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NSG 4100 Exam 2 Questions with Detailed Verified Answers

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NSG 4100 Exam 2 Questions with Detailed Verified Answers

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NSG 4100 Exam 2 Questions with Detailed
Verified Answers
S/s of Adrenal Hyperplasia Ans: Virilization, masculine features in women (baldness,
masculine distribution of pubic hair, beard, masculine beard)

Meds for Adrenal Hyperplasia Ans: Glucocorticoids

Topics for care plan for Cushing's Ans: Skin care, infection prevention, body image

Nutrition for Cushing's Ans: Increase calcium, low sodium, low sugar

Priority assessment for Cushing's Ans: Infection s/s, restlessness

Who is at highest risk for Cushing's Ans: 20-40 y/o females

S/s of complications of post-op transsphenoidal hypophysectomy Ans: Clear drainage
(CSF) and taste of salt

Priority assessments for Addison's disease Ans: HR, dysrhythmias from increased
potassium

Meds for Addison's Ans: Steroids (hydrocortisone- Solu-Cortef

Clinical manifestations for Addison's Ans: Muscle weakness, dark pigmentation,
hypotension, confusion, restlessness, N/V, cyanosis, shock

Call doc if any of these symptoms occur

Education for Addison's Ans: Nutrition- increase carbs, increase protein, increase salt

Avoid stress and heat

Diabetes insipidus med Ans: DDAVP

Home care education for DI & SIADH Ans: DI- home emergency kit w/ steroids

, Daily weights

S/s of DI Ans: Polydipsia, polyphagia, hypernatremia, dehydration -> tachycardia

Patho and s/s for SIADH Ans: Fluid retention, dilutional hyponatremia, watch for fluid
overload (crackles)

Meds for SIADH Ans: Lasix

NEVER HCTZ

S/s of complications of SIADH Ans: Lethargy

Assessment for pheochromocytoma Ans: Urine sample for catecholemines

Imaging

S/s- 5 H's

DONT PALPATE OR PERCUSS TUMOR

Diagnostics for Pheochromocytoma Ans: Clonidine suppression test

24 hr urine for catecholamines and metanephrine

abd US

s/s of pheochromocytoma Ans: 5 H's

HTN

Headache

Hyperhydrosis



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