Download Endocrinology, Shock, Respiratory Distress, Kidney Disease Exam Questions and more Exams Nursing in PDF only on Docsity!
6202 Exam 1Questions with Complete
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Which of the following patients are at risk for developing Cushing's syndrome?
A. A pituitary tumor, which is causing too much ACTH to be released
B. Patient with TB infection
C. Post-op adrenalectomy patient
D. Patient taking glucocorticoids for several weeks - AnswersD. Patient taking glucocorticoids for several weeks
(Someone taking prednisone)
What does adrenal cortex do? - AnswersRegulates metabolism through cortisol (breaks
down fats, proteins, carbs)
S/S of Cushing's: - AnswersMoon face, stretch marks, buffalo hump, truncal obesity with
little arms/legs
The stages of shock are... - Answers-Compensatory (s/s: increased HR, fever)
-Progressive (compensation begins to decline)
-Refractory
Treatment for sepsis: - Answers-Fluids
-Blood cultures
-Antibiotic
-Oxygen (nonrebreather)
Cardiogenic shock treatment includes all except:
A. Normal saline 500cc bolus
B. Morphine
C. A loop diuretic
D. Vasopressors - AnswersA. Normal saline 500cc bolus
Don't want to fluid overload; heart isn't perfusing--won't pump adequetely
The patient is in septic shock and the MAP is 62. What is the next step? - AnswersMonitor
the patient (60-65 is normal)
MAP is indicator of organ perfusion
Which of the following abnormal electrolyte imbalances is EXPECTED with Addisonian
crisis?
A. K+ level of 3.
B. Blood glucose 120
C. Na+ level of 112
D. Creatinine 1.2 - AnswersC. Na+ level of 112
3 H's of Addisonian crisis: - AnswersHyponatremia, hypokalemia, hypoglycemia
What is Addison's disease? - AnswersDecreased function of andrenal gland. Anterior
pituitary communicates with ACTH hormone to produce cortisol
Treatment for Addison's: - AnswersCortisol supplementation
The best method to determine the patient's hydration status in shock is: - AnswersCVP
(central venous pressure), urine output
What is an appropriate nursing diagnosis for a patient in an Addisonian crisis? -
AnswersRisk for fluid volume deficit (they are losing fluids)
B. 1st line for nephritis
C. Nephrotoxic
D. Harmful to the liver - AnswersC. nephrotoxic
A common symptom of respiratory acidosis is: - Answersdecreased respirations
You identify your patient needs more teaching about his low potassium diet because:
A. "I will have a piece of toast and apple juice"
B. "Chicken is a good choice for me"
C. "I will include celery in my meal"
D. "Peanut butter crackers and whole milk is a good idea" - AnswersD. "Peanut butter
crackers and whole milk is a good idea"
Dairy is high in K+
A person with kidney disease can take all except:
A. milk of magnesia
B. tylenol
C. multivitamin with iron
D. calcium phosphate - AnswersA. milk of magnesia
Those with kidney disease retain Mg. Milk of magnesia would further increase serum Mg
levels
Kidney disease and magnesium: - AnswersRetain Mg
Kidney disease and calcium: - AnswersLose Ca++
Kidney disease and phosphorus: - AnswersRetains phosphorus (found in fast foods--it is a
preservative)
High phosphorus is treated with diet correction and phosphate binders
Kidney disease and iron: - AnswersEPO is made in kidneys. When kidneys aren't working
properly, EPO is not being made and iron is low
How do you know the treatment of hyperkalemia is efficient? - AnswersEKG shows normal
sinus rhythm
How will you treat a very high potassium? - AnswersSodium bicarb, dialysis, insulin (binds
to K+)
AKI and history: what is an important assessment question to ask? - Answers"What
medications do you take?"
Most meds metabolized in kidneys and liver
A "red flag" symptom of an acute kidney injury is: - AnswersLow BP
Common symptoms of a UTI in the elderly is: - AnswersConfusion and mild abdominal pain
Types of kidney stones are all except:
A. glucose
B. struvite
C. calcium
D. uric acid - AnswersA. glucose
Calcium is most common type
Which of the following can prevent uric acid stones:
A. Drink 800 cc water/day
B. Avoid liver and sardines
A. costovertebral angle pain
B. dysuria
C. body aches
D. suprapubic pain - AnswersA. costovertebral angle pain
RIFLE: - AnswersRisk
Injury Failure Loss End-stage kidney disease
How many mL/hr of urine should the average adult produce? - Answers30 mL/hr
30 mL = ____ oz - Answers1 oz
1 cup = ____ oz - Answers8 oz
A pt in the ER is having trouble breathing. What is a priority assessment finding?
A. RR is 34 breaths/min
B. PaO2 is 50
C. Shallow respirations
D. PaCo2 is 34 - AnswersB. Pa02 is 50
What are complementary and alternative therapies? - AnswersComplementary: including in care along with Western medicine
Alternative: replacing Western medical therapy with alternative therapies
What is the most important in prevention of AKI? - AnswersPromptly treat hypovolemia
What are the types of shock? - AnswersCardiogenic, hypovolemic, anaphylactic, septic,
neurogenic
What are the stages of shock? - Answers-Compensatory
-Progressive
-Initial
-Irreversible
What fluid is initially given in fluid resuscitation for hypovolemic shock? - AnswersNormal
saline, crystalloids, lactated ringer's, D5W, colloids, albumin
What is the 1st line of treatment for anaphylactic shock? - AnswersEpinephrine 1:
What is the first thing to do for any shock? - AnswersAdminister oxygen
A patient is hospitalized for ARF. While assessing the patient at shift change, you note his
oxygen saturation has changed from 96% to 84%. What is the first line of treatment? -
AnswersAdminister oxygen on a nasal cannula at 2L
You administer oxygen 2L nasal cannula and the SPO2 is 88%. What would you do next? -
AnswersIncrease to 4L. If does not respond, increase to 6L and then consider a mask
Cardinal symptoms for hypercapnic respiratory failure include: - Answersdyspnea and
headache
A pt is admitted with a DVT in the right leg. You have the following orders, which will you do
first?
A. IV 0.9% NS at 75 cc/hr
B. Heparin infusion
C. Obtain PT/PTT
D. Coumadin 10 mg PO - AnswersC. Obtain PT/PTT
Hyperaldosteronism causes hypernatremia, hypokalemia, and metabolic alkalosis
- A. Sodium
- B. Sodium
- C. Potassium 5.
- D. Potassium 2.
- E. pH 7.
- F. pH 7.28 - AnswersB. Sodium
- D. Potassium 2.
- E. pH 7.
