NURS 5461 Exam Questions With Correct Answers

NURS 5461 Exam Questions With Correct Answers Pernicious anemia - answerlack of intrinsic factor, decreased b12 Pernicious anemia s/s - answerbeefy red tongue, fatigue, paresthesia of hands/feet, fatigue macrocytic anemias - answerPernicious anemia, folate deficiency anemia >103mm causes of macrocytic anemias - answerliver disease, low b12 or folate, gastrectomy, malabsorption, alcoholics microcytic anemia - answeriron deficiency, anemia of chronic disease late stage, lead poisoning, thalassemias,, occult blood in stool, menorrhagia, <87mm normocytic anemia - answeranemia of chronic disease, sickle cell, impaired bone marrow, hemolytic anemia, 87-103mm primary storage for iron - answerferritin >100 = normal increased ferritin - answerinflammatory disease, hepatitis, CRF, transferrin - answerregulates iron absorption and transport in body, low levels = protein malnutrition, >200 is normal total iron binding capacity (TIBC) - answerhigh when iron low 240-450 > 400 with iron deficiency anemia Primary hypothyroidism - answerHigh TSH, low T3 and T4 Secondary hypothyroidism - answerlow TSH, low T3/T4, malfunction of pituitary Hashimoto's thyroiditis - answerautoimmune thyroiditis, high TSH, low T3/T4 Myxedema - answerpuffy face with hypothyroid Grave's disease - answerautoimmune disorder leading to hyperthyroidism, antibodies mimicking TSH, high T4/T3 Primary Hyperthyroidism - answerLow TSH High T3,T4 excessive iodine uptake - answerhyperthyroidism EXAM STUDY MATERIALS July 30, 2024 11:26 AM first test for thyroid - answerTSH TSH improvement after levothyroxine - answer6-8 weeks subclinical hypothyroid - answerelevated TSH, normal T4 and Free T4 PTU, methimazole - answertreat hyperthyroidism- agranulocytosis and liver disease SE prevalence of HTN after 65 years of age - answerhigher in women DBP stabilizes? - answerage 50 and older, SBP worsens nocturnal BP - answerdipping at night by 15%. non-dipper = high risk for CVD and renal disease most effective for decreasing LVH - answerACE inhibitors stage 1 HTN - answer140-159/90-99 stage 2 HTN - answer>160/>100 HTN Emergency - answer>180/120 with end organ damage Treat with IV nitroprusside, labetalol, Clonidine, Cardene pseudohypertension - answerbrachial artery sclerotic- BP cuff collapses artery- false high reading- doesn't respond to treatment BP goal: <60 yrs, no diabetes or CKD - answer<140/<90 BP goal > 60 w/ DM or CKD - answer<140/<90 dihydropyridines- CCB - answerNicardipine, amlodipine, nifedipine- dilates arteries, avoid in CKD non-dihydropyridines CCB - answerVerapamil, Diltiazem- reduces HR and contractility, CI in left ventricle dysfunction/ AV block reduces pedal edema caused by CCB - answeradding ACE Inhibitor masks hypoglycemia except for diaphoresis - answerBB stage 1 HTN with any risk factors - answerinitial TX stage 2 HTN - answer2 drug treatment DM Diagnosis - answerFBG >126, BG >200 with s/s, 2 hr post meal >200, A1C >6.5% hyperkeratotic condition, hyperpigmented