CPAN/CAPA set #2 questions with verified
answers
Patient's with acromegaly need constant vigilance in PACU because Ans✓✓-
Respiratory status.. because of protruding lower jaw and enlarged tongue
Hypersecretion of Growth Hormone causes this Ans✓✓-Acromegaly or Giantism;
usually happens before puberty
Hyposecretion of Growth Hormone causes this Ans✓✓-Simmonds Disease; is
characterized by premature senility, weakness, emaciated, mental lethargy and
wrinkled dry skin
What is a major cause of diabetes insipidus Ans✓✓-This condition is
characterized by the output of large volume of dilute sugar free urine which is
caused by lack of ADH
When ADH is secreted in large quantities, vasoconstriction of the smooth muscles
occurs.. this leads to Ans✓✓-elevated blood pressure
When blood supply to the kidneys is low Ans✓✓-Juxtaglomerular cells are
stimulated to release renin
A disease that is a deficiency of ACTH Ans✓✓-Addison Disease
When hemorrhage and trauma occurs during a surgical procedure Ans✓✓-ADH
secretion is elevated; this situation SIADH can be induced as a result of
overzealous fluid administration which can cause water intoxication
, Addision crisis Ans✓✓-Dehydration, nausea, hypotension followed by fever.
Marked flaccidity of extremities, hyponatremia, hyperkalemia, azotemia, shock
How does the nurse treat Addision Crisis Ans✓✓-Dexamethasone 2 - 4 IV along
with D5NS
Symptoms of water intoxication Ans✓✓-Headache, muscular weakness, anorexia,
nausea and vomiting... this leads to confusion, hostility disorientation,
uncooperativeness, drowsiness or convulsion and coma
How to treat SIAD Ans✓✓-Fluid restriction, diuresis w/ mannitol and lasix and
administration of sodium chloride
Evidence based risk factors for PONV Ans✓✓-female, non smoker, history of
PONV, postop opiods
Best treatment for PONV Ans✓✓-Multimodal interventions;consisting of more
than one pharmacological intervention targeting different drug receptors are
superior
Best position when patient is vomiting Ans✓✓-Head down position and give
oxygen immediately. Allows fluid to flow away from lungs rather than into lungs
Patient who has liver disease and had succinylcholine; what should the nurse
monitor Ans✓✓-Respiratory depression in the immediate postoperative period
answers
Patient's with acromegaly need constant vigilance in PACU because Ans✓✓-
Respiratory status.. because of protruding lower jaw and enlarged tongue
Hypersecretion of Growth Hormone causes this Ans✓✓-Acromegaly or Giantism;
usually happens before puberty
Hyposecretion of Growth Hormone causes this Ans✓✓-Simmonds Disease; is
characterized by premature senility, weakness, emaciated, mental lethargy and
wrinkled dry skin
What is a major cause of diabetes insipidus Ans✓✓-This condition is
characterized by the output of large volume of dilute sugar free urine which is
caused by lack of ADH
When ADH is secreted in large quantities, vasoconstriction of the smooth muscles
occurs.. this leads to Ans✓✓-elevated blood pressure
When blood supply to the kidneys is low Ans✓✓-Juxtaglomerular cells are
stimulated to release renin
A disease that is a deficiency of ACTH Ans✓✓-Addison Disease
When hemorrhage and trauma occurs during a surgical procedure Ans✓✓-ADH
secretion is elevated; this situation SIADH can be induced as a result of
overzealous fluid administration which can cause water intoxication
, Addision crisis Ans✓✓-Dehydration, nausea, hypotension followed by fever.
Marked flaccidity of extremities, hyponatremia, hyperkalemia, azotemia, shock
How does the nurse treat Addision Crisis Ans✓✓-Dexamethasone 2 - 4 IV along
with D5NS
Symptoms of water intoxication Ans✓✓-Headache, muscular weakness, anorexia,
nausea and vomiting... this leads to confusion, hostility disorientation,
uncooperativeness, drowsiness or convulsion and coma
How to treat SIAD Ans✓✓-Fluid restriction, diuresis w/ mannitol and lasix and
administration of sodium chloride
Evidence based risk factors for PONV Ans✓✓-female, non smoker, history of
PONV, postop opiods
Best treatment for PONV Ans✓✓-Multimodal interventions;consisting of more
than one pharmacological intervention targeting different drug receptors are
superior
Best position when patient is vomiting Ans✓✓-Head down position and give
oxygen immediately. Allows fluid to flow away from lungs rather than into lungs
Patient who has liver disease and had succinylcholine; what should the nurse
monitor Ans✓✓-Respiratory depression in the immediate postoperative period
