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NSG 4800| NSG4800 Comp Exam 2 | Transition to Professional Nursing Practice Guide- Galen |Latest Update|100% Verified Questions & Answers | Grade A

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NSG 4800| NSG4800 Comp Exam 2 | Transition to Professional Nursing Practice Guide- Galen |Latest Update|100% Verified Questions & Answers | Grade A

Instelling
NSG 4800
Vak
NSG 4800

Voorbeeld van de inhoud

NSG 4800 Comp 2 Health Assessment Newest complete questions and cor
rect verified answers (detailed answers) already graded A+
Study online at https://quizlet.com/_j8rd4a

1. hyperthyroidism Causes: Graves, Thyroiditis
Symptoms: Heat intolerance, tachycardia, weight loss, increased systolic BP, Goi-
ter
Treatment: PTU, Methamazole (pregnant?), radioactive iodine therapy, thyroidec-
tomy

2. thyroidectomy keep trach at bedside (stridor, laryngeal spasms)
may experience hypocalcemia (Chevosteks and Trousseaus)
Calcium gluconate at the bedside

3. thyroid storm Symptoms: fever (1 degree elevated is an emergency), Tachycardia, Systolic hy-
pertension
Treatment: PTU and Methimazole, hydrocortisone, prednisone, cooling blankets

4. hypothyroidism causes: autoimmune disease, medications, and thyroid surgery
symptoms: cold intolerance, weight gain, dry skin, brittle nails and hair, hair loss,
constipation
treatment: levothyroxine (Synthroid) go low and slow, am in the morning 30 mins
before meals, do not take fiber, monitor for chest pain

5. mxydema coma Causes: stopping levothyroxine, surgery, chemo, acute illness
Symptoms: hypothermia, hypotension, high morbidity rate
treatment: Mechanical ventilation, warm blankets, IV levothyroxine, IV glucose

6. hyperparathy- Causes: Primary (adenoma, hyperplasia, or cancerous tumor) Secondary (severe
roidism calcium deficit, vitamin D deficiency, Chronic kidney failure)
Symptoms: hypercalcemia, epigastric pain, bone weakness
Treatment: Diuretic and hydration (NS, Furosemide, Bumetanide) Calcitonin, oral
phosphate

7. hypoparathy- Causes: Neck surgery, cancer radiation to the neck, low magnesium
roidism Symptoms: Hypocalcemia (CATS), Larynospasms, hypomagnesemia, hyperphos-


, NSG 4800 Comp 2 Health Assessment Newest complete questions and cor
rect verified answers (detailed answers) already graded A+
Study online at https://quizlet.com/_j8rd4a
phatemia, seizures
Treatment: decrease stimuli, calcium gluconate, calcitriol, NO milk, yogurt, or
processed cheese, ADD dark green leafy vegetables

8. SIADH Causes: brain tumors, head trauma, meningitis, Gullian barre, encephalitis
Symptoms: ALOT of fluid, LOW sodium
Treatment: fluid restrictions, furosemide, 3% NS, IV Conivaptan, PO Tolvaptan

9. DI Causes: craniotomy, falls/car accidents
Symptoms: ALOT of sodium, LOW fluids, increased thirst, up to 20L urine/day
Treatment: replace fluids, monitor output, vasopressin, desmopressin DDVAP
(nasal spray)

10. Addison's dis- causes: TB, glucocorticosteroids, infections
ease symptoms: LOW bs and BP, HIGH HR, sodium, potassium, shock
Treatment: 3% hypertonic NS, replace hydrocortisone, solumedrol IS A PRIORITY

11. addisonian crisis Causes: precipitated by physical or emotional stress, the sudden withdrawal of
hormone.
Treatment: hyperkalemia replacement, hormone replacement

12. cushings syn- Causes: Corticosteroid therapy (COPD, asthma, RA, MS, Lupus), pituitary tumor
drome Symptoms: moon face, buffalo hump, thin skin, muscle atrophy
Treatment: Surgical removal of the adrenal gland, low sodium diet, decrease in
corticosteroid use

13. phenochromocy- Causes: catecholamine-producing tumor
toma Symptoms: HTN, palpitation, diaphoresis, flushing, impending doom
Treatment: DO NOT PALPATE ABDOMEN, don't smoke or drink, avoid foods high
in tyramine (red wine, dried meat, chocolate, and cheese)

14. dig toxicity >2
halo vision, n/v, EKG change


, NSG 4800 Comp 2 Health Assessment Newest complete questions and cor
rect verified answers (detailed answers) already graded A+
Study online at https://quizlet.com/_j8rd4a
digibind is the antidote
elderly pts (decreased renal and liver fxn) and CCBs

15. Burns Rule of nines
foley (more than 30mL/hr)
IV meds only
Fluid resuscitation immediately




16. Parkland formula 4 X 100kg X 45% = 18000
1800/2 = 1125mL/hr for 8 hours




17. Acute Phase Hgb and Hct are low
Low K and Low Na
Increase urine output

18. Emergent Phase Dehydration
Decreased urine output
Hgb and Hct are elevated
BUN and Creatine are elevated
High K and Low Na

19. Compartment 6 ps:
Syndrome Pain

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NSG 4800
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NSG 4800

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