Exam (elaborations)

Nurs 623 Exam 2 Questions and Correct Answers the Latest Update and Recommended Version

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Nurs 623

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Nurs 623

Brittle, coarse hair might be a sign of what thyroid disorder → hypothyroidism A thyroid bruit, gynomastia, fine hair, warm, smoot, moist skin are all associated with what thyroid disorder → hyperthyroidism Hirsutism, Purple striae over the abdomen is seen with what condition and hyperpig...

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Institution Nurs 623
Course Nurs 623

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2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

Nurs 623 Exam 2 Questions and Correct
Answers the Latest Update and
Recommended Version
Brittle, coarse hair might be a sign of what thyroid disorder

→ hypothyroidism

A thyroid bruit, gynomastia, fine hair, warm, smoot, moist skin are all associated with what

thyroid disorder

→ hyperthyroidism

Hirsutism, Purple striae over the abdomen is seen with what condition and hyperpigmentation

are seen with what disease?

→ Cushings syndrome

ACE inhibitors are given to patients who have diabetes with persistent?

→ proteinuria

Addison crisis can be precipitated by?

→ abruptly stopping glucocorticoid medications

Signs and symptoms of DKA

→ Kussmaul respirations (very deep), hypergylcemia, glucosuria, polyuria, polydipsia,
anorexia and headache, keytonuria, decreased blood pH

Metformin works by

1|Page| GradeA+ | 2 0 0 2 5

,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

→ improving the effectiveness of insulin in suppressing excess hepatic glucose production
and increasing insulin sensitivity in the peripheral tissues

The medication of choice for an initial acute attach of gout is?

→ indomethacin (indocin); naproxen can be an alternative

Colchicine is an effective medication to terminate and acute gout attack but must be

administered within what time frame ?

→ 48 hours

In a gout attack corticosteroids can provide dramatic systemic relief but are contraindicated in

septic conditions therefore they should not be administered before the analysis of what ?

→ synovial aspirate

What lab value findings would you see in a patient with Cushings syndrome?

→ increased cortisol, increased sodium, decreased K+, decreased glucose, normal BUN

What is a carpopedal spasm and what is it a sign of?

→ violent, painful contraction of the hands or feet; neuromuscular sign indicating
hypocalcemia

With gout what will your labs indicate?

→ ESR and WBC elevated, uric acid level >7.5, BUN normal, WBC >10,000

What is the follow up for an acute gout attach?

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, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!

→ reevaluate in 1-2 weeks and antihyperuricemia therapy needs to be followed every
4-6 weeks to adjust medications

What are some classic findings in an x-ray of an affected joint with gout

→ tophi, normal mineralization of bone, joint space preservation, asymmetric
polyarticular distribution, overhanging edge cortex and punched out erosion of bone

An autoimmune response that may reflect a defect in suppressor T-cell function ?

→ Graves disease

Propylthiouracil and methimazole (tapazole) treat hyperthyroidism by.......

→ inhibiting thyroid hormone synthesis

Podagra is gout of the

→ first metatarsophalangeal joint

A metabolic disease that produces an inflammatory arthritis?

→ gout

What are the two primary factors of gout?

→ *enzyme defects and decreased renal clearance

What are secondary risk factors for gout?

→ excessive daily intake of purine, starvation, obesity, alcohol, medications(thiazide
diuretics, ethambutol, nicotinic acid, pyrazinamide, low dose salicylates, cyclosporine),
pagets disease, chronic hemolytic anemis, psoriasis, cytoxic drugs, carcinoma and
sarcome, CRD, hypothyroidism, lead poisoning, DI DKA, hyperparathyroidism

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