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CMSRN ALL CORE MAIN QUESTIONS AND ANSWERS SET A.pdf

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CMSRN ALL CORE MAIN QUESTIONS AND
ANSWERS SET A+
✔✔type of shock: most common- from massive blood loss - ✔✔hypovolemic

✔✔stage of hypovolemic shock that the cardiac output and BP are maintained -
✔✔compensated

✔✔stage of hypovolemic shock that evidence of decrease in cardiac OP (changes in
BP) is present - ✔✔uncompensated

✔✔stage of hypovolemic shock that cell and tissue ischemia lead to death -
✔✔irreversible

✔✔which endocrine organ of the brain stimulates/inhibits the pituitary gland, makes
ADH and oxytocin, and sends them to the posterior pituitary gland? - ✔✔hypothalamus

✔✔which endocrine gland of the brain is the "master gland" - ✔✔pituitary

✔✔which pituitary gland stores ADH and oxytocin, assists in maintaining fluid balance
and BP? - ✔✔posterior pituitary

✔✔which pituitary gland stores all "stimulating" hormones - ✔✔anterior

✔✔what endocrine insufficiency is characterized by hyposecretion of ADH? -
✔✔diabetes insipidus

✔✔what patients should you watch for DI? - ✔✔post op craniotomy patients

✔✔what endocrine insufficiency has the following S/S: high UOP, hypernatremia, low
urine osmolality, high plasma osmolality (DEHYDRATED) - ✔✔diabetes insipidus

, ✔✔what is the treatment for DI? - ✔✔aggressive fluid replacement, replace ADH,
accurate I/O

✔✔which endocrine insufficiency is characterized by hypersecretion of ADH and it's S/S
include nausea/vomiting/seizures? - ✔✔SIADH

✔✔what patients should you watch for SIADH? - ✔✔stroke, trauma, tumor, infection

✔✔treatment for SIADH? - ✔✔alleviate cause, fluid restriction/diuretics, daily weights

✔✔what are two important nursing aspects to remember with a thyroid storm? - ✔✔do
not give ASA, do not treat increased temp

✔✔which endocrine organ stores and maintains calcium levels? - ✔✔parathyroid

✔✔which endocrine organ produces epi and norepinephrine? - ✔✔adrenal medulla

✔✔which endocrine organ is responsible for steroid hormones (aldosterone, cortisol,
testosterone) - ✔✔adrenal cortex

✔✔what endocrine insufficiency is caused by under secretion of steroids from the
adrenal cortex r/t tumor? - ✔✔primary (adrenal) addisons disease

✔✔what endocrine insufficiency is caused by under secretion of ACTH r/t tumor? -
✔✔secondary (pituitary) addisons disease

✔✔how do you treat addisons disease? - ✔✔steroid replacement

✔✔what endocrine insufficiencies are related to the adrenal glands? - ✔✔addisons and
cushings

✔✔what endocrine insufficiency is caused by over secretion of steroids from the adrenal
cortex r/t tumor? - ✔✔primary (adrenal) cushings

✔✔what endocrine insufficiency is caused by over secretion of ACTH? - ✔✔secondary
(pituitary) cushings

✔✔how do you treat cushings disease? - ✔✔surgery for tumor removal, steroid taper

✔✔what category of insulin are lantus, levemir, and NPH? - ✔✔basal

✔✔what category of insulin are regular, humalog, novalog? - ✔✔prandial/bolus

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