase in adverse effects when taking synthroid? -Answer
Cardiovascular disorders (bc synthroid increases metabolism which increases risk for
MI, etc)
Does blood pressure decrease or increase during a thyroid storm? -Answer BP
increases (bc of a spike in metabolism)
What disease causes exophthalmos? - Answer Hyperthyroidism (because it's r/t Grave's
disease)
What is a clinical manifestation of excess ADH?
A. Hyperkalemia
B. Hypernatremia
C. Hyponatremia
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