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Exam (elaborations)

Final Exam Review Nurs 6531 Deck 1 questions and answers 2025.

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Final Exam Review Nurs 6531 Deck 1 questions and answers 2025.

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Final Exam Review
Nurs 6531 Deck 1
questions and answers
2025
What are signs & symptoms of SIADH (Syndrome of inappropriate
antidiuretic hormone)? - answer Increased production of ADH
(antidiuretic hormone), hyponatremia, concentrated urine (from
excess water resorption), elevated urine osmolality, mental status
changes from cerebral edema.


Diabetes insipidus is associated with what sodium level? - answer
Hypernatremia


Psychogenic polydipsia results in urine that is: - answer diluted with
low osmolality and hyponatremia


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? -
answer 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.


When a female patient presents to the ER after sexual assault, what
medications should be offered prior to discharge? - answer
Ceftriaxone, azithromycin, Plan B, and Metronidazole.


Manifestations of Conn syndrome (hyperaldosteronism)? - answer
hypernatremia, hypokalemia, and hypertension

, What causes Cushing syndrome? - answer Increased levels of
glucocorticoids, can be exogenous (from therapy) or endogenous
(from adenoma or neoplasm).


Manifestations of Cushing syndrome? - answer hypertension, truncal
obesity, osteoporosis, skin fragility, and hyperglycemia.


What differentiates primary adrenocortical insufficiency from
secondary adrenocortical insufficiency? - answer Skin
hyperpigmentation is present in primary adrenocortical insufficiency


What is Trousseau's sign? - answer A carpal spasm elicited by
compression of the upper arm with a BP cuff that indicates
hypocalcemia.


What is Chovstek's sign? - answer A hemifacial tic that is induced by
tapping the facial nerve below the maxilla that indicates
hypocalcemia.


What is Babinski's sign? - answer An upward response (extension) of
the hallux when the sole of the foot is stimulated with a blunt
instrument. Can identify spinal cord disease in adults.


What is Romberg's sign? - answer Loss of balance in standing when
eyes are closed. Usually indicating a loss of proprioception or lesion
in the cerebellum.


What is Homan's sign? - answer pain on passive dorsiflexion of
ankle, associated with DVT.

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