NR 325 Exam 1
What disorder causes low serum osmolality?
A. SIADH
B. DI - Answer A. SIADH
What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI - Answer B. DI (because you are peeing out all of the H2O)
What sound is indicative of a post-op thyroidectomy pt declining rapidly? - Answer
Stridor (upper airway obstruction)
What would a pt experience with a thyroidectomy? What medication would they be on?
- Answer Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss;
what do they have? - Answer Hyperthyroidism
Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt
experiencing? - Answer Myxedema coma
What conditions would cause the pt to have high BP? - Answer SIADH
Hyperthyroidism
What condition would cause a low urine specific gravity? - Answer DI (<1.005)
What causes low levels of T3, T4, and high levels of TSH? - Answer Hypothyroidism
A pt is urinating 19L a day and constantly drinking; what condition do they have? -
Answer DI
What condition do you treat with desmopressin? - Answer DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What condition do you treat with IV diuretics? - Answer SIADH (because of fluid
retention)
What is the antidote for CT dye and Tylenol? - Answer Mucomyst (acetylcysteine)
What is the antidote for heparin? - Answer Protamine sulphate
What disorders cause an increase in adverse effects when taking synthroid? - Answer
Cardiovascular disorders (because synthroid increases metabolism which increases risk
for MI, etc)
, NR 325 Exam 1
Does blood pressure decrease or increase during a thyroid storm? - Answer BP
increases (because of a spike in metabolism)
What disease causes exophthalmos? - Answer Hyperthyroidism (because it's r/t
Grave's disease)
What is a clinical manifestation of excess ADH?
A. Hyperkalemia
B. Hypernatremia
C. Hyponatremia
D. Hypermagnesemia - Answer C. Hyponatremia.
What hormones are secreted by the posterior pituitary? - Answer ADH
Oxytocin
What electrolyte imbalance is d/t the removal of the parathyroid gland during a
thyroidectomy? - Answer Hypocalcemia (low PTH = low calcium)
What condition do you treat with IV thyroid hormone? - Answer Myxedema coma
In hyperthyroidism, what causes goiter? - Answer High levels of T3 and T4
What does HHD and PD increase the risk for? - Answer Infection
If a patient is on diuretic medications, what are they at risk for? - Answer Hyper- and
hypokalemia
What electrolyte is low in a patient with chronic renal failure? - Answer Calcium
(because it doesn't get urinated out).
What symptom is specific to pyelonephritis? - Answer Fever
Pt has flank pain, fever, chills, and dysuria; what are they experiencing? - Answer
Pyelonephritis
What condition produces uric acid and renal calculi? - Answer Gout
What term describes a loss of urine when sneezing, coughing, or laughing? - Answer
Stress incontinence
A pt has ESRD and an AV fistula, what do you want to hear/feel? - Answer Thrill/bruit
What condition causes postrenal acute kidney failure? - Answer Benign prostatic
hyperplasia
Calculi
What disorder causes low serum osmolality?
A. SIADH
B. DI - Answer A. SIADH
What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI - Answer B. DI (because you are peeing out all of the H2O)
What sound is indicative of a post-op thyroidectomy pt declining rapidly? - Answer
Stridor (upper airway obstruction)
What would a pt experience with a thyroidectomy? What medication would they be on?
- Answer Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss;
what do they have? - Answer Hyperthyroidism
Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt
experiencing? - Answer Myxedema coma
What conditions would cause the pt to have high BP? - Answer SIADH
Hyperthyroidism
What condition would cause a low urine specific gravity? - Answer DI (<1.005)
What causes low levels of T3, T4, and high levels of TSH? - Answer Hypothyroidism
A pt is urinating 19L a day and constantly drinking; what condition do they have? -
Answer DI
What condition do you treat with desmopressin? - Answer DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What condition do you treat with IV diuretics? - Answer SIADH (because of fluid
retention)
What is the antidote for CT dye and Tylenol? - Answer Mucomyst (acetylcysteine)
What is the antidote for heparin? - Answer Protamine sulphate
What disorders cause an increase in adverse effects when taking synthroid? - Answer
Cardiovascular disorders (because synthroid increases metabolism which increases risk
for MI, etc)
, NR 325 Exam 1
Does blood pressure decrease or increase during a thyroid storm? - Answer BP
increases (because of a spike in metabolism)
What disease causes exophthalmos? - Answer Hyperthyroidism (because it's r/t
Grave's disease)
What is a clinical manifestation of excess ADH?
A. Hyperkalemia
B. Hypernatremia
C. Hyponatremia
D. Hypermagnesemia - Answer C. Hyponatremia.
What hormones are secreted by the posterior pituitary? - Answer ADH
Oxytocin
What electrolyte imbalance is d/t the removal of the parathyroid gland during a
thyroidectomy? - Answer Hypocalcemia (low PTH = low calcium)
What condition do you treat with IV thyroid hormone? - Answer Myxedema coma
In hyperthyroidism, what causes goiter? - Answer High levels of T3 and T4
What does HHD and PD increase the risk for? - Answer Infection
If a patient is on diuretic medications, what are they at risk for? - Answer Hyper- and
hypokalemia
What electrolyte is low in a patient with chronic renal failure? - Answer Calcium
(because it doesn't get urinated out).
What symptom is specific to pyelonephritis? - Answer Fever
Pt has flank pain, fever, chills, and dysuria; what are they experiencing? - Answer
Pyelonephritis
What condition produces uric acid and renal calculi? - Answer Gout
What term describes a loss of urine when sneezing, coughing, or laughing? - Answer
Stress incontinence
A pt has ESRD and an AV fistula, what do you want to hear/feel? - Answer Thrill/bruit
What condition causes postrenal acute kidney failure? - Answer Benign prostatic
hyperplasia
Calculi
