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NURS 6532 FINAL EXAM REVIEW DECK 1
1.What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic
hormone)?
Increased production of ADH (antidiuretic hormone), hyponatremia, concentrated
urine (from excess water resorption), elevated urine osmolality, mental status
changes from cerebral edema.
2.Diabetes insipidus is associated with what sodium level?
Hypernatremia Psychogenic polydipsia results in urine that is: diluted with low
osmolality and hyponatremia.
3.How would you determine the cause of a patient's AKI who presents with
decreased urine output, history of neurogenic bladder, chronic foley, dark urine,
and Cr increase from 1.3 to 2.1 over 3 months?
Flush the foley catheter to see if urine comes out and assess the patency of the
catheter. This action will unblock clogged sediment or biofilm from chronic
bacteriuria.
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, 4.When a female patient presents to the ER after sexual assault, what
medications should be offered prior to discharge? Ceftriaxone, azithromycin, Plan
B, and Metronidazole.
5.Manifestations of Conn syndrome (hyperaldosteronism)?
hypernatremia, hypokalemia, and hypertension.
6. What causes Cushing syndrome?
Increased levels of glucocorticoids, can be exogenous (from therapy) or
endogenous (from adenoma or neoplasm).
7.Manifestations of Cushing syndrome?
hypertension, truncal obesity, osteoporosis, skin fragility, and hyperglycemia.
8.What differentiates primary adrenocortical insufficiency from secondary
adrenocortical insufficiency?
9. Skin hyperpigmentation is present in primary adrenocortical insufficiency
What is Trousseau's sign?
A carpal spasm elicited by compression of the upper arm with a BP cuff that
indicates hypocalcemia.
10. What is Chovstek's sign?
A hemifacial tic that is induced by tapping the facial nerve below the maxilla that
indicates hypocalcemia.
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