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NURs 307: Quiz #5 -Test Questions and All Correct Answers.

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Hyponatremia: Cause - Answer *Common for people of lower income to dilute formula for children, this leads to hyponatremia because the kid ends up not getting enough sodium intake *Water intoxication -AKI can cause water intoxication and hyponatremia Nephrotic Syndrome: Manifestations - Answer -proteinuria -hypoalbuminemia -edema Nephrotic syndrome is the: - Answer damage to the glomerular basement membrane, the permeability is damaged, allowing protein to leak through Traumatic brain injury assessment - Answer *When entering the room start questioning the child to check for altered levels of consciousness, PERRLA, disorientation, confusion *Expect those to range from confusion to disorientation, to comatose, keep assessing Manifestation of post concussion syndrome - Answer *Vomiting, blurred vision, LOC (most important changes to assess) *sleep disturbance, school performance changes, labile mood Amnious signs before death - Answer sporadic breathing Early sign of hypovolemic shock - Answer tachycardia Cushing's Triad: 3 Parts - Answer widened pressure, bradycardia, irregular respirations *systemic HTN, bradycardia, respiratory depression *A late sign of impending brainstem herniation Increased intracranial pressure: manifestations - Answer *Blurred vision, double vision -early signs: headache, vomiting, personality changes, irritability, and fatigue

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NURs 307: Quiz #5 -Test Questions
and All Correct Answers.
Hyponatremia: Cause - Answer *Common for people of lower income to dilute formula for
children, this leads to hyponatremia because the kid ends up not getting enough sodium intake

*Water intoxication



-AKI can cause water intoxication and hyponatremia



Nephrotic Syndrome: Manifestations - Answer -proteinuria

-hypoalbuminemia

-edema



Nephrotic syndrome is the: - Answer damage to the glomerular basement membrane, the
permeability is damaged, allowing protein to leak through



Traumatic brain injury assessment - Answer *When entering the room start questioning the
child to check for altered levels of consciousness, PERRLA, disorientation, confusion

*Expect those to range from confusion to disorientation, to comatose, keep assessing



Manifestation of post concussion syndrome - Answer *Vomiting, blurred vision, LOC (most
important changes to assess)

*sleep disturbance, school performance changes, labile mood



Amnious signs before death - Answer sporadic breathing



Early sign of hypovolemic shock - Answer tachycardia



Cushing's Triad: 3 Parts - Answer widened pressure, bradycardia, irregular respirations



*systemic HTN, bradycardia, respiratory depression

*A late sign of impending brainstem herniation



Increased intracranial pressure: manifestations - Answer *Blurred vision, double vision



-early signs: headache, vomiting, personality changes, irritability, and fatigue

, Hyperkalemia: TX - Answer Insulin, D50, Kayexalate, Albuterol



Last phase of AKI - Answer Polyuria, then goes into CKD



2nd kidney injury = - Answer CKD



Dehydration: S/S on a 14 mth old infant - Answer -sunken fontanel

-dry mucous membranes

-tachycardia

-sunken eyes



Most common cause of UTI - Answer E.coli



Urinary tract infection: Patho - Answer infectious agent enters urethra and travels up to
bladder (cystitis); if the infection enters the ureters and up to the kidney pyelonephritis has
developed



Lower UTIs are characterized by: (cystitis) - Answer -hesitancy to void

-dysuria

-freq of voiding

-urine incontinence

-fever

-vomiting

-lethargy

-painful, cloudy, odorous urine, -hematuria



Upper UTIs are characterized by: (pyelonephritis) - Answer -high fever and may lead to renal
scarring that may be associated with decreased kidney function, HTN, and renal disease over
time

-dull flank pain, nausea, vomiting

-hematuria (frank blood), abdominal pain, moderate to severe dehydration



The single most important host factor influencing the occurrence of UTI is: - Answer urinary
stasis and incomplete bladder emptying (stasis) resulting from reflux

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