NR 325 Exam 1 GRADE A+ CORRECT
SOLUTIONS
What disorder causes low serum osmolality?
A. SIADH
B. DI
A. SIADH
What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI
B. DI (because you are peeing out all of the H2O)
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What sound is indicative of a post-op thyroidectomy pt declining
rapidly?
Stridor (upper airway obstruction)
What would a pt experience with a thyroidectomy? What medication
would they be on?
Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
Pt is flushed, tachycardic, can't sleep, has brittle hair, and is
experiencing weight loss; what do they have?
Hyperthyroidism
Pt has a below normal temperature, hypotension, and hypoventilation;
what is the pt experiencing?
Myxedema coma
What conditions would cause the pt to have high BP?
SIADH
Hyperthyroidism
, What condition would cause a low urine specific gravity?
DI (<1.005)
What causes low levels of T3, T4, and high levels of TSH?
Hypothyroidism
A pt is urinating 19L a day and constantly drinking; what condition
do they have?
DI
What condition do you treat with desmopressin?
DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What condition do you treat with IV diuretics?
SIADH (because of fluid retention)
What is the antidote for CT dye and Tylenol?
Mucomyst (acetylcysteine)
What is the antidote for heparin?
Protamine sulphate
What disorders cause an increase in adverse effects when taking
synthroid?
Cardiovascular disorders (because synthroid increases metabolism
which increases risk for MI, etc)
Does blood pressure decrease or increase during a thyroid storm?
BP increases (because of a spike in metabolism)
What disease causes exophthalmos?
Hyperthyroidism (because it's r/t Grave's disease)
What is a clinical manifestation of excess ADH?
A. Hyperkalemia
B. Hypernatremia
C. Hyponatremia
D. Hypermagnesemia
C. Hyponatremia.
What hormones are secreted by the posterior pituitary?
ADH
Oxytocin
What electrolyte imbalance is d/t the removal of the parathyroid
gland during a thyroidectomy?
Hypocalcemia (low PTH = low calcium)
What condition do you treat with IV thyroid hormone?
Myxedema coma
In hyperthyroidism, what causes goiter?
High levels of T3 and T4
What does HHD and PD increase the risk for?
Infection
If a patient is on diuretic medications, what are they at risk for?
Hyper- and hypokalemia
SOLUTIONS
What disorder causes low serum osmolality?
A. SIADH
B. DI
A. SIADH
What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI
B. DI (because you are peeing out all of the H2O)
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:00
/
0:15
Full screen
Brainpower
Read More
What sound is indicative of a post-op thyroidectomy pt declining
rapidly?
Stridor (upper airway obstruction)
What would a pt experience with a thyroidectomy? What medication
would they be on?
Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
Pt is flushed, tachycardic, can't sleep, has brittle hair, and is
experiencing weight loss; what do they have?
Hyperthyroidism
Pt has a below normal temperature, hypotension, and hypoventilation;
what is the pt experiencing?
Myxedema coma
What conditions would cause the pt to have high BP?
SIADH
Hyperthyroidism
, What condition would cause a low urine specific gravity?
DI (<1.005)
What causes low levels of T3, T4, and high levels of TSH?
Hypothyroidism
A pt is urinating 19L a day and constantly drinking; what condition
do they have?
DI
What condition do you treat with desmopressin?
DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What condition do you treat with IV diuretics?
SIADH (because of fluid retention)
What is the antidote for CT dye and Tylenol?
Mucomyst (acetylcysteine)
What is the antidote for heparin?
Protamine sulphate
What disorders cause an increase in adverse effects when taking
synthroid?
Cardiovascular disorders (because synthroid increases metabolism
which increases risk for MI, etc)
Does blood pressure decrease or increase during a thyroid storm?
BP increases (because of a spike in metabolism)
What disease causes exophthalmos?
Hyperthyroidism (because it's r/t Grave's disease)
What is a clinical manifestation of excess ADH?
A. Hyperkalemia
B. Hypernatremia
C. Hyponatremia
D. Hypermagnesemia
C. Hyponatremia.
What hormones are secreted by the posterior pituitary?
ADH
Oxytocin
What electrolyte imbalance is d/t the removal of the parathyroid
gland during a thyroidectomy?
Hypocalcemia (low PTH = low calcium)
What condition do you treat with IV thyroid hormone?
Myxedema coma
In hyperthyroidism, what causes goiter?
High levels of T3 and T4
What does HHD and PD increase the risk for?
Infection
If a patient is on diuretic medications, what are they at risk for?
Hyper- and hypokalemia
