Health Care > EXAM > Final Exam Review Nurs 6531 Deck 1 Questions and complete Answers (All)

Final Exam Review Nurs 6531 Deck 1 Questions and complete Answers

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What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? correct answers Increased production of ADH (antidiuretic hormone), hyponatremia, concentrated urine (from excess w... ater resorption), elevated urine osmolality, mental status changes from cerebral edema. Diabetes insipidus is associated with what sodium level? correct answers Hypernatremia Psychogenic polydipsia results in urine that is: correct 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? correct 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? correct answers Ceftriaxone, azithromycin, Plan B, and Metronidazole. Manifestations of Conn syndrome (hyperaldosteronism)? correct answers hypernatremia, hypokalemia, and hypertension What causes Cushing syndrome? correct answers Increased levels of glucocorticoids, can be exogenous (from therapy) or endogenous (from adenoma or neoplasm). Manifestations of Cushing syndrome? correct answers hypertension, truncal obesity, osteoporosis, skin fragility, and hyperglycemia. What differentiates primary adrenocortical insufficiency from secondary adrenocortical insufficiency? correct answers Skin hyperpigmentation is present in primary adrenocortical insufficiency What is Trousseau's sign? correct answers A carpal spasm elicited by compression of the upper arm with a BP cuff that indicates hypocalcemia. What is Chvostek’s sign? correct answers A hemifacial tic that is induced by tapping the facial nerve below the maxilla that indicates hypocalcemia. What is Babinski's sign? correct 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? correct 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? correct answers pain on passive dorsiflexion of ankle, associated with DVT. What is the clinical presentation of Goodpasture's syndrome? correct answers Urinalysis: Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present. C [Show More]

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