NURS 642 Exam 3 Questions With Complete Solutions
Acute Adrenal Insufficiency Symptoms Correct Answers
headache, lassitude, N/V/D, abdominal pain
confusion, coma, high fever, dehydration
hypotension, shock, recurrent hypoglycemia
Adrenocortical Insufficiency Clinical manifestations Correct
Answers Hypotension, dehydration
hyponatremia
hyperkalemia
hypercalcemia
neutropenia, mild anemia, eosinophilia
Adrenocortical Insufficiency DDX Correct Answers other
causes of hypotension/shock
other causes hyperkalemia
other causes hyponatremia
isolated hypoaldosteronism
secondary adrenal insufficiency (hypopituitarism)
,Adrenocortical Insufficiency Lab Findings Correct Answers
Cosyntropin is unable to stimulate an increase in serum cortisol
>20
Plasma ACTH level elevated
Adrenocortical insufficiency Lab Findings Correct Answers
Hyponatremia, Hyperkalemia, Hypercalcemia, Hypoglycemia
Plasma Cortisol level <3
COsyntropin stim test is positive
Plasma ACTH markedly elevated (>200)
Adrenocortical Insufficiency S&S Correct Answers weakness,
fatigue, fever, anxiety, mental irritability, emotional changes
anorexia, weight loss
N/V/D, abd pain
muscle/joint pain, chest pain, back pain, leg pain
amenorrhea
increased skin pigmentation (creases, pressure points, nipples)
sparse axillary hair
, Adrenocortical Insufficiency Treament Correct Answers
corticosteriod replacement (hydrocortisone in acute, pred in OP)
most cases require fludrocortisone (mineralcorticoid)
replacement as well
Treat infections immediately
Treat hypoglycemia with D5W
careful monitoring of electrolytes, renal function
Adrenocorticoid Insuffiency
(Addison's) general considerations Correct Answers chronic
deficiency of cortisol
chronic elevation of serum ACTH
AKI Diagnosis Correct Answers Rapid rise in increase serum
creatinine
Inability to maintain acid-base balance
Inability to maintain fluid balance
Inability to maintain electrolyte imbalance
Inability to excrete nitrogenous waste
Acute Adrenal Insufficiency Symptoms Correct Answers
headache, lassitude, N/V/D, abdominal pain
confusion, coma, high fever, dehydration
hypotension, shock, recurrent hypoglycemia
Adrenocortical Insufficiency Clinical manifestations Correct
Answers Hypotension, dehydration
hyponatremia
hyperkalemia
hypercalcemia
neutropenia, mild anemia, eosinophilia
Adrenocortical Insufficiency DDX Correct Answers other
causes of hypotension/shock
other causes hyperkalemia
other causes hyponatremia
isolated hypoaldosteronism
secondary adrenal insufficiency (hypopituitarism)
,Adrenocortical Insufficiency Lab Findings Correct Answers
Cosyntropin is unable to stimulate an increase in serum cortisol
>20
Plasma ACTH level elevated
Adrenocortical insufficiency Lab Findings Correct Answers
Hyponatremia, Hyperkalemia, Hypercalcemia, Hypoglycemia
Plasma Cortisol level <3
COsyntropin stim test is positive
Plasma ACTH markedly elevated (>200)
Adrenocortical Insufficiency S&S Correct Answers weakness,
fatigue, fever, anxiety, mental irritability, emotional changes
anorexia, weight loss
N/V/D, abd pain
muscle/joint pain, chest pain, back pain, leg pain
amenorrhea
increased skin pigmentation (creases, pressure points, nipples)
sparse axillary hair
, Adrenocortical Insufficiency Treament Correct Answers
corticosteriod replacement (hydrocortisone in acute, pred in OP)
most cases require fludrocortisone (mineralcorticoid)
replacement as well
Treat infections immediately
Treat hypoglycemia with D5W
careful monitoring of electrolytes, renal function
Adrenocorticoid Insuffiency
(Addison's) general considerations Correct Answers chronic
deficiency of cortisol
chronic elevation of serum ACTH
AKI Diagnosis Correct Answers Rapid rise in increase serum
creatinine
Inability to maintain acid-base balance
Inability to maintain fluid balance
Inability to maintain electrolyte imbalance
Inability to excrete nitrogenous waste
