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NURS 480 EXAM 2 QUESTIONS AND CORRECT DETAILED ANSWERS | NEW UPDATE 2025
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NURS 480 EXAM 2 QUESTIONS ANDCORRECT DETAILED ANSWERS | NEW
UPDATE 2025
Interventions? - ANSWER -poor skin turgor, dry mucosa, orthostatic
hypotension, abd cramp, ICP and neuro changes, specific gravity low, seizure
-salt PO, NG tube, or parenteral, LR or isotonic solution, or hypertonic solution
-central pontine myelinolysis if overcorrected
-fluid restriction
Hypernatremia S/Sx
Interventions? - ANSWER -THIRST!
-dry swollen tongue, sticky mucous, flushed skin , pulmonary edema, postural
hypotension, T increase
-increased muscle tone, and DTR
-specific gravity high to conserve water
-Hypotonic fluids, diuretics,
-Desmopressin (synthetic ADH) for DI and hypernatremia
Hypokalemia S/Sx
, Interventions? - ANSWER ◦Skeletal muscle weakness
◦U wave
◦Constipation
◦Toxic effects of digoxin
◦Irregular
◦Orthostatic hypotension
◦Numbness
-oral supplements
-IV- DO NOT give more than 40 mEq/L with cardiac monitor
-NO IV PUSH
Hyperkalemia S/Sx
Interventions? - ANSWER -initially high and narrow T wave, ST depress, short
QT
-prolong PR interval , P wave disappears
-skeletal muscle weakness
-paralysis
-diarrhea, nausea
◦Potassium sparing diuretics
(a.k.a. "aldosterone inhibiting")
◦ACE inhibitors
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