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Final Exam Review Nurs 6531 Deck 1 – questions with answers
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Final Exam Review Nurs 6531 Deck 1 – questions with answers
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Final Exam Review Nurs 6531 Deck 1 –questions with answers
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? - **
VERIFIED ANSWERS **✔✔Increased production of ADH (antidiuretic hormone), hyponatremia,
concentrated urine (from excess water resorption), elevated urine osmolality, mental status changes
from cerebral edema.
Diabetes insipidus is associated with what sodium level? - ** VERIFIED ANSWERS
**✔✔Hypernatremia
Psychogenic polydipsia results in urine that is: - ** VERIFIED ANSWERS **✔✔diluted with low
osmolality and hyponatremia
How would you determine the cause of a patient's AKI who presents with decreased urine output,
history of neurogenic bladder, chronic foley, dark urine, and Cr increase from 1.3 to 2.1 over 3
months? - ** VERIFIED ANSWERS **✔✔Flush the foley catheter to see if urine comes out and
assess the patency of the catheter. This action will unblock clogged sediment or biofilm from chronic
bacteriuria.
When a female patient presents to the ER after sexual assault, what medications should be offered
prior to discharge? - ** VERIFIED ANSWERS **✔✔Ceftriaxone, azithromycin, Plan B, and
Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - ** VERIFIED ANSWERS
**✔✔hypernatremia, hypokalemia, and hypertension
What causes Cushing syndrome? - ** VERIFIED ANSWERS **✔✔Increased levels of
glucocorticoids, can be exogenous (from therapy) or endogenous (from adenoma or neoplasm).
, Manifestations of Cushing syndrome? - ** VERIFIED ANSWERS **✔✔hypertension, truncal
obesity, osteoporosis, skin fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary adrenocortical
insufficiency? - ** VERIFIED ANSWERS **✔✔Skin hyperpigmentation is present in primary
adrenocortical insufficiency
What is Trousseau's sign? - ** VERIFIED ANSWERS **✔✔A carpal spasm elicited by compression
of the upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - ** VERIFIED ANSWERS **✔✔A hemifacial tic that is induced by tapping
the facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign? - ** VERIFIED ANSWERS **✔✔An upward response (extension) of the
hallux when the sole of the foot is stimulated with a blunt instrument. Can identify spinal cord
disease in adults.
What is Romberg's sign? - ** VERIFIED ANSWERS **✔✔Loss of balance in standing when eyes are
closed. Usually indicating a loss of proprioception or lesion in the cerebellum.
What is Homan's sign? - ** VERIFIED ANSWERS **✔✔pain on passive dorsiflexion of ankle,
associated with DVT.
What is the clinical presentation of Goodpasture's syndrome? - ** VERIFIED ANSWERS
**✔✔Urinalysis: Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - ** VERIFIED ANSWERS **✔✔Damage to alveolar and renal
glomerular basement membranes by cytotoxic antibody.
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