Pn3 exam 3 - Study guides, Class notes & Summaries

PN3 EXAM 3 QUESTIONS AND ANSWERS A pt with hyperaldosteronism is being treated w/ spironolactone before surgery. Which precautions does the nurse teach this pt? Read the label before using salt substitutes A nurse assess a pt w/ anterior pituitary hyperfunction. Which clinical manifestation would the nurse expect? - Protrusion of the lower jaw - Enlarged hands & feet - Barrel-shaped chest An emergency nurse cares for a pt who is experiencing an acute adrenal crisis. What action would ...

PN3 EXAM 3 QUESTIONS AND ANSWERS Which of the following interventions are appropriate for a client experiencing hypovolemic shock (SATA) A) Increase IV fluid delivery per order B) Monitor vital signs C) Monitor hemoglobin and hematocrit levels D) Admin oxygen per protocol What laboratory values does the nurse recognize as an indicatory of acute heart injury? Increase levels of myoglobin and Troponin Which of the following actions would the nurse perform to assess the patency of arter...

PN3 EXAM 3 QUESTIONS AND ANSWERS A client, complaining of weight gain, has thin extremities, a buffalo hump, and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process? 1. Addisons disease 2. SIADH 3. Cushings syndrome 4. Diabetes Insipidus 3 A client tells the nurse that he is so thirsty that he has already consumed four pitchers of water. The clients urine output is 3500 mL in an 8-hour period. The client is recove...

PN3 EXAM 3 QUESTIONS AND ANSWERS Main types of shock hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic Hypovolemic shock decrease in circulating blood volume Shock is classified as a CONDITION - not a disease Who needs to be monitored for shock? EVERYONE Hypovolemic shock leads to inadequate tissue perfusion - hypoxia What leads to neurogenic shock acute spinal chord injury, temporary spinal shock or permanent paralysis Septic shock infection What causes hypovolemic...

PN3 EXAM 3 QUESTIONS AND ANSWERS Signs and symptoms of hypovolemic shock tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to change in LOC Care of pt in cardiogenic shock with hypotension Place in trendelenburg if systolic less than 80. Monitor VS including I&O Physiological changes in anaphylaxis Airway closes due to edema and bronchospasms. Angioedema #1 sign of ...

PN3 EXAM 3 QUESTIONS AND ANSWERS What is shock? a condition, not a disease Main types of shock hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic CHANS cardiogenic, hypovolemic, anaphylactic, neurogenic, and septic Hypovolemic Shock decrease in circulating blood volume. Deprives cells from oxygen resulting in inadequate tissue perfusion and hypoxia Causes of hypovolemic shock most common cause: acute blood loss from trauma, fluid loss from burns, severe diarrhea/vomiting ...

PN3 EXAM 3 QUESTIONS AND ANSWERS A nurse is caring for a client using therapies instead of conventional or mainstream medical treatments. The nurse is aware that the clients caring include? Alternative therapies The nurse can encourage a client to visualize a soothing mental picture in combination with traditional medical intervention. A client is practicing which self-regulatory technique? Imagery What is the fundamental concept of reflexology? Foot is the microcosm of the entire body...

PN3 EXAM 3 QUESTIONS AND ANSWERS hypovalemic shock Lack of circulating blood volume cardiogenic shock weakened forward pumping function of the heart neurogenic shock hypoperfusion due to nerve paralysis (sometimes caused by spinal cord injuries) resulting in the dilation of blood vessels that increases the volume of the circulatory system beyond the point where it can be filled. septic shock a serious condition that occurs when an overwhelming bacterial infection affects the body Ma...

PN3 EXAM 3 QUESTIONS AND ANSWERS The nurse is assessing a client with a diagnosis of Prerenal acute kidney injury (AKI). Which recent condition in the clients history would cause a prerenal AKI Septic shock A client is on intravenous heparin to treat a pulmonary embolism. which lab value would the nurse to monitor? aPTT A client with prostate cancer is receiving chemotherapy. The client develops thrombocytopenia. The nurse that will educate the client on which of the following topics? ...

PN3 EXAM 3 QUESTIONS AND ANSWERS Emergency care of the client in Addisonian crisis includes which of the following? A) Hydrocortisone sodium IV bolus Following a traumatic brain injury, a client is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The finding for this client would include which of the following? (SATA) A) Oliguria B) Fluid volume excess C) Hypernatremia A client is diagnosed with cardiac tamponade from pericarditis. Which of the following is the...