NURS 354 exam 2

NURS 354 EXAM 2 WITH CORRECT
ANSWERS
Cushing's cSyndrome c- cCORRECT✅✅overproduction cof cadrenocortical chormone
- chigher cincidence cin cfemales
- ctypically ccaused cby ccorticosteroid cuse cbut ccan cbe cthe cresult cof ca ctumor

manifestations cof cCushing's cSyndrome c- cCORRECT✅✅weight cgain c(central-type
cobesity, cheavy ctrunk)
buffalo chump
thin cextremities
thin cskin
muscle cwasting
hypertension
heart cfailure
hypokalemia**
hypoglycemia
cataracts c& cglaucoma
more csusceptible cto cinfection
more cmale-like ccharacteristics cin cfemales
altered ccalcium cmetabolism

treatment cof cCushing's cSyndrome c- cCORRECT✅✅transsphenoidal capproach
lowering ccorticosteroid cdosage

transsphenoidal capproach c(Cushing's) c- cnursing c- cCORRECT✅✅educate con cdeep
cbreathing
post-op:
- cavoid cvigorous ccoughing, cblowing cnose, csucking cthrough ca cstraw
- celevated cHOB cat cleast c30 cdegrees

Addison's cDisease c- cCORRECT✅✅deficiency cof cadrenocortical chormones
- ccan cbe ccaused cby csteroids cthat care cstopped cabruptly, cmedications, cTB, ctrauma
cto cgland


Addison's cdisease cmanifestations c- cCORRECT✅✅decreased ccardiac coutput
hyponatremia***
hyperkalemia***
weakness
anorexia
dark cpigmented cskin
hypoglycemia
hypotension
apathy

, confusion

Addisonian ccrisis c- cCORRECT✅✅can coccur cfrom cuntreated cAddison's cDisease
- ccan calso cresult cfrom ca cpatient cwith cAddison's cwhen cthey care cexposed cto ccold,
cinfection, cor chave ca cdecrease cin csodium cintake


manifestations cof can cAddisonian ccrisis c- cCORRECT✅✅severe chypotension
cyanosis
shock
fever
N/V/D
pallor
headache
abdominal cpain

nursing cinterventions cfor ca cpatient cwith cAddison's cDisease c- cCORRECT✅✅diet
ceducation
- clow cpotassium
- chigh csodium
self-care
- cmanage cstress c(they cdon't chave cthe cappropriate chormones cto cdo cso cthemselves)
monitor cBG
education con csymptoms c(esp cfor ccrisis)

Pheochromocytoma c- cCORRECT✅✅benign ctumor cof cthe cadrenal cmedulla
- caffects csecretion cof cepinephrine cand cnorepinephrine
- cresults cin cSEVERE chypertension

5 cH's cof cpheochromocytoma c- cCORRECT✅✅hypertension
headache
hyperhidrosis
hypermetabolism
hyperglycemia

nursing cinterventions cfor cpheochromocytoma c- cCORRECT✅✅patient con cbedrest
lower chead cof cbed
BP cmedications
- cmonitor cfor covercorrection

syndrome cof cinappropriate cantidiuretic chormone c- cCORRECT✅✅caused cby cthe
coverproduction cof cthe cantidiuretic chormone cADH


manifestations cof cSIADH c- cCORRECT✅✅fluid cvolume cexcess
low cserum cosmolality
dilutional chypernatremia