HONDROS NUR 212 EXAM 2 QUESTIONS WITH CORRECT
ANSWERS (100% VERIFIED ANSWERS)2025, EXAMS OF
NURSING
drug classes used to treat IBD - ANSWER-corticosteroids - decreases inflammation
immunosuppressants - suppresses immune response
antimicrobials - prevent or treat secondary infection
aminosalicylates - decreases inflammation
indications a illeostomy or other surgical therapy may be needed are - ANSWER-- fistulas
- intestinal obstruction
- inability to decrease corticosteroids
what may increase your risk for an exacerbation with IBD's? - ANSWER--stress
-illness
- infection
Fluid/ electrolyte complications with IBD? - ANSWER--hypokalemia
-hypovalemia
In the oliguric phase when may the onset be delayed for as long as a week? - ANSWER-when
nephrotoxic drugs are involved
recovery phase - ANSWER-GFR increases; BUN/CR plateau and decrease; major improvements
in 1-2 weeks, impaired function for 12 months, if no recovery=CKD
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What blood gas issue are you at risk for with CKD? - ANSWER-Metabolic acidosis - patient may
develop kussmaul respiration's
patient with AKI, what are some post-renal causes? - ANSWER-renal calculi
BPH
Obstruction
Pre-renal Kidney causes? - ANSWER-hypertension
sclerotic changes
issues vasscularization
hypovalemic shock
intrarenal causes? - ANSWER-trauma
meds
ischemia
Pt newly admitted with high potassium, what is your first response? - ANSWER-Put patient on a
heart monitor
Pt is on peritoneal dialysis and is suspected to have peritonitis what is the order of care? -
ANSWER-1. vitals
2. culture
3. antibiotics
What does the term anasarca mean? - ANSWER-edema of the whole ass body
Where does edema start for glomerularnephritis? - ANSWER-edema starts at the eye
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nephrotoxic meds? - ANSWER--mycins
-lasix
-contrast dye
-aminoglycosides
Pt is having crohns exacerbation and dehydration and diarrhea for 4-5 days, what are we
worried about? - ANSWER-hypokalemia
What is hemodialysis biggest infection risk? (from the nurse) - ANSWER-hepatitis
Hemodialysis Complications - ANSWER-Hypotension
Muscle cramps
Loss of blood
Hepatitis
Sepsis
Disequilibrium syndrome (headache, twitching, cerebreal edema, nausea, vomiting)
Someone comes in with IBD exacerbation, what kind of diet is patient put on? - ANSWER-NPo,
advances to clear liquid
Someone with guillaine barre syndrome with tube feed, how do you start it? - ANSWER-trickle it
in and then slowly advance, due to GI mobility complications.
Goodpasture syndrome clinical manifestations? - ANSWER-flu-like symptoms with pulmonary
symptoms: cough, mild shortness of breath, hemoptysis, crackles, rhonchi, pulmonary
insufficience, hematuria, weakness, pallor, anemia, renal failure
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goodpasture syndrome causes? - ANSWER-causes lung cancer and kidney diease, causes
bleeding into the lungs and glomerulonephritis
What kind of temperatures may cause an exacerbation for MS? - ANSWER-hot or extreme
temperatures
What is the pathohysiology of MS? - ANSWER-damage to the myelin sheath
Age of onset of MS - ANSWER-20-40, more common in women
Can myelin sheath regenerate? what is this called? - ANSWER-yes it can, it is called remission
Clinical manifestations for MS - ANSWER-blurred or double vision
muscle weakness
blowel/bladder dysfunction
paralysis
numbness and tingling
speech impediment
extreme fatigue
Medications for treatment of MS - ANSWER-- B-interferon - self injection (may cause flu-like
symtoms, take acetametaphin) helps regulate body
- dimethyl furmarate - immunosuppresant
- ACTH - corticosteroid
- Bethanechol - cholergenic, used for symptom management