Of Nursing (Questions & A+ Solutions)
What disorder causes low serum osmolality?
A. SIADH
B. DI Correct Answer - A. SIADH
What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI Correct Answer - B. DI (because you are peeing out all of
the H2O)
What sound is indicative of a post-op thyroidectomy pt declining
rapidly? Correct Answer - Stridor (upper airway obstruction)
What would a pt experience with a thyroidectomy? What
medication would they be on? Correct Answer - Pt would
experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
Pt is flushed, tachycardic, can't sleep, has brittle hair, and is
experiencing weight loss; what do they have? Correct Answer -
Hyperthyroidism
Pt has a below normal temperature, hypotension, and
hypoventilation; what is the pt experiencing? Correct Answer -
Myxedema coma
What conditions would cause the pt to have high BP? Correct
Answer - SIADH
Hyperthyroidism
, What condition would cause a low urine specific gravity? Correct
Answer - DI (<1.005)
What causes low levels of T3, T4, and high levels of TSH? Correct
Answer - Hypothyroidism
A pt is urinating 19L a day and constantly drinking; what condition
do they have? Correct Answer - DI
What condition do you treat with desmopressin? Correct Answer
- DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
What condition do you treat with IV diuretics? Correct Answer -
SIADH (because of fluid retention)
What is the antidote for CT dye and Tylenol? Correct Answer -
Mucomyst (acetylcysteine)
What is the antidote for heparin? Correct Answer - Protamine
sulphate
What disorders cause an increase in adverse effects when taking
synthroid? Correct Answer - Cardiovascular disorders
(because synthroid increases metabolism which increases risk for
MI, etc)
Does blood pressure decrease or increase during a thyroid storm?
Correct Answer - BP increases (because of a spike in
metabolism)
What disease causes exophthalmos? Correct Answer -
Hyperthyroidism (because it's r/t Grave's disease)