NSG3800 - Exam 4 PREP
NSG3800 - EXAM 4 PREP NEWEST 2026/2027 STUDY GUIDE
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
What is jaundice the result of?
Liver not conjugating (binding) or excreting bilirubin (red-orange
compound that breaks down heme)
What does the thyroid gland secrete/do?
- T3
- T4
- calcitonin
- it controls the metabolic rate
What is a rare complication of hypothyroidism?
Myxedema coma
(hypothermic and unconscious)
When can myxedema coma occur?
Undiagnosed hypothyroidism, infection, use of sedatives or opioid
analgesics, forgetting to take Synthroid
HYPOTHYROIDISM: what are interventions for impaired breathing?
1|Page
, NSG3800 - Exam 4 PREP
- encouraged TCDB + incentive spirometer
- verify any hypnotic or sedative orders with MD until euthyroid state
achieved
- maintain patent airway
What is the medical management of myxedema coma?
1. thyroid replacement
2. IV thyroid replacement (thyroxine) with extreme caution to prevent
cardiac events
3. thyroid replacement (for maintenance)
What are S/S of thyroid storm r/t hyperthyroidism?
- fever >101.3
- pulse >130bpm
- chest pain, palpitations, dyspnea
- wt loss
- diarrhea, abd pain
- altered mental state (delirium, psychosis, somnolence, coma)
When does biliary colic occur?
Swollen, inflamed gallbladder touches abd wall while trying to contract
+ this is when S/S can become severe and constant if gallbladder cannot
drain
2|Page
, NSG3800 - Exam 4 PREP
BILIARY COLIC: I have restlessness, pallor, diaphoresis, and exhaustion.
What is the most likely next step?
Immediate sx
What is the nursing management for sx pts?
1. relieving pain (should decrease slowly)
2. improve respiratory status
3. maintain nutrition status (spices are not necessarily a trigger but fats
are)
4. promote biliary drainage
5. monitor and manage complications (high temp for 2 consecutive
days, call MD)
6. post-op (should be ambulating immediately after sx since its
laparoscopic)
7. promote pt education and home care
GALBLADDER SX: what is the post-op patient education?
1. allow sx strips to fall off naturally over time
2. avoid fats for the first 4-6wks
What dx tests do we do for liver dysfunction?
3|Page
NSG3800 - EXAM 4 PREP NEWEST 2026/2027 STUDY GUIDE
EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
What is jaundice the result of?
Liver not conjugating (binding) or excreting bilirubin (red-orange
compound that breaks down heme)
What does the thyroid gland secrete/do?
- T3
- T4
- calcitonin
- it controls the metabolic rate
What is a rare complication of hypothyroidism?
Myxedema coma
(hypothermic and unconscious)
When can myxedema coma occur?
Undiagnosed hypothyroidism, infection, use of sedatives or opioid
analgesics, forgetting to take Synthroid
HYPOTHYROIDISM: what are interventions for impaired breathing?
1|Page
, NSG3800 - Exam 4 PREP
- encouraged TCDB + incentive spirometer
- verify any hypnotic or sedative orders with MD until euthyroid state
achieved
- maintain patent airway
What is the medical management of myxedema coma?
1. thyroid replacement
2. IV thyroid replacement (thyroxine) with extreme caution to prevent
cardiac events
3. thyroid replacement (for maintenance)
What are S/S of thyroid storm r/t hyperthyroidism?
- fever >101.3
- pulse >130bpm
- chest pain, palpitations, dyspnea
- wt loss
- diarrhea, abd pain
- altered mental state (delirium, psychosis, somnolence, coma)
When does biliary colic occur?
Swollen, inflamed gallbladder touches abd wall while trying to contract
+ this is when S/S can become severe and constant if gallbladder cannot
drain
2|Page
, NSG3800 - Exam 4 PREP
BILIARY COLIC: I have restlessness, pallor, diaphoresis, and exhaustion.
What is the most likely next step?
Immediate sx
What is the nursing management for sx pts?
1. relieving pain (should decrease slowly)
2. improve respiratory status
3. maintain nutrition status (spices are not necessarily a trigger but fats
are)
4. promote biliary drainage
5. monitor and manage complications (high temp for 2 consecutive
days, call MD)
6. post-op (should be ambulating immediately after sx since its
laparoscopic)
7. promote pt education and home care
GALBLADDER SX: what is the post-op patient education?
1. allow sx strips to fall off naturally over time
2. avoid fats for the first 4-6wks
What dx tests do we do for liver dysfunction?
3|Page
