NUR 242 MED SURG EXAM 2 2024 NEWEST ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (100% CORRECT) |ALREADY GRADED
A+||GALEN COLLEGE OF NURSING
Hypercalcemia causes - answer>>>- excessive oral
intake of calcium and Vitamin D
- kidney failure
- use of thiazide diuretics
Hypercalcemia s/s - answer>>>- serum level higher
than 10.5
- severe muscle weakness and decreased deep
tendon reflexes
- confusion
- lethargy
- INCREASED HR & BP
- severe prolonged - electrical conduction
depression
- cyanosis, pallor
- blood clots
Hypercalcemia treatment - answer>>>- D/C thiazide
diuretics and replace with diuretics that enhance
excretion of calcium (lasix/furosemide)
- administer IV fluids (0.9% NS)
- sodium increases kidney excretion of calcium
, Hyperkaelmia treatment - answer>>>- assess
cardiac complications
- fall prevention
- Kayexalate
- hold oral potassium supplements
- potassium restricted diet
- tele montior
Hyperkalemia causes - answer>>>- potassium-
sparing diuretics
- salt substitutes
ACE inhibitors
- kidney failure
-rapid infusion of potassium containing IV solutions
Hyperkalemia s/s - answer>>>- serum level greater
than 5.0
- SLOW, WEAK, IRREGULAR HEART RATE
- decreased BP
- profound skeletal muscle weakness
- CARDIAC DYSRHYTHMIA - TALL PEAKED T
WAVES AND WIDE QRS COMPLEXES
Hypermagnesemia causes - answer>>>- increased
magnesium-containing antacids and laxatives
- increased magnesium replacement
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (100% CORRECT) |ALREADY GRADED
A+||GALEN COLLEGE OF NURSING
Hypercalcemia causes - answer>>>- excessive oral
intake of calcium and Vitamin D
- kidney failure
- use of thiazide diuretics
Hypercalcemia s/s - answer>>>- serum level higher
than 10.5
- severe muscle weakness and decreased deep
tendon reflexes
- confusion
- lethargy
- INCREASED HR & BP
- severe prolonged - electrical conduction
depression
- cyanosis, pallor
- blood clots
Hypercalcemia treatment - answer>>>- D/C thiazide
diuretics and replace with diuretics that enhance
excretion of calcium (lasix/furosemide)
- administer IV fluids (0.9% NS)
- sodium increases kidney excretion of calcium
, Hyperkaelmia treatment - answer>>>- assess
cardiac complications
- fall prevention
- Kayexalate
- hold oral potassium supplements
- potassium restricted diet
- tele montior
Hyperkalemia causes - answer>>>- potassium-
sparing diuretics
- salt substitutes
ACE inhibitors
- kidney failure
-rapid infusion of potassium containing IV solutions
Hyperkalemia s/s - answer>>>- serum level greater
than 5.0
- SLOW, WEAK, IRREGULAR HEART RATE
- decreased BP
- profound skeletal muscle weakness
- CARDIAC DYSRHYTHMIA - TALL PEAKED T
WAVES AND WIDE QRS COMPLEXES
Hypermagnesemia causes - answer>>>- increased
magnesium-containing antacids and laxatives
- increased magnesium replacement
