NUR 265 EXAM 2 QUESTIONS
WITH CORRECT DETAILED
ANSWERS
What is ECMO? - Answer-It rests the heart and the lungs. It oxygenates the blood and
then puts it back into circulation.
For a chest tube, is there supposed to be bubbling in the water seal chamber? -
Answer-No. Bubbling means that there is an air leak
For a chest tube, is there supposed to be bubbling in the suction control chamber? -
Answer-Yes
What is a pheochromocytoma? - Answer-A catecholamine producing tumor that arises
in the adrenal medulla. The tumor releases an excess amount of epinephrine and NE.
What is the hallmark symptom of a pheochromocytoma? - Answer-Hypertension
True or False. It is appropriate to palpate the abdomen in a patient with a
pheochromocytoma? - Answer-False. Palpating the abdomen could stimulate a sudden
release of catacholamines and trigger severe HTN.
What are the s/s of a pheochromocytoma? - Answer-HTN
Headaches
Palpitations
Severe Anxiety
Pallor
A-Fib
Diaphoresis
How is a pheochromocytoma diagnosed? - Answer-HTN
Elevated levels of catecholamines
CT/MRI
What is a major complication with a pheochromocytoma? - Answer-Hemorrhage. The
tumor is highly vascularized.
How is a pheochromocytoma treated? - Answer-Medication to lower the BP and surgery
to remove the tumor on the adrenal gland
, Why are patients with Cushing's disease at an increased risk for infection? - Answer-
The steroids break down lymphocytes which will increase the risk for infection.
*Infection precautions: No raw veggies and wash hands*
What are lab values of Addisons? - Answer-Hypoglycemia
Hypovolemia
Hyponatremia
Hyperkalemia (watch for dysrhythmias: put on tele)
What are lab values of Cushings? - Answer-Hyperglycemia
Hypercolemia
Hypernatremia
Hypokalemia
Decreased lymphocytes and Ca
What are the s/s of Adddisons? - Answer-Weight loss
Anorexia
N&V
Syncope
Orthostatic hypotension
Joint muscle pain
Salt cravings (r/t hyponatremia)
*Fatigue*
What are the s/s of Cushings? - Answer-Muscle weakness
Weight gain
Truncal obesity
Buffalo Hump
Moon face
Thin skin
Fragile capillaries
*Fatigue*
When disgnosing a patient with either Addisons or Cushings, what question need to be
asked? - Answer-"What medications are you on?" "Have you recently stopped taking
them?"
Basically asking if they have been taking steroids
What is a hypophysectomy? - Answer-Removal of the pituitary gland through the nose.
Priority: *Watch for CSF fluid and dont allow any movement that will increase ICP*
When using therapeutic communication, what word do you never want to use? -
Answer-"why?"
WITH CORRECT DETAILED
ANSWERS
What is ECMO? - Answer-It rests the heart and the lungs. It oxygenates the blood and
then puts it back into circulation.
For a chest tube, is there supposed to be bubbling in the water seal chamber? -
Answer-No. Bubbling means that there is an air leak
For a chest tube, is there supposed to be bubbling in the suction control chamber? -
Answer-Yes
What is a pheochromocytoma? - Answer-A catecholamine producing tumor that arises
in the adrenal medulla. The tumor releases an excess amount of epinephrine and NE.
What is the hallmark symptom of a pheochromocytoma? - Answer-Hypertension
True or False. It is appropriate to palpate the abdomen in a patient with a
pheochromocytoma? - Answer-False. Palpating the abdomen could stimulate a sudden
release of catacholamines and trigger severe HTN.
What are the s/s of a pheochromocytoma? - Answer-HTN
Headaches
Palpitations
Severe Anxiety
Pallor
A-Fib
Diaphoresis
How is a pheochromocytoma diagnosed? - Answer-HTN
Elevated levels of catecholamines
CT/MRI
What is a major complication with a pheochromocytoma? - Answer-Hemorrhage. The
tumor is highly vascularized.
How is a pheochromocytoma treated? - Answer-Medication to lower the BP and surgery
to remove the tumor on the adrenal gland
, Why are patients with Cushing's disease at an increased risk for infection? - Answer-
The steroids break down lymphocytes which will increase the risk for infection.
*Infection precautions: No raw veggies and wash hands*
What are lab values of Addisons? - Answer-Hypoglycemia
Hypovolemia
Hyponatremia
Hyperkalemia (watch for dysrhythmias: put on tele)
What are lab values of Cushings? - Answer-Hyperglycemia
Hypercolemia
Hypernatremia
Hypokalemia
Decreased lymphocytes and Ca
What are the s/s of Adddisons? - Answer-Weight loss
Anorexia
N&V
Syncope
Orthostatic hypotension
Joint muscle pain
Salt cravings (r/t hyponatremia)
*Fatigue*
What are the s/s of Cushings? - Answer-Muscle weakness
Weight gain
Truncal obesity
Buffalo Hump
Moon face
Thin skin
Fragile capillaries
*Fatigue*
When disgnosing a patient with either Addisons or Cushings, what question need to be
asked? - Answer-"What medications are you on?" "Have you recently stopped taking
them?"
Basically asking if they have been taking steroids
What is a hypophysectomy? - Answer-Removal of the pituitary gland through the nose.
Priority: *Watch for CSF fluid and dont allow any movement that will increase ICP*
When using therapeutic communication, what word do you never want to use? -
Answer-"why?"
