HACC Nursing 241 Quiz 3 (Final) Questions With Complete
Solutions
As a nurse how would you address Myxedema Coma as it
relates to Hypothyroidism? Correct Answers Maintain airway
patency
Check ABGs for respiratory acidosis
Monitor temperature hourly
0.9% NS fluid replacement
Glucose for hypoglycemia
IV Levothyroxine
Define DUOPA as it relates to PD Correct Answers This is an
implanted pump that deliver's the levodopa an infusion over 16
hours
Which allows more control over s&S
Define Hyperthyroidism Correct Answers Thyroid gland
overproduces T3 or T4 or both
Increased metabolic rate
Enlarged thyroid gland
Remission/exacerbation/recovery
Define Myxedema Coma Correct Answers Is a medical
Emergency!
Hypothermia
Hypoglycemia
,Lactic acidosis
Hyponatremia
Shock
*Can be caused by cold, trauma, or acute illness. Most
commonly found in oder women
Define S&S of Akinesia as it relates to PD Correct Answers
Akinesia - voluntary muscles
Extended time for ADLs
Difficulty rising to stand
Short steps/no arm swinging
Drooling/trouble chewing and swallowing
Slurred, slow speech, low volume
Define S&S of Cognitive problems as it relates to PD Correct
Answers Attention
Problem solving
Memory deficits
Slowed speed of thinking
Language - misnaming, word-finding
Define S&S of Posture as it relates to PD Correct Answers
Stooped
Shuffling gait, small steps
"Freezing" - when can't move feet
Retropulsion - falling backwards
Define S&S of Rigidity as it relates to PD Correct Answers
Involuntary Muscle contraction
Limited ROM
, "Cogwheel" - small jerking motions seen when patient tries to
extend arm
Define S&S of Speech/Swallowing problems as it relates to PD
Correct Answers Low volume
Words sound garbled
Drooling
Coughing/choking when eating
Food/liquid falls out of mouth
Define S&S of Tremor as it relates to PD Correct Answers
Begins with one hand, foot, jaw
At rest
"Pill-rolling"
Increases with stress
Define Sepsis Correct Answers Leading cause of death in
noncoronary care ICU
Gram-positive infections
Wounds, invasive procedures and equipment
Define Sepsis Criteria Correct Answers - Meets SIRS criteria
- Suspected or culture documented infection
Monitor for these:
SBP>40 mmhg below baseline (Systolic baseline)
Hyperglycemia I a patient who is not diabetic
Signs of poor perfusion - delayed cap refill, mottling
Coagulation abonormailites - dropping PLT count, increast
aPTT (20-35 sec)
Decrease urine output despite fluid resuscitation
Solutions
As a nurse how would you address Myxedema Coma as it
relates to Hypothyroidism? Correct Answers Maintain airway
patency
Check ABGs for respiratory acidosis
Monitor temperature hourly
0.9% NS fluid replacement
Glucose for hypoglycemia
IV Levothyroxine
Define DUOPA as it relates to PD Correct Answers This is an
implanted pump that deliver's the levodopa an infusion over 16
hours
Which allows more control over s&S
Define Hyperthyroidism Correct Answers Thyroid gland
overproduces T3 or T4 or both
Increased metabolic rate
Enlarged thyroid gland
Remission/exacerbation/recovery
Define Myxedema Coma Correct Answers Is a medical
Emergency!
Hypothermia
Hypoglycemia
,Lactic acidosis
Hyponatremia
Shock
*Can be caused by cold, trauma, or acute illness. Most
commonly found in oder women
Define S&S of Akinesia as it relates to PD Correct Answers
Akinesia - voluntary muscles
Extended time for ADLs
Difficulty rising to stand
Short steps/no arm swinging
Drooling/trouble chewing and swallowing
Slurred, slow speech, low volume
Define S&S of Cognitive problems as it relates to PD Correct
Answers Attention
Problem solving
Memory deficits
Slowed speed of thinking
Language - misnaming, word-finding
Define S&S of Posture as it relates to PD Correct Answers
Stooped
Shuffling gait, small steps
"Freezing" - when can't move feet
Retropulsion - falling backwards
Define S&S of Rigidity as it relates to PD Correct Answers
Involuntary Muscle contraction
Limited ROM
, "Cogwheel" - small jerking motions seen when patient tries to
extend arm
Define S&S of Speech/Swallowing problems as it relates to PD
Correct Answers Low volume
Words sound garbled
Drooling
Coughing/choking when eating
Food/liquid falls out of mouth
Define S&S of Tremor as it relates to PD Correct Answers
Begins with one hand, foot, jaw
At rest
"Pill-rolling"
Increases with stress
Define Sepsis Correct Answers Leading cause of death in
noncoronary care ICU
Gram-positive infections
Wounds, invasive procedures and equipment
Define Sepsis Criteria Correct Answers - Meets SIRS criteria
- Suspected or culture documented infection
Monitor for these:
SBP>40 mmhg below baseline (Systolic baseline)
Hyperglycemia I a patient who is not diabetic
Signs of poor perfusion - delayed cap refill, mottling
Coagulation abonormailites - dropping PLT count, increast
aPTT (20-35 sec)
Decrease urine output despite fluid resuscitation
