Final Exam Review Nurs 6531 Deck 1
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What are signs & symptoms of SIADH (Syndrome of inappropriate
antidiuretic hormone)?
Ans: Increased production of ADH (antidiuretic hormone),
hyponatremia, concentrated urine (from excess water
resorption), elevated urine osmolality, mental status changes
from cerebral edema.
Diabetes insipidus is associated with what sodium level?
Ans: Hypernatremia
Psychogenic polydipsia results in urine that is:
Ans: diluted with low osmolality and hyponatremia
How would you determine the cause of a patient's AKI who presents
with decreased urine output, history of neurogenic bladder, chronic
foley, dark urine, and Cr increase from 1.3 to 2.1 over 3 months?
Ans: Flush the foley catheter to see if urine comes out and
assess the patency of the catheter. This action will unblock
clogged sediment or biofilm from chronic bacteriuria.
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When a female patient presents to the ER after sexual assault, what
medications should be offered prior to discharge?
Ans: Ceftriaxone, azithromycin, Plan B, and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)?
Ans: hypernatremia, hypokalemia, and hypertension
What causes Cushing syndrome?
Ans: Increased levels of glucocorticoids, can be exogenous
(from therapy) or endogenous (from adenoma or neoplasm).
Manifestations of Cushing syndrome?
Ans: hypertension, truncal obesity, osteoporosis, skin fragility,
and hyperglycemia.
What differentiates primary adrenocortical insufficiency from
secondary adrenocortical insufficiency?
Ans: Skin hyperpigmentation is present in primary
adrenocortical insufficiency
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