NR 507 Final Exam Study Guide
28 PAGES
ACID BASE IMBALANCE
While checking arterial blood gas results, a nurse finds respiratory acidosis. What does
... [Show More] the nurse suspect is occurring in the patient?
A 20-year-old male is in acute pain. An arterial blood gas reveals decreased carbon dioxide (CO2 ) levels. Which of the following does the nurse suspect is the most likely cause?
The nurse is assessing a client with suspected respiratory acidosis. Which assessment items are priority for the nurse to collect?
The student nurse is assisting in the care for a client with acute respiratory acidosis. The nurse explains to the student nurse that the client’s blood pH initially falls in the development of acute respiratory acidosis because of which process?
ACTH
The nurse is preparing a client for testing to determine if the client has Cushing syndrome. What tests are included in the screening process
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?
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?
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?
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?
ACTH deficiency results in secondary
ACTH deficiency is most commonly caused by?
6 symptoms of an ACTH deficiency
interpretation of ACTH levels requires simultaneous assessment of
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?
A nurse checks lab results as both Cushing syndrome and Addison disease can manifest with elevated levels of: [Show Less]