Nursing 3100 UCONN Final EXAM
2025 Questions and Answers
What common antidepressant can cause hyponatremia?
What other drug? - ANSWER-SSRIs (selective seritonin reuptake inhibitors)
thiazide diuretics, ecstasy
what are the risks of reversing hyponatremia too quickly? - ANSWER-brainstem
herniation and risk of cerebral pontine myelinolysis
Which is more fatal? hyperkalemia or hypokalemia? - ANSWER-hyperkalemia
Where do the greatest losses of potassium occur normally? - ANSWER-greatest
losses of potassium occur normally in the distal tubules of the kidney--> you are
losing potassium through bowel movements
Why should one measure urine output before starting a potassium containing IV
infusion in a traumatized patient? - ANSWER-to check for hypernatremia
to make sure urine output is in normal range
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,Decreased urine output could also mean increasing of the potassium in the blood
which could be fatal
TPN - ANSWER-total parenteral nutrition (if the gut is not working the patient
would get its nutrients through this)
What are the signs of excess fluid in the body? - ANSWER-jugular venous
distension
bounding pulses
distended neck veins
hypertension
Mrs. F. has decreased urine volume with a specific gravity of 1.09. Her sodium is
155 mEq/L and her H/H are abnormally elevated as is her serum albumin. What
do you suspect? - ANSWER-Hypernatremia
Patients receiving tube feedings who are not also given additional water are at risk
for what electrolyte imbalance that may result in changes in personality, agitation,
and confusion? - ANSWER-could have elevated sodium and potassium levels
What does Trousseau's phenomenon and positive Chvostek's sign indicate? -
ANSWER-Hypocalcemic Tetany
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, What increases the risk of hyponatremia in older adults? - ANSWER-Prostate
surgery
hyperglycemia
SIADH (syndrome of inappropriate ADH)
Increased ADH
SSRI's
Diuretics
kidney disease
How do Thiazide diuretics and SSRIs cause hyponatremia - ANSWER-SSRIs and
Diuretics cause excess sodium loss through urine because it causes water retention
In Red Hat Hikers what was the problem with Sue? - ANSWER-she had
hyponatremia
How could sue with hyponatremia be treated? - ANSWER-water restriction and
increased sodium intake
How do antiemetics work? - ANSWER-Block the chemoreceptor trigger zone
(CTZ) via various avenues
What is the physiology of nausea and vomiting? - ANSWER-The vomiting/emesis
center is located in the medulla oblongata
Direct and indirect stimulants activate that center
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
2025 Questions and Answers
What common antidepressant can cause hyponatremia?
What other drug? - ANSWER-SSRIs (selective seritonin reuptake inhibitors)
thiazide diuretics, ecstasy
what are the risks of reversing hyponatremia too quickly? - ANSWER-brainstem
herniation and risk of cerebral pontine myelinolysis
Which is more fatal? hyperkalemia or hypokalemia? - ANSWER-hyperkalemia
Where do the greatest losses of potassium occur normally? - ANSWER-greatest
losses of potassium occur normally in the distal tubules of the kidney--> you are
losing potassium through bowel movements
Why should one measure urine output before starting a potassium containing IV
infusion in a traumatized patient? - ANSWER-to check for hypernatremia
to make sure urine output is in normal range
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,Decreased urine output could also mean increasing of the potassium in the blood
which could be fatal
TPN - ANSWER-total parenteral nutrition (if the gut is not working the patient
would get its nutrients through this)
What are the signs of excess fluid in the body? - ANSWER-jugular venous
distension
bounding pulses
distended neck veins
hypertension
Mrs. F. has decreased urine volume with a specific gravity of 1.09. Her sodium is
155 mEq/L and her H/H are abnormally elevated as is her serum albumin. What
do you suspect? - ANSWER-Hypernatremia
Patients receiving tube feedings who are not also given additional water are at risk
for what electrolyte imbalance that may result in changes in personality, agitation,
and confusion? - ANSWER-could have elevated sodium and potassium levels
What does Trousseau's phenomenon and positive Chvostek's sign indicate? -
ANSWER-Hypocalcemic Tetany
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, What increases the risk of hyponatremia in older adults? - ANSWER-Prostate
surgery
hyperglycemia
SIADH (syndrome of inappropriate ADH)
Increased ADH
SSRI's
Diuretics
kidney disease
How do Thiazide diuretics and SSRIs cause hyponatremia - ANSWER-SSRIs and
Diuretics cause excess sodium loss through urine because it causes water retention
In Red Hat Hikers what was the problem with Sue? - ANSWER-she had
hyponatremia
How could sue with hyponatremia be treated? - ANSWER-water restriction and
increased sodium intake
How do antiemetics work? - ANSWER-Block the chemoreceptor trigger zone
(CTZ) via various avenues
What is the physiology of nausea and vomiting? - ANSWER-The vomiting/emesis
center is located in the medulla oblongata
Direct and indirect stimulants activate that center
COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
