NUR 185 FINAL QUESTIONS WITH COMPLETE
SOLUTIONS
What body type is Addisons?
Small, weak, tanned
What is addison's disease?
the result of a destructive disease process affecting
the adrenal glands that causes deficiencies of
cortisol and aldosterone
Post op care for adrenalectomy
ICU after surger
Vasopressor if BP & pulse unsteady
Monitor VS for shock
What is adrenalectomy?
removal of adrenal glands
Patient teaching after transsphenoiodal
microsurgery
-do not blow nose (nares)
-monitor for bleeding
-wound care
-signs & symptoms of infection
How is transspheniodal microsurgery performed?
through the nasal cavity
,what type of tumor is transsphenoidal
microsurgery removing?
pituitary tumor
What type of tumor is adrenalectomy removing
adrenal tumor
Diagnostic test/management of Cushing's
-plasma cortisol levels
-ACTH levels
-Xray, MRI, CT scan
What are the types of treatment for cushing's?
drug therapy
radiation
surgery
What types of tumors are endogenous?
Pituitary
Adrenal
What can people with cushing's NOT have?
steroids
What is Cushing's syndrome?
result from excessive cortisol. The hypersecretion
of the adrenal cortex may result in the production
of excess amounts of corticosteriods
What is fluid volume deficit?
,When water is less than normal in the body
What is fluid volume excess?
When water is too much in the body
S/S of hypovolemia (FVD)
HYPOtension
Weak, rapid pulse
Decreased temperature
Weight loss
Decrease urine output
How do you treat hypovolemia (fvd)?
Fluid & electrolyte replacement
Daily weights
Monitor input & output
Encourage oral fluids
s/s hypervolemia/fluid volume excess
Edema/ pulmonary edema
Weight gain
Pupils sluggish to light
HYPERtension
Increased respirations (crackles)
What causes hyponatremia?
Excessive water intake
Loss of sodium
Diarrhea
Vomiting
, S/S of hyponatremia
S- seizures
A- abdominal cramping
L- lethargic
T- tendon reflexes, trouble concentrating
L- loss of urine & appetite
O- orthostatic hypotension, bowels
S- shallow respirations (late)
S- spasms of muscles
How do you treat hyponatremia?
Fluid restrictions
NS or LR
Lasix
Sodium diet
What do you monitor with hyponatremia?
I&O
Lab results
Vitals
Safety precautions
s/s hypernatremia
F- fatigue
R- restless, really agitated
I- increased reflexes
E- extreme thirst
D- decreased urine output, DRY mouth
SOLUTIONS
What body type is Addisons?
Small, weak, tanned
What is addison's disease?
the result of a destructive disease process affecting
the adrenal glands that causes deficiencies of
cortisol and aldosterone
Post op care for adrenalectomy
ICU after surger
Vasopressor if BP & pulse unsteady
Monitor VS for shock
What is adrenalectomy?
removal of adrenal glands
Patient teaching after transsphenoiodal
microsurgery
-do not blow nose (nares)
-monitor for bleeding
-wound care
-signs & symptoms of infection
How is transspheniodal microsurgery performed?
through the nasal cavity
,what type of tumor is transsphenoidal
microsurgery removing?
pituitary tumor
What type of tumor is adrenalectomy removing
adrenal tumor
Diagnostic test/management of Cushing's
-plasma cortisol levels
-ACTH levels
-Xray, MRI, CT scan
What are the types of treatment for cushing's?
drug therapy
radiation
surgery
What types of tumors are endogenous?
Pituitary
Adrenal
What can people with cushing's NOT have?
steroids
What is Cushing's syndrome?
result from excessive cortisol. The hypersecretion
of the adrenal cortex may result in the production
of excess amounts of corticosteriods
What is fluid volume deficit?
,When water is less than normal in the body
What is fluid volume excess?
When water is too much in the body
S/S of hypovolemia (FVD)
HYPOtension
Weak, rapid pulse
Decreased temperature
Weight loss
Decrease urine output
How do you treat hypovolemia (fvd)?
Fluid & electrolyte replacement
Daily weights
Monitor input & output
Encourage oral fluids
s/s hypervolemia/fluid volume excess
Edema/ pulmonary edema
Weight gain
Pupils sluggish to light
HYPERtension
Increased respirations (crackles)
What causes hyponatremia?
Excessive water intake
Loss of sodium
Diarrhea
Vomiting
, S/S of hyponatremia
S- seizures
A- abdominal cramping
L- lethargic
T- tendon reflexes, trouble concentrating
L- loss of urine & appetite
O- orthostatic hypotension, bowels
S- shallow respirations (late)
S- spasms of muscles
How do you treat hyponatremia?
Fluid restrictions
NS or LR
Lasix
Sodium diet
What do you monitor with hyponatremia?
I&O
Lab results
Vitals
Safety precautions
s/s hypernatremia
F- fatigue
R- restless, really agitated
I- increased reflexes
E- extreme thirst
D- decreased urine output, DRY mouth
