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NURS 611 Exam 2 – Questions With Proper Solutions
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NURS 611 Exam 2 – Questions With Proper Solutions
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NURS 611 Exam 2 – Questions With Proper SolutionsDiabetes insipidus Right Ans - due to deficient response by the renal
tubules to ADH
insufficiency of ADH
Causes of diabetes insipidus Right Ans - TBI, pregnancy, drugs
types:
1. central: pituitary of hypothalamus is damaged
2. nephrogenic: kidneys not responding appropriately
3. neurogenic: due to TBI
Diabetes insipidus signs and symptoms Right Ans - polyuria
polydipsia
hypernatremia
high serum osmolality
diluted urine
Addison's disease Right Ans - primary adrenal insufficiency
decreased cortisol, aldosterone, androgen
adrenal fatigue
How does addison's disease present? Right Ans - weakness and fatigue
anorexia, n/v/d, abdominal pain, weight loss, decreased appetite
low BP, muscle/joint pain
hypoglycemia (fatigue, mental confusion, apathy, psychosis)
hyperpigmentation
vitiligo
in men, hypogonadism
in women, loss of pubic/axillary hair, sexual dysfunction
Causes of cardiac tamponade Right Ans - fluid around the heart
What type of anemia is associated with cancers and infections? Right Ans -
anemia of chronic disease/inflammation
G6PD Right Ans - inherited condition causing RBCs to break down in
response to certain medications, infections, or stressors due to the lack of
protective enzyme
, most commonly in males and african americans
How does G6PD present in kids? Right Ans - icterus neonatorum, pale,
tired, dark urine, jaundice
most commonly presents as acute hemolytic anemia
What is involved in acute lymphoblastic leukemia--what type of cells?
Right Ans - cancer of blood cells: excess lymphoblasts in the blood and bone
marrow
B-cells are adversely affected and do not go on to mature normally
What cardiac defect in kids increases pulmonary blood flow? Right Ans -
PDA
ASD
VSD
Mitral valve prolapse Right Ans - improper closure of the mitral valve
valve leaflets billow back into the atrium during systole
seen mostly in young women
associated with connective tissue disorders
Symptoms of mitral valve prolapse Right Ans - Usually asymptomatic
symptoms: murmur palpations, tachycardia, fatigue, chest tightness, dyspnea,
anxiety, depression, vague symptoms.
Hypoparathyroidism Right Ans - PTH low
Ca low
Phos high
Mag normal
Symptoms of hypoparathyroidism Right Ans - Muscle irritability
(Trousseau's & Chvostek's sign +)
Numbness, tingling of extremities paresthesias
GI & muscle Cramps
Hyperactive DTR. tetany, arrhythmias, cardiomyopathy
laryngospasms
Dry skin, hair loss, deficit in tooth development, horizontal ridge on nails,
cataracts, basal ganglia, calcifications, bone deformities
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