Pathophysiology NURS2502 Exam 2 2025
Questions and Answers
Priorities of care in the patient with a kidney stone - ANS Control of infection (strain urine).
Adequate hydration
Dietary NA+ restriction
Dietary changes
Medication
Causes of struvite kidney stones - ANS Bacteria in the urinary tract.
Subjective s/s of a kidney stone - ANS Hematuria, abdominal flank pain, renal colic (passing
in the ureter) n/v, chills, fever
Dietary restrictions for patients with calcium oxalate kidney stones - ANS Proteins that
increase uric acid excretion.
Excessive amounts of tea or fruit juices that elevate urinary oxalate level.
Large intake of calcium and oxalate.
Low fluid intake.
Parkland formula fluid calculation - ANS 4 ML x WT KG x %TBSA BURNED = 24 hour fluid
24 hr requirement/2 = 1st 8 hr requirement
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, 1st 8hr requirement/2 = 2nd & 3rd 8hr requirement
Clinical manifestations of Stevens-Johnson syndrome or toxic epidermal necrolysis (TEN). -
ANS Conjunctivitis, itching, tenderness, fever, cough, sore throat, headache, and pain.
Followed by rapid onset of rash and blisters involving most of the skin and mucous membranes.
Clinical manifestations of pityriasis rosea - ANS Scaly rash that sweeps outward like the
branches of a pine tree.
Adverse effects of external mechanical forces that contribute to the development of pressure
ulcers. - ANS Pressure, shear, friction, moisture.
Common causes of autonomic dysreflexia - ANS Occurs in persons with spinal cord lesions
above T6
Occurs after spinal shock has resolved and may occur years after the injury.
Clinical manifestations of a Brown-Sequard spinal cord injury - ANS Loss of motor function,
proprioception, and vibration sense on side of injury, loss of pain and temperature opposite
side of injury.
S/s of neurogenic shock - ANS BP HR Cardiac Output decrease, venous pooling, paralyzed
portions of the body don't sweat.
Clinical manifestations immediately noted after complete spinal cord injury - ANS Loss of all
motor and sensory function below the level of the injury
Bilateral external rotation of the legs
Loss of bowel and bladder function
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
Questions and Answers
Priorities of care in the patient with a kidney stone - ANS Control of infection (strain urine).
Adequate hydration
Dietary NA+ restriction
Dietary changes
Medication
Causes of struvite kidney stones - ANS Bacteria in the urinary tract.
Subjective s/s of a kidney stone - ANS Hematuria, abdominal flank pain, renal colic (passing
in the ureter) n/v, chills, fever
Dietary restrictions for patients with calcium oxalate kidney stones - ANS Proteins that
increase uric acid excretion.
Excessive amounts of tea or fruit juices that elevate urinary oxalate level.
Large intake of calcium and oxalate.
Low fluid intake.
Parkland formula fluid calculation - ANS 4 ML x WT KG x %TBSA BURNED = 24 hour fluid
24 hr requirement/2 = 1st 8 hr requirement
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, 1st 8hr requirement/2 = 2nd & 3rd 8hr requirement
Clinical manifestations of Stevens-Johnson syndrome or toxic epidermal necrolysis (TEN). -
ANS Conjunctivitis, itching, tenderness, fever, cough, sore throat, headache, and pain.
Followed by rapid onset of rash and blisters involving most of the skin and mucous membranes.
Clinical manifestations of pityriasis rosea - ANS Scaly rash that sweeps outward like the
branches of a pine tree.
Adverse effects of external mechanical forces that contribute to the development of pressure
ulcers. - ANS Pressure, shear, friction, moisture.
Common causes of autonomic dysreflexia - ANS Occurs in persons with spinal cord lesions
above T6
Occurs after spinal shock has resolved and may occur years after the injury.
Clinical manifestations of a Brown-Sequard spinal cord injury - ANS Loss of motor function,
proprioception, and vibration sense on side of injury, loss of pain and temperature opposite
side of injury.
S/s of neurogenic shock - ANS BP HR Cardiac Output decrease, venous pooling, paralyzed
portions of the body don't sweat.
Clinical manifestations immediately noted after complete spinal cord injury - ANS Loss of all
motor and sensory function below the level of the injury
Bilateral external rotation of the legs
Loss of bowel and bladder function
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
