NR 507 ADVANCED PATHOPHYSIOLOGY FINAL
EXAM QUESTIONS AND CORECT DETAILED
ANSWERS LATEST UPDATE CORRECTLY VELIFIED
The nurse is preparing a client for
... [Show More] testing to determine if the client has Cushing
syndrome. What tests are included in the screening process
24-hour urine secretion of cortisol
Dexamethasone suppression test
Plasma levels of ACTH
A client comes to the clinic with fatigue and muscle weakness. The client also states she
has been having diarrhea. The nurse observes the skin of the client has a bronze tone and
when asked, the client says she has not had any sun exposure. The mucous membranes of
the gums are bluish-black. When reviewing laboratory results from this client, what does
the nurse anticipate seeing?
Increased levels of ACTH
A client is diagnosed with adrenocorticotropic hormone deficiency (ACTH) and is to
begin replacement therapy. Regarding which type of replacement will the nurse educate
the client?
Cortisol replacement therapy
Following destruction of the pituitary gland, ACTH stimulation stops. Without ACTH to
stimulate the adrenal glands, the adrenals' production of cortisol drops. This is an
example of which type of endocrine disorder? Secondary
The nurse is preparing a client for a test that will measure negative feedback suppression
of ACTH. Which medication will the nurse administer in conjunction for this test?
Dexamethasone
ACTH deficiency results in secondary hypocortisolism
ACTH deficiency is most commonly caused by? glucocorticoid withdrawal
6 symptoms of an ACTH deficiency tiredness weakness anorexia N/V hypoglycemia
orthostatic hypotension
interpretation of ACTH levels requires simultaneous assessment of plasma
cortisol levels
ACTH levels are normal to high in primary adrenal insufficiency
ACTH levels are low to absent in secondary adrenal insufficiency
The client has been taking an oral cortisol preparation for 2 years to manage an
autoimmune disease. What effects does the nurse expect this therapy to have on this
client's circulating levels of ACTH and aldosterone? Decreased ACTH, decreased
aldosterone
A nurse checks lab results as both Cushing syndrome and Addison disease can manifest
with elevated levels of:
Adrenocorticotropic hormone (ACTH)
3. Acute epiglottitis
A caregiver calls the pediatrician's office and reports to the nurse that her 4-year-old, who
was fine the previous day, complained of a sore throat early in the morning and now has
a temperature of 102.6° F (39.2° C). The caregiver has tried to get the child to nap but the
child gets panicky, immediately sits back up, and leans forward with her mouth open and
tongue out when the caregiver encourages her to lie down. The nurse suspects the child
has which of the following conditions? Epiglottitis
The caregivers of a child report that their child had a cold and complained of a sore
throat. When interviewed further they report that the child has a high fever, is very
anxious, and is breathing by sitting up and leaning forward with the mouth open and the
tongue out. The nurse recognizes these symptoms as those seen with which of the
following disorders? Epiglottitis
The nurse is caring for a 5-year-old girl who shows signs and symptoms of epiglottitis.
The nurse recognizes a common complication of the disorder is for the child to: be
at risk for respiratory distress.
A 5-year-old child is brought to the clinic by his father because the child developed a
high fever over the past 2 to 3 hours. The nurse suspects epiglottitis based on which signs
and symptoms?
• Difficulty speaking • Drooling • Sitting with neck extended • Frighte [Show Less]