Exam Coverage
Exam coverage for the University of Texas at Arlington NURS 5461
Quiz 2 (Final) includes advanced clinical concepts related to health
assessment, diagnostic reasoning, and evidence-based management
of patient conditions in primary care. It focuses on comprehensive and
focused assessments, interpretation of diagnostic tests, differential
diagnosis, and management of common acute and chronic illnesses
across the lifespan. The exam evaluates understanding of
pharmacologic and non-pharmacologic treatment plans, clinical
guidelines, patient education, and risk reduction strategies. Emphasis
is placed on clinical decision-making, application of pathophysiology
and pharmacology principles, safe prescribing practices, and
,delivering patient-centered care within the advanced practice nursing
role.
Hypernatremia
Plasma Na+ >145 mEq/L, caused by a deficit of H2O relative to solute •
Mortality of 40-60%
Disorders of Sodium
Hypernatremia •Hyponatremia •SIADH
,Hypernatremia implies
hyperosmolality of ECF, which results in H2O moving out of
intracellular spaces until cellular tonicity to that of ECF
Risk Factors (Hypernatremia)
•Vomiting •Diarrhea •Renal disease •Taking loop diuretics •Burns
•Excessive sweating
Pathogenesis (Hypernatremia)
Usually caused by excess loss of H2O from body that is not
adequately replaced
, Most common cause of hypernatremia from osmotic diuresis
is hyperglycemia, seen in nonketotic hyperosmolar hyperglycemic
coma of diabetes
Pathogenesis (Hypernatremia) - Renal Insuff. ....
Renal insufficiency can prevent maximally concentrated urine,
predisposing to Na+
Pathogenesis (Hypernatremia) - decrease in water/dehydration
When H2O deficit exists, hypernatremia occurs without disturbance in
Na+ balance-Excess sweating- H2O loss