Page 1 of 68
EXAM 4: NU185 / NU 185 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
MEDICAL-SURGICAL NURSING II | QUESTIONS AND
ANSWERS | GRADE A | 100% CORRECT (VERIFIED
SOLUTIONS) - GALEN
Hyperpituitary .....ANSWER.....Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism .....ANSWER.....Never fuses (elongated bones)
Acromegaly (enlarged bones) .....ANSWER.....enlargement of the
extremities
Hypopituitary .....ANSWER.....Dehydration
Addison (secondary)
amenorrhea
,Page 2 of 68
Headaches
Visual disturbances .....ANSWER.....S/S of hyperpituitary
Test to diagnose Cushing disease .....ANSWER.....Dexamethasone
suppression test
Steps for a dexamethasone test .....ANSWER.....NPO
Blood specimen collected (1st thing)
Pheochromcytoma .....ANSWER.....tumor of the adrenal medulla
S/S of pheochromcytoma .....ANSWER.....Severe HTN &
tachycardia
Catecholamine (EPI & NONEPI) .....ANSWER.....What is secreted
from a pheochromcytoma
SIADH (soaked inside) .....ANSWER.....Excessive amounts ADH
(fluid overload)
,Page 3 of 68
S/s of fluid over load due SIADH .....ANSWER.....JVD, crackles,
ABD distention
Increased specific gravity .....ANSWER.....Fluid overload
Drop in urine specific gravity .....ANSWER.....Fluid overload
Treatment for SIADH .....ANSWER.....Tolvaptan
DI (dry inside) (primary DI) .....ANSWER.....Decreased production
of ADH (dilute urine)
Secondary DI .....ANSWER.....TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI .....ANSWER.....Excessive fluid intake
, Page 4 of 68
Nephrogenic DI .....ANSWER.....kidneys don't respond properly to
ADH
Drug related DI .....ANSWER.....Lithium, demeclocycline
S/S OF DI .....ANSWER.....Dehydration
For someone with DI, check vital signs for
.....ANSWER.....Tachycardia and hypotension
Treatment for DI .....ANSWER.....DDAVP (desmopressin)
Therapeutic response for DI .....ANSWER.....Decrease urine output
Hallmark sign of DI .....ANSWER.....polyuria (increased urine)
When a pt receives regular insulin when to check to
hypoglycemia (remember peak hours so check in 3 hours)
.....ANSWER.....1000
Why are DM patients prone to infection .....ANSWER.....Elevated
glucose increase the chance for bacteria growth
Normal HgbA1c .....ANSWER.....Less than 7 is good
EXAM 4: NU185 / NU 185 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
MEDICAL-SURGICAL NURSING II | QUESTIONS AND
ANSWERS | GRADE A | 100% CORRECT (VERIFIED
SOLUTIONS) - GALEN
Hyperpituitary .....ANSWER.....Agromegaly
Gigantism (never fuse)
Growth plate distinguish one never fuse
Gigantism .....ANSWER.....Never fuses (elongated bones)
Acromegaly (enlarged bones) .....ANSWER.....enlargement of the
extremities
Hypopituitary .....ANSWER.....Dehydration
Addison (secondary)
amenorrhea
,Page 2 of 68
Headaches
Visual disturbances .....ANSWER.....S/S of hyperpituitary
Test to diagnose Cushing disease .....ANSWER.....Dexamethasone
suppression test
Steps for a dexamethasone test .....ANSWER.....NPO
Blood specimen collected (1st thing)
Pheochromcytoma .....ANSWER.....tumor of the adrenal medulla
S/S of pheochromcytoma .....ANSWER.....Severe HTN &
tachycardia
Catecholamine (EPI & NONEPI) .....ANSWER.....What is secreted
from a pheochromcytoma
SIADH (soaked inside) .....ANSWER.....Excessive amounts ADH
(fluid overload)
,Page 3 of 68
S/s of fluid over load due SIADH .....ANSWER.....JVD, crackles,
ABD distention
Increased specific gravity .....ANSWER.....Fluid overload
Drop in urine specific gravity .....ANSWER.....Fluid overload
Treatment for SIADH .....ANSWER.....Tolvaptan
DI (dry inside) (primary DI) .....ANSWER.....Decreased production
of ADH (dilute urine)
Secondary DI .....ANSWER.....TBI
Neurosurgery
Trauma
Infection
Sx
Dipsogenic DI .....ANSWER.....Excessive fluid intake
, Page 4 of 68
Nephrogenic DI .....ANSWER.....kidneys don't respond properly to
ADH
Drug related DI .....ANSWER.....Lithium, demeclocycline
S/S OF DI .....ANSWER.....Dehydration
For someone with DI, check vital signs for
.....ANSWER.....Tachycardia and hypotension
Treatment for DI .....ANSWER.....DDAVP (desmopressin)
Therapeutic response for DI .....ANSWER.....Decrease urine output
Hallmark sign of DI .....ANSWER.....polyuria (increased urine)
When a pt receives regular insulin when to check to
hypoglycemia (remember peak hours so check in 3 hours)
.....ANSWER.....1000
Why are DM patients prone to infection .....ANSWER.....Elevated
glucose increase the chance for bacteria growth
Normal HgbA1c .....ANSWER.....Less than 7 is good
