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Exam 2: NSG4100 / NSG 4100 (Latest 2025/ 2026 Update) Nursing Practice - Adult Health III Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 2: NSG4100 / NSG 4100 (Latest 2025/ 2026 Update) Nursing Practice - Adult Health III Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen Q: Cushings diet Answer: low sodium, high potassium, high protein, high calcium/Vit D to prevent muscle wasting, weight gain→ low carb → PROTEIN, MILK, ASPARAGUS OR VEG Q: Who is at risk for cushings Answer: woman ages 20-40, long term steroid use (COPD), adrenal tumors Q: S/s cushings Answer: Buffalo hump Red moon face Purple striae Q: Abnormal finding s/s with cushings Answer: Goiter Q: Important assessment for cushings patients Answer: Assess bony prominences-thin skin Q: Complications post adrenalectomy Answer: Adrenal insufficiency 12-48 hours post curtesy Hydrocortisone may be needed Q: How do we treat cushings r/t pituitary tumor Answer: surgical removal of tumor by transsphenoidal hypophysectomy, possibly radiation of pituitary gland Q: What causes primary addisons disease Answer: destruction of adrenal cortex through idiopathic or autoimmune, dysfunction of hpa axis resulting in insufficient production of steroids by adrenal glands Q: What causes secondary addisons dz Answer: Abrupt stop of steroids Q: Other causes of addisons not steroid or autoimmune related Answer: TB, histoplasmosis, surgical removal, meds- barbs, rifapin, tyrosine kinase inhibitors, and metastatic cancers Q: Expected labs for addisons Answer: Low blood glucose Low sodium High potassium Leukocytes is Metabolic acidosis Q: S/S of Addison's Disease? Answer: Muscle weakness Lethargy GI upset Hyperpigmentation Q: S/s addisonian crisis Answer: stress of surgery or dehydration, hypotension, cyanosis, fever, nausea, confusion, diarrhea, pallor, ABD pain, confusion, RESTLESSNESS is often a first sign Q: Priority treatments for addisonian crisis Answer: IMMEDIATE IVF Glucose Electrolytes(sodium) Steroid replacement Legs in recumbent position 3-4 L D5W/NS Q: What assessment intervention should be implemented with all patients who are hyperkalemia Answer: TELEMETRY Q: Pt teaching for potassium sparing diuretics Answer: Sodium and water excretion are increased Avoid avocado, banana, potato Q: What med for hyperaldostrone

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Uploaded on
February 1, 2025
Number of pages
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Written in
2024/2025
Type
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Questions & answers

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Examl 2:l NSG4100l /l NSGl 4100l (Latestl
2025/l 2026l Update)l Nursingl Practicel -l
Adultl Healthl IIIl Guide|l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galen

Q:l Cushingsl diet

Answer:
lowl sodium,l highl potassium,l highl protein,l highl calcium/Vitl Dl tol preventl musclel
wasting,l weightl gain→l lowl carbl

→l PROTEIN,l MILK,l ASPARAGUSl ORl VEG




Q:l Whol isl atl riskl forl cushings

Answer:
womanl agesl 20-40,l longl terml steroidl usel (COPD),l adrenall tumors




Q:l S/sl cushings

Answer:
Buffalol humpl
Redl moonl face
Purplel striae

,Q:l Abnormall findingl s/sl withl cushings

Answer:
Goiter




Q:l Importantl assessmentl forl cushingsl patients

Answer:
Assessl bonyl prominences-thinl skin




Q:l Complicationsl postl adrenalectomy

Answer:
Adrenall insufficiencyl 12-48l hoursl postl curtesyl
Hydrocortisonel mayl bel needed




Q:l Howl dol wel treatl cushingsl r/tl pituitaryl tumor

Answer:
surgicall removall ofl tumorl byl transsphenoidall hypophysectomy,l possiblyl radiationl ofl
pituitaryl gland




Q:l Whatl causesl primaryl addisonsl disease

Answer:
destructionl ofl adrenall cortexl throughl idiopathicl orl autoimmune,l dysfunctionl ofl hpal axisl
resultingl inl insufficientl productionl ofl steroidsl byl adrenall glands

,Q:l Whatl causesl secondaryl addisonsl dz

Answer:
Abruptl stopl ofl steroids




Q:l Otherl causesl ofl addisonsl notl steroidl orl autoimmunel related

Answer:
TB,l histoplasmosis,l surgicall removal,l meds-l barbs,l rifapin,l tyrosinel kinasel inhibitors,l andl
metastaticl cancers




Q:l Expectedl labsl forl addisons

Answer:
Lowl bloodl glucose
Lowl sodium
Highl potassium
Leukocytesl is
Metabolicl acidosis




Q:l S/Sl ofl Addison'sl Disease?

Answer:
Musclel weaknessl
Lethargyl
GIl upset
Hyperpigmentation

, Q:l S/sl addisonianl crisis

Answer:
stressl ofl surgeryl orl dehydration,l hypotension,l cyanosis,l fever,l nausea,l confusion,l
diarrhea,l pallor,l ABDl pain,l confusion,l RESTLESSNESSl isl oftenl al firstl sign




Q:l Priorityl treatmentsl forl addisonianl crisis

Answer:
IMMEDIATEl IVF
l Glucosel
Electrolytes(sodium)
Steroidl replacement
Legsl inl recumbentl positionl
3-4l Ll D5W/NS




Q:l Whatl assessmentl interventionl shouldl bel implementedl withl alll patientsl whol arel
hyperkalemia


Answer:
TELEMETRY




Q:l Ptl teachingl forl potassiuml sparingl diuretics

Answer:
Sodiuml andl waterl excretionl arel increased
Avoidl avocado,l banana,l potato

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