NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023
MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM
200+QUESTIONS AND CORRECT ANSWERS|RASMUSSEN
COLLEGE
What 2 primary disorders involve ADH? - ANSWER: -Diabetes insipidus
-Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
What is Diabetes Insipidus (DI)? - ANSWER: Is defined as the inability of the kidneys
wo concentrate urine
What are the 2 types of DI? - ANSWER: -Central (neurogenic)- inadequate production
of ADH (vasopressin). Caused by brain tumors, brain trauma, CNS infection, and
neurosurgery
-Nephrogenic- ineffective action of ADH in the kidneys, kidneys have a hard time
using the action of ADH. Caused by genetics, drug toxicity, adverse drug reaction, or
illness
What are the signs and symptoms of DI? - ANSWER: -Polyuria- passage of a large
volume of urine in a given period
-Polydipsia- excessive thirst, dehydration
-Hypernatremia (serum)
-Serum osmolality > 300 most/kg
-Urine specific gravity < 1.005
-Decreased urine osmolality
****HIGH and DRY*****
DI Therapeutic Management - ANSWER: -Surgery (if a tumor is present)
-Diet- low sodium and low protein
-Hydration- increase fluid intake
-Medication management:
1) DDAVP (vasopressin)- Central
2) Diuretics (thiazide)- nephrogenic, promotes NA excretion and stimulation of the
proximal tubule to reabsorb the water.
How is DDAVP given? - ANSWER: -Can be given IV but at home it is intranasal.
Nursing Care of DI - ANSWER: -Medication administration- DDAVP (central DI), and
thiazide diuretics (nephrogenic DI)
-Promoting and monitoring hydration
-Maintaining NA balance (Hypernatremia can cause seizures)
, Desmopressin acetate/ DDAVP Administration- Intranasal - ANSWER: - Monitor for
over dosage (confusion, headache, drowsiness, and rapid weight gain), adverse
effects such as nasal irritation and nausea
-Store in refrigerator
-Provide instructions on intranasal administration
-Avoid OTC cough/hay fever preparations (may decrease effects of drugs)
-Titrated based on patient response
Patient Education (DI) - ANSWER: - Fluids intake regimen- availability of fluids, and
night. Make sure to get fluids to them at night
-Intake and output (weighing diapers)-infants
-School plan- make sure the school is aware of the medical condition and that the
child needs to have drinks readily available and liberal bathroom breaks
-Signs of dehydration and water intoxication
- Medical alert bracelet
-Medication administration- DDAVP intranasal administration and the signs and
symptoms of overdose
What are the signs and symptoms of pediatric dehydration and water intoxication? -
ANSWER: Dehydration:
-sunken fontanels
-dry mucous membranes
-sunken eyes
-decrease urine output
-headache/dizziness
-delayed cap refill
-tachycardia
-thirsty
-irritable
-wt loss
-decreased BP
-syncopy
-decreased skin turgor
-"no tears"
Water Intoxication
-drowsiness
-listlessness
-headache
-confusion
-sudden wt gain
-anuria
What is SIADH? - ANSWER: -Is caused by excessive secretion of ADH which leads to
excessive water reabsorption causing WATER INTOXICATION and HYPONATREMIA
(LOW NA).
MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM
200+QUESTIONS AND CORRECT ANSWERS|RASMUSSEN
COLLEGE
What 2 primary disorders involve ADH? - ANSWER: -Diabetes insipidus
-Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
What is Diabetes Insipidus (DI)? - ANSWER: Is defined as the inability of the kidneys
wo concentrate urine
What are the 2 types of DI? - ANSWER: -Central (neurogenic)- inadequate production
of ADH (vasopressin). Caused by brain tumors, brain trauma, CNS infection, and
neurosurgery
-Nephrogenic- ineffective action of ADH in the kidneys, kidneys have a hard time
using the action of ADH. Caused by genetics, drug toxicity, adverse drug reaction, or
illness
What are the signs and symptoms of DI? - ANSWER: -Polyuria- passage of a large
volume of urine in a given period
-Polydipsia- excessive thirst, dehydration
-Hypernatremia (serum)
-Serum osmolality > 300 most/kg
-Urine specific gravity < 1.005
-Decreased urine osmolality
****HIGH and DRY*****
DI Therapeutic Management - ANSWER: -Surgery (if a tumor is present)
-Diet- low sodium and low protein
-Hydration- increase fluid intake
-Medication management:
1) DDAVP (vasopressin)- Central
2) Diuretics (thiazide)- nephrogenic, promotes NA excretion and stimulation of the
proximal tubule to reabsorb the water.
How is DDAVP given? - ANSWER: -Can be given IV but at home it is intranasal.
Nursing Care of DI - ANSWER: -Medication administration- DDAVP (central DI), and
thiazide diuretics (nephrogenic DI)
-Promoting and monitoring hydration
-Maintaining NA balance (Hypernatremia can cause seizures)
, Desmopressin acetate/ DDAVP Administration- Intranasal - ANSWER: - Monitor for
over dosage (confusion, headache, drowsiness, and rapid weight gain), adverse
effects such as nasal irritation and nausea
-Store in refrigerator
-Provide instructions on intranasal administration
-Avoid OTC cough/hay fever preparations (may decrease effects of drugs)
-Titrated based on patient response
Patient Education (DI) - ANSWER: - Fluids intake regimen- availability of fluids, and
night. Make sure to get fluids to them at night
-Intake and output (weighing diapers)-infants
-School plan- make sure the school is aware of the medical condition and that the
child needs to have drinks readily available and liberal bathroom breaks
-Signs of dehydration and water intoxication
- Medical alert bracelet
-Medication administration- DDAVP intranasal administration and the signs and
symptoms of overdose
What are the signs and symptoms of pediatric dehydration and water intoxication? -
ANSWER: Dehydration:
-sunken fontanels
-dry mucous membranes
-sunken eyes
-decrease urine output
-headache/dizziness
-delayed cap refill
-tachycardia
-thirsty
-irritable
-wt loss
-decreased BP
-syncopy
-decreased skin turgor
-"no tears"
Water Intoxication
-drowsiness
-listlessness
-headache
-confusion
-sudden wt gain
-anuria
What is SIADH? - ANSWER: -Is caused by excessive secretion of ADH which leads to
excessive water reabsorption causing WATER INTOXICATION and HYPONATREMIA
(LOW NA).
