NURS 6531 FNAL EXAM WITH QUESTIONS AND
WELL VERIFIED ANSWERS [GRADED A+]
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic
... [Show More]
hormone)? - ANS✔✔---Increased production of ADH (antidiuretic hormone),
hyponatremia, concentrated urine (from excess water resorption), elevated urine
osmolality, mental status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - ANS✔✔---
Hypernatremia
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? - ANS✔✔---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? - ANS✔✔---Ceftriaxone,
azithromycin, Plan B, and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - ANS✔✔---
hypernatremia, hypokalemia, and hypertension
Psychogenic polydipsia results in urine that is: - ANS✔✔---diluted with low
osmolality and hyponatremia
What causes Cushing syndrome? - ANS✔✔---Increased levels of
glucocorticoids, can be exogenous (from therapy) or endogenous (from
adenoma or neoplasm).
What differentiates primary adrenocortical insufficiency from secondary
adrenocortical insufficiency? - ANS✔✔---Skin hyperpigmentation is present
in primary adrenocortical insufficiency
What is Trousseau's sign? - ANS✔✔---A carpal spasm elicited by
compression of the upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - ANS✔✔---A hemifacial tic that is induced by
tapping the facial nerve below the maxilla that indicates hypocalcemia.
Manifestations of Cushing syndrome? - ANS✔✔---hypertension, truncal
obesity, osteoporosis, skin fragility, and hyperglycemia.
What is Babinski's sign? - ANS✔✔---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 Homan's sign? - ANS✔✔---pain on passive dorsiflexion of ankle,
associated with DVT.
What is the clinical presentation of Goodpasture's syndrome? - ANS✔✔---
Urinalysis: Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What is Goodpasture syndrome? - ANS✔✔---Damage to alveolar and renal
glomerular basement membranes by cytotoxic antibody.
What is Romberg's sign? - ANS✔✔---Loss of balance in standing when eyes
are closed. Usually indicating a loss of proprioception or lesion in the cerebellum
Initial treatment for Goodpasture's syndrome? - ANS✔✔---Hospitalization,
pulse dose of steroids, begin plasmapheresis and cyclophosphamide therapy.
Characteristics of Grave's disease - ANS✔✔---Ophthalmopathy (lid
retraction, scleral show, proptosis) and hyperthyroidism
What organism causes the formation of a staghorn calculus? - ANS✔✔---
Proteus mirabilus
What organism causes Toxic shock syndrome? - ANS✔✔---Staphy [Show Less]