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NU189 EXAM 4 REVIEW QUESTIONS AND DETAILED ANSWERS. EXPERT VERIFIED FOR GUARANTEED PASS.

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NU189 EXAM 4 REVIEW QUESTIONS AND DETAILED ANSWERS. EXPERT VERIFIED FOR GUARANTEED PASS.

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NU189 EXAM 4 REVIEW QUESTIONS
AND DETAILED ANSWERS. EXPERT
VERIFIED FOR GUARANTEED PASS.




Hyperpituitary - ANS Agromegaly


Gigantism (never fuse)


Growth plate distinguish one never fuse



Gigantism - ANS Never fuses (elongated bones)



Acromegaly (enlarged bones) - ANS enlargement of the extremities



Hypopituitary - ANS Dehydration


Addison (secondary)


amenorrhea


Headaches



1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED

,Visual disturbances - ANS S/S of hyperpituitary



Test to diagnose Cushing disease - ANS Dexamethasone suppression test



Steps for a dexamethasone test - ANS NPO


Blood specimen collected (1st thing)



Pheochromcytoma - ANS tumor of the adrenal medulla



S/S of pheochromcytoma - ANS Severe HTN & tachycardia



Catecholamine (EPI & NONEPI) - ANS What is secreted from a pheochromcytoma



SIADH (soaked inside) - ANS Excessive amounts ADH (fluid overload)



S/s of fluid over load due SIADH - ANS JVD, crackles, ABD distention



Increased specific gravity - ANS Fluid overload



Drop in urine specific gravity - ANS Fluid overload



Treatment for SIADH - ANS Tolvaptan



DI (dry inside) (primary DI) - ANS Decreased production of ADH (dilute urine)




2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED

, Secondary DI - ANS TBI
Neurosurgery
Trauma
Infection
Sx



Dipsogenic DI - ANS Excessive fluid intake



Nephrogenic DI - ANS kidneys don't respond properly to ADH



Drug related DI - ANS Lithium, demeclocycline



S/S OF DI - ANS Dehydration



For someone with DI, check vital signs for - ANS Tachycardia and hypotension



Treatment for DI - ANS DDAVP (desmopressin)



Therapeutic response for DI - ANS Decrease urine output



Hallmark sign of DI - ANS polyuria (increased urine)


When a pt receives regular insulin when to check to hypoglycemia (remember peak hours so
check in 3 hours) - ANS 1000



Why are DM patients prone to infection - ANS Elevated glucose increase the chance for
bacteria growth

3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED

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