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NUR 211 ( LATEST 2024 / 2025 ) FINAL 5 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 211 ( LATEST 2024 / 2025 ) FINAL 5 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 211 Final 51. A rare condition caused by a tumor in the adrenal medulla
-Excessive production of catecholamines (epinephrine and norepinephrine).-
Answer
Pheochromocytoma
2. What is the most dangerous effect of pheochromocytoma?
Answer
Severe hyper- tension
3. Triad symptoms of pheochromocytoma
Answer
Headache, diaphoresis, palpitations
4. Clinical manifestations of pheochromocytoma
Answer
-Episodic hypertension
-Severe pounding headache
-Tachycardia w/ palpitations
-Profuse sweating
-Unexplained abdominal pain or chest pain
5. 5 H's of pheochromocytoma
Answer
Hypertension
Headache
Hyperhidosis (excess sweating)
Hypermetabolism
Hyperglycemima
6. What should be avoided in patients with pheochromocytoma?
Answer
Palpation of the abdomen
,7. What happens when the abdomen is palpated in patients with pheochromocytoma?
Answer
A release of catecholamines causes severe hypertension
8. Foods to avoid during VMA testing
Answer
Coffee and tea (caffeinated or decaffeinat- ed)
Bananas Chocolate Vanilla Aspirin
-May alter test results
9. Side effects of adrenergic antagonists blockers (doxazosin or phenoxyben- zamine)
Answer
Orthostatic hypotension
Vertigo
Palpitations
Sexual
Dysfunction
10. What surgery is performed for pheochromocytoma?
Answer
Adrenalectomy
11. Side effects of beta blockers
Answer
Bradycardia, AV block, drowsiness, depression, symptoms of CHF, hypotension
12. What can be used as an alternative to alpha or beta adrenergic without causing undue
hypotension?
Answer
Calcium channel blockers
13. adrenal gland hormones
,Sugar (Glucocorticoids) Salt (Mineralcorticoids)
Sex (Androgens)
14. Addison's disease (primary)
Answer
Hyposecretion of adrenal cortex hormones
15. Primary causes of adrenocortical insufficiency
Answer
-Addison's
-Autoimmune response
-Gene mutation
-TB, infarction, fungal infections, AIDS, metastatic cancer
16. Secondary cause of adrenocortical insufficiency
Answer
-Lack of pituitary ACTH secretion
-Corticosteroids and androgens are deficient
17. Some People Get Cold (Addison's)
Answer
Hyponatremia (decreased Sodium) Hyperkalemia (Increased Potassium)
Hypoglycemic (Decreased Glucose) Hypercalcemia (Increased Calcium)
18. Some People Get Cold (Cushing's)
Answer
Hypernatremia (Increased Sodium) Hypokalemia (Decreased Potassium)
Hyperglycemic (Increased Glucose) Hypocalcemic (Decreased calcium)
19. Clinical manifestations of Addison's
Progressive weakness, fatigue Weight loss, anorexia
, Bronze colored skin, hyperpigmentation Orthostatic hypotension
Hyponatremia, hyperkalemia Salt craving
N/V, diarrhea, irritability, depression
20. Addisonian crisis
Answer
Severe hypotension and vascular collapse
21. Triggers of Addisonian Crisis
Answer
-Stress
-Adrenal surgery
-Sudden withdrawal of corticosteroid therapy
-Sudden pituitary gland destruction
22. Clinical manifestations of Addisonian crisis
Answer
Hypotension Tachycardia
Dehydration Hyponatremia Hyperkalemia Hypoglycemia Fever Weakness
Confusion Shock
Circulatory collapse
23. Risk Factors for High Risk pregnancy
Answer
-Existing health conditions, such as hypertension, diabetes, or HIV+
-A history of prior pregnancy complications
-Complications that arise during pregnancy (gestational diabetes or eclampsia)
-Being overweight or obese
-Carrying more than one fetus
-Being 18 years old or younger
-Advanced maternal age
24. hyperemesis gravidarum
Answer
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