Hondros NUR 163 (Exam 2) QUESTIONS WITH ANSWERS

Hondros NUR 163 (Exam 2) QUESTIONS |\ |\ |\ |\ |\ |\




WITH ANSWERS |\




Positive Chovstek's sign - CORRECT ANSWERS ✔✔Facial nerve
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twitching


-Tap the face just below and in front of the ear
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-If facial twitching occurs one side of mouth, nose, check =
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positive


Hypernatremia - CORRECT ANSWERS ✔✔high sodium, diabetes |\ |\ |\ |\ |\ |\ |\


inspidus, infection, cushings syndrome, kidney problems
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Hypernatremia causes - CORRECT ANSWERS ✔✔Causes: Excess |\ |\ |\ |\ |\ |\ |\


water loss, excess sodium administration, diabetes insipidus,
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heat stroke, hypertonic IV solutions
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Hypernatremia S/S - CORRECT ANSWERS ✔✔S/S |\ |\ |\ |\ |\




F flushed skin
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R restless increased bp & fluid retention
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E edema
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D decreased urine output
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S skin flushed/dry
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,A agitation
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L low grade fever
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T thirst (dry mucous membranes)
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BIG and BLOATED |\ |\




Hypernatremia treatment - CORRECT ANSWERS ✔✔Treatment: |\ |\ |\ |\ |\




- IV treatment of hypotonic solution
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- encourage fluids
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- decrease sodium in diet (sodium restriction)
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- monitor daily weight
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- diuretics
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Hyperkalemia - CORRECT ANSWERS ✔✔high potassium >5, |\ |\ |\ |\ |\ |\ |\


metabolic acidosis, DKA, kidney disease |\ |\ |\ |\




Hyperkalemia causes - CORRECT ANSWERS ✔✔Causes: |\ |\ |\ |\ |\




M - Medications - ACE inhibitors, NSAIDS
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A - Acidosis - Metabolic and respiratory
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C - Cellular destruction - Burns, traumatic injury
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H - Hypoaldosteronism, hemolysis
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I - Intake - Excesssive
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N - Nephrons, renal failure
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E - Excretion - Impaired
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, Hypernatremia nursing interventions - CORRECT ANSWERS |\ |\ |\ |\ |\ |\


✔✔Interventions: monitor I&O, behavior changes, lab findings, |\ |\ |\ |\ |\ |\ |\


monitor diet, vitals, encourage fluids as ordered
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Hyperkalemia S/S - CORRECT ANSWERS ✔✔S/S: |\ |\ |\ |\ |\




M - Muscle weakness
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U - Urine, oliguria, anuria
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R- Respiratory distress
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D - Decreased cardiac contractility
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E - ECG changes
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R - Reflexes, hyperreflexia, or areflexia (flaccid)
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Hyperkalemia treatment - CORRECT ANSWERS ✔✔iv calcium |\ |\ |\ |\ |\ |\ |\


gluconate and insulin and glucose |\ |\ |\ |\




identifying the cause of the fear - CORRECT ANSWERS ✔✔What
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will help when having difficulty coping with stress
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physically, mentally, cognitively - CORRECT ANSWERS ✔✔How
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does depression effect the body
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elevated pulse, hyperventilation, headaches, hypertension -
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CORRECT ANSWERS ✔✔Physiologic signs of stress
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