NURS 5461 QUIZ 1 QUESTIONS AND ANSWERS

NURS 5461 QUIZ 1 QUESTIONS AND
ANSWERS

Pernicious anemia - ans-lack of intrinsic factor, decreased b12
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Pernicious anemia s/s - ans-beefy red tongue, fatigue, paresthesia of hands/feet, fatigue
fz fz fz fzfz fz fz fz fz fz fz fz




macrocytic anemias - ans-Pernicious anemia, folate deficiency anemia >103mm
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causes of macrocytic anemias - ans-
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liver disease, low b12 or folate, gastrectomy, malabsorption, alcoholics
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microcytic anemia - ans- fz fz fzfz




iron deficiency, anemia of chronic disease late stage, lead poisoning, thalassemias,, occult
fz fz fz fz fz fz fz fz fz fz fz fz




blood in stool, menorrhagia, <87mm
fz fz fz fz




normocytic anemia - ans- fz fz fzfz




anemia of chronic disease, sickle cell, impaired bone marrow, hemolytic anemia, 87-
fz fz fz fz fz fz fz fz fz fz fz




103mm

primary storage for iron - ans-ferritin >100 = normal
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increased ferritin - ans-inflammatory disease, hepatitis, CRF,
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transferrin - ans- fz fzfz




regulates iron absorption and transport in body, low levels = protein malnutrition, >200 is nor
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mal

total iron binding capacity (TIBC) - ans-high when iron low 240-450
fz fz fz fz fz fzfz fz fz fz fz




> 400 with iron deficiency anemia
fz fz fz fz fz




Primary hypothyroidism - ans-High TSH, low T3 and T4
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Secondary hypothyroidism - ans-low TSH, low T3/T4, malfunction of pituitary
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Hashimoto's thyroiditis - ans-autoimmune thyroiditis, high TSH, low T3/T4
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Myxedema - ans-puffy face with hypothyroid fz fzfz fz fz fz




Grave's disease - ans- fz fz fzfz




autoimmune disorder leading to hyperthyroidism, antibodies mimicking TSH, high T4/T3
fz fz fz fz fz fz fz fz fz

, Primary Hyperthyroidism - ans-Low TSH High T3,T4
fz fz fzfz fz fz fz




excessive iodine uptake - ans-hyperthyroidism fz fz fz fzfz




first test for thyroid - ans-TSH
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TSH improvement after levothyroxine - ans-6-8 weeks
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subclinical hypothyroid - ans-elevated TSH, normal T4 and Free T4 fz fz fzfz fz fz fz fz fz fz




PTU, methimazole - ans-treat hyperthyroidism- agranulocytosis and liver disease SE
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prevalence of HTN after 65 years of age - ans-higher in women fz fz fz fz fz fz fz fz fzfz fz fz




DBP stabilizes? - ans-age 50 and older, SBP worsens
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nocturnal BP - ans-dipping at night by 15%. non-dipper = high risk for CVD and renal disease
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most effective for decreasing LVH - ans-ACE inhibitors
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stage 1 HTN - ans-140-159/90-99
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stage 2 HTN - ans->160/>100
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HTN Emergency - ans->180/120 with end organ damage
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Treat with IV nitroprusside, labetalol, Clonidine, Cardene
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pseudohypertension - ans-brachial artery sclerotic- BP cuff collapses artery- fz fzfz fz fz fz fz fz fz




false high reading- doesn't respond to treatment
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BP goal: <60 yrs, no diabetes or CKD - ans-<140/<90
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BP goal > 60 w/ DM or CKD - ans-<140/<90
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dihydropyridines- CCB - ans-Nicardipine, amlodipine, nifedipine- fz fz fzfz fz fz




dilates arteries, avoid in CKD
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non-dihydropyridines CCB - ans-Verapamil, Diltiazem- fz fz fzfz fz




reduces HR and contractility, CI in left ventricle dysfunction/ AV block
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reduces pedal edema caused by CCB - ans-adding ACE Inhibitor
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masks hypoglycemia except for diaphoresis - ans-BB
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stage 1 HTN with any risk factors - ans-initial TX
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