NUR 354 Exam 4 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Cushing syndrome treatment - CORRECT ANSWER -Remove cause of excess cortisol
secretion
Gradually taper exogenous glucocorticoid medications
Surgical removal of tumors, chemotherapy, radiation
Addison's disease treatment - CORRECT ANSWER -glucocorticoids and
mineralocorticoids
Diet: high protein and carbs
Glucocorticoids - CORRECT ANSWER -raises blood sugar levels
Mineralocorticoids - CORRECT ANSWER -Promote reabsorption of Na+ and excretion
of K+ in kidneys
Hashimoto's disease treatment - CORRECT ANSWER -Hormone replacement therapy
(synthetic - thyroxine)
SIADH treatment includes: - CORRECT ANSWER -Fluid restriction
IV hypertonic saline
Vasopressin antagonists (conivaptan/tolvaptan)
demeclocycline (causes diuresis)
, Thyroid storm - CORRECT ANSWER -a relatively rare, life-threatening condition caused
by exaggerated hyperthyroidism
Thyroid storm treatment? - CORRECT ANSWER -High flow O2,
5 ice packs= 2 under each arm, 2 groin, 1 back of neck.
OR cooling blanket
Beta-blocker
Thionamide
Iodine solution
PTU (propylthiouracil)
Methimazole
Rapid acting insulin - CORRECT ANSWER -Lispro, Aspart, Glulisine
the rapid acting insulins don't LAG
HIGHEST RISK FOR HYPOGLYCEMIA
Peak: 30-90 min
Short acting insulin - CORRECT ANSWER -regular insulin
ONLY INSULIN GIVEN IV
Peak: 2-4 hrs
Intermediate acting insulin - CORRECT ANSWER -NPH
NEVER GIVE IV
Exam Questions and CORRECT Answers
Cushing syndrome treatment - CORRECT ANSWER -Remove cause of excess cortisol
secretion
Gradually taper exogenous glucocorticoid medications
Surgical removal of tumors, chemotherapy, radiation
Addison's disease treatment - CORRECT ANSWER -glucocorticoids and
mineralocorticoids
Diet: high protein and carbs
Glucocorticoids - CORRECT ANSWER -raises blood sugar levels
Mineralocorticoids - CORRECT ANSWER -Promote reabsorption of Na+ and excretion
of K+ in kidneys
Hashimoto's disease treatment - CORRECT ANSWER -Hormone replacement therapy
(synthetic - thyroxine)
SIADH treatment includes: - CORRECT ANSWER -Fluid restriction
IV hypertonic saline
Vasopressin antagonists (conivaptan/tolvaptan)
demeclocycline (causes diuresis)
, Thyroid storm - CORRECT ANSWER -a relatively rare, life-threatening condition caused
by exaggerated hyperthyroidism
Thyroid storm treatment? - CORRECT ANSWER -High flow O2,
5 ice packs= 2 under each arm, 2 groin, 1 back of neck.
OR cooling blanket
Beta-blocker
Thionamide
Iodine solution
PTU (propylthiouracil)
Methimazole
Rapid acting insulin - CORRECT ANSWER -Lispro, Aspart, Glulisine
the rapid acting insulins don't LAG
HIGHEST RISK FOR HYPOGLYCEMIA
Peak: 30-90 min
Short acting insulin - CORRECT ANSWER -regular insulin
ONLY INSULIN GIVEN IV
Peak: 2-4 hrs
Intermediate acting insulin - CORRECT ANSWER -NPH
NEVER GIVE IV
