NUR 1140 cje med surg i review Questions with 100%
Verified Answers Latest Update
Question: addison's disease
Answer:
absence of steroids hypofxn of adrenal glands = decreased corticosteriods
Question: manifestations of addison's disease
Answer:
ADDSS
Added pigmentation + potassium/caused by Autoimmune disorder
Decreased weight (loss of water)/ caused by Disease (i.e. cancer, infections, HIV, TB)
Decreased BP, glucose, hair, energy, temp/caused by Damage to adrenal glands
Sodium loss
Salt craving
abdominal cramping, frail, weak
Question: priority assessment for addison's disease
Answer:
Addisonian crisis: severe abdominal pain, lower back pain, hypotension, tachy, weakness,
hyperkalemia, hypoglycemia, hyponatremia
Question: acute addisonian crisis priority interventions....
Answer:
administer steroids iv push ("-sone")
initiate iv and admin large vol of saline sol (for hypotension, f/e imbalance, hypoglycemia)
vitals (BLOOD PRESSURE)
Question: how can addisonian crisis be prevented
Answer:
slowly taper off steroids, steroid dose may need to be increased during times of stress or
during surgery, removing organs = replace hormones (life-long hormone replacement)
Question: cushing syndrome
Answer:
excessive amounts of steroids, chronic overexposure to corticosteroids (d2 pituitary tumor,
admin of corticosteroids)
, Question: cushing's syndrome manifestations
Answer:
CUSH
Cushion = obesity, buffalo hump, moon face Unusual hair growth Skin = stretch marks High
BP, sugar, weight
slow wound healing, fractures (d2 osteoporosis), infection
lower extremity edema, htn, osteoporosis = compression fractures
Question: what actions should a nurse anticipate when receiving a cushing's pt?
Answer:
admin of fluid and medications, surgery, control underlying cause (remove tumor, decrease
steroids)
Question: what labs and vitals are elevated/decreased in cushing's
Answer:
increased = bp, bg, Na
decreased = K, Ca
Question: potential complications cushing's
Answer:
fractures (r/2 osteoporosis), htn, t2dm, infections, hemorrhage from surgery
Question: Causes of Cushing's Syndrome
Answer:
long term steroid use, tumors, small cell lung cancer
Question: compare s/s of hypo/hyperthyroidism
Answer:
hypothyroidism - thinning hair, enlarged thyroid, puffy face, brady, constipation
hyper - brittle hair, bulging eyes, diarrhea
Verified Answers Latest Update
Question: addison's disease
Answer:
absence of steroids hypofxn of adrenal glands = decreased corticosteriods
Question: manifestations of addison's disease
Answer:
ADDSS
Added pigmentation + potassium/caused by Autoimmune disorder
Decreased weight (loss of water)/ caused by Disease (i.e. cancer, infections, HIV, TB)
Decreased BP, glucose, hair, energy, temp/caused by Damage to adrenal glands
Sodium loss
Salt craving
abdominal cramping, frail, weak
Question: priority assessment for addison's disease
Answer:
Addisonian crisis: severe abdominal pain, lower back pain, hypotension, tachy, weakness,
hyperkalemia, hypoglycemia, hyponatremia
Question: acute addisonian crisis priority interventions....
Answer:
administer steroids iv push ("-sone")
initiate iv and admin large vol of saline sol (for hypotension, f/e imbalance, hypoglycemia)
vitals (BLOOD PRESSURE)
Question: how can addisonian crisis be prevented
Answer:
slowly taper off steroids, steroid dose may need to be increased during times of stress or
during surgery, removing organs = replace hormones (life-long hormone replacement)
Question: cushing syndrome
Answer:
excessive amounts of steroids, chronic overexposure to corticosteroids (d2 pituitary tumor,
admin of corticosteroids)
, Question: cushing's syndrome manifestations
Answer:
CUSH
Cushion = obesity, buffalo hump, moon face Unusual hair growth Skin = stretch marks High
BP, sugar, weight
slow wound healing, fractures (d2 osteoporosis), infection
lower extremity edema, htn, osteoporosis = compression fractures
Question: what actions should a nurse anticipate when receiving a cushing's pt?
Answer:
admin of fluid and medications, surgery, control underlying cause (remove tumor, decrease
steroids)
Question: what labs and vitals are elevated/decreased in cushing's
Answer:
increased = bp, bg, Na
decreased = K, Ca
Question: potential complications cushing's
Answer:
fractures (r/2 osteoporosis), htn, t2dm, infections, hemorrhage from surgery
Question: Causes of Cushing's Syndrome
Answer:
long term steroid use, tumors, small cell lung cancer
Question: compare s/s of hypo/hyperthyroidism
Answer:
hypothyroidism - thinning hair, enlarged thyroid, puffy face, brady, constipation
hyper - brittle hair, bulging eyes, diarrhea
