Assessment 3 Questions with Correct
Answers, A+
A patient with a history of prostate cancer is admitted with confusion, thirst,
nausea, oliguria, and abdominal cramping. The patient has gained 12 lb in the last
two weeks. Diagnostics include
potassium: 4.1 mEq/L
sodium: 118 mEq/L
serum osmolality: 272 mOsm/kg H2O
increased urine osmolality
Which part of the nephron is affected by this endocrine disorder?
Distal tubule and collecting duct
Proximal tubule and descending loop
Glomerular capsule
Bowman capsule
Syndrome of inappropriate secretion of antidiuretic hormone (ADH) is an over secretion of ADH by the posterior pituitary gland due to several
reasons, including prostate or renal cancers. When there is an over-secretion of ADH, it causes the distal tubules and collecting duct to reabsorb
water and hyper-dilute the serum, causing a decreased serum sodium level, low serum osmolality, and high urine osmolality. The patient then
gains weight from the excess fluid.
An advanced practice registered nurse (APRN) is reviewing orders for a patient
who passed a calculi, which relieved the condition of compensatory hypertrophy.
The APRN is aware that the patient will need to be monitored closely due to a
common condition associated with return to bilateral function.
, Which condition should the APRN anticipate?
Apoptosis
Post-obstructive diuresis
Renal colic
Hyperfunction
Patients will have marked polyuria (> 4-5 L per day) after the release of bilateral obstruction. The physiological factors include excess sodium
and water retention and accumulation of urea and other non-reabsorbable solutes, resulting in an osmotic diuresis.
A patient expresses concern to an advanced practice registered nurse (APRN)
about not being able to complete an entire meal without experiencing acid reflux.
The patient also reports new symptoms including chest pain and dysphagia. The
APRN suspects that the patient might have cancer.
Which type of cancer is the APRN concerned about?
Pancreatic
Colorectal
Esophageal
Stomach
The most common symptom of esophageal cancer is a problem swallowing (dysphagia), with a feeling like the food is stuck in the throat or
chest or even choking on food. Some people get a feeling of pressure or burning in the chest.
An advanced practice registered nurse (APRN) is working with a patient who has
been diagnosed with detrusor hyperreflexia of the bladder without dyssynergia.
The APRN is aware that an underlying neurological disorder led to the patient's
condition.
Which neurological disorder caused this condition?