Adult-Gerontology Acute Care
Adult-Gerontology
Nurse Practitioner
AcuteCertification
Care
Adult-Gerontology
Nurse–
Practitioner
Endocrine
AcuteCertification
Disorders
Care Nurse Study
–
Practitioner
Endocrine
Guide.pdfCertification
Disorders Study
– Endocrine
Guide.pdfDisorders Study Guide.pdf
Adult-Gerontology Acute Care Nurse
Practitioner Certification – Endocrine
Disorders Study Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Adult-Gerontology Acute Care
Adult-Gerontology
Nurse Practitioner
AcuteCertification
Care
Adult-Gerontology
Nurse–
Practitioner
Endocrine
AcuteCertification
Disorders
Care Nurse Study
–
Practitioner
Endocrine
Guide.pdfCertification
Disorders Study
– Endocrine
Guide.pdfDisorders Study Guide.pdf
,Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
1. A 25-year-old male patient is admitted to the Answer:2. Order serum sodium, urine-specific gravity.
intensive care unit after a motor vehicle collision Rationale: This scenario suggests a diagnosis of diabetes insipidus, for
resulting in an isolated severe traumatic brain injury which serum sodium and urine specific gravity will aid in the diagnosis.
causing elevated intracranial pressure. He is on a
ventilator and minimally responsive. On the second
day of hospitalization, he has increasing vasopressor
requirements and hourly urine output of 400 mL. To
address this problem, the nurse practitioner would:
1. Order a fluid restriction.
2. Order serum sodium, urine-specific gravity.
3. Order 24-hour urine protein and creatinine.
4. Order a stat noncontrast computed tomography
of the head.
Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
,Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
2. A 25-year-old male patient is admitted to the 1. Order 2 mcg desmopressin (DDAVP) intravenously (IV) and 1 L 0.9%
intensive care unit after a motor vehicle collision saline.
resulting in an isolated severe traumatic brain injury Rationale: This patient has central diabetes insipidus from pituitary
causing elevated intracranial pressure. He is on a compression. Treatment involves urgent administration of desmopressin
ventilator and minimally responsive. On the second and fluids to attenuate the hypernatremia.
day of hospitalization, he has increasing vasopressor
requirements and hourly urine output of 400 mL. His
serum sodium increased from 146 to 155 in the last 6
hours and urine specific gravity (SG) is 1.001. To
address this problem, the nurse practitioner would:
1. Order 2 mcg desmopressin (DDAVP) intravenously
(IV) and 1 L 0.9% saline.
2. Increase maintenance fluids from 75 to 150 mL/hr
and repeat sodium and SG in 6 hours.
3. Order 2 mcg DDAVP IV and fluid restriction.
4. Calculate the free water deficit and order free
water via nasogastric tube.
Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
, Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
3. A 68-year-old 70-kg male patient with a history of 3. Institute a fluid restriction.
tobacco abuse was admitted with dyspnea. A chest Rationale: The syndrome of inappropriate antidiuretic hormone is
x-ray revealed a pulmonary mass, flattened bilateral commonly caused by pulmonary disease and malignancy. First-line
diaphragm, and no pulmonary edema. He is alert treatment is a fluid restriction in the absence of symptoms such as seizure,
and breathing comfortably after being started on 4 mental status change, and falls.
L of oxygen via nasal cannula. His initial sodium is 128
mEq/L. Based on the nurse practitioner's knowledge
of the probable diagnosis, how would the nurse
practitioner correct his sodium?
1. Start 3% saline at 75 mL/hr.
2. Start 0.9% saline at 1000 mL/hr.
3. Institute a fluid restriction.
4. Order 40 mg furosemide and repeat sodium in 8
hours.
Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
Adult-Gerontology
Nurse Practitioner
AcuteCertification
Care
Adult-Gerontology
Nurse–
Practitioner
Endocrine
AcuteCertification
Disorders
Care Nurse Study
–
Practitioner
Endocrine
Guide.pdfCertification
Disorders Study
– Endocrine
Guide.pdfDisorders Study Guide.pdf
Adult-Gerontology Acute Care Nurse
Practitioner Certification – Endocrine
Disorders Study Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Adult-Gerontology Acute Care
Adult-Gerontology
Nurse Practitioner
AcuteCertification
Care
Adult-Gerontology
Nurse–
Practitioner
Endocrine
AcuteCertification
Disorders
Care Nurse Study
–
Practitioner
Endocrine
Guide.pdfCertification
Disorders Study
– Endocrine
Guide.pdfDisorders Study Guide.pdf
,Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
1. A 25-year-old male patient is admitted to the Answer:2. Order serum sodium, urine-specific gravity.
intensive care unit after a motor vehicle collision Rationale: This scenario suggests a diagnosis of diabetes insipidus, for
resulting in an isolated severe traumatic brain injury which serum sodium and urine specific gravity will aid in the diagnosis.
causing elevated intracranial pressure. He is on a
ventilator and minimally responsive. On the second
day of hospitalization, he has increasing vasopressor
requirements and hourly urine output of 400 mL. To
address this problem, the nurse practitioner would:
1. Order a fluid restriction.
2. Order serum sodium, urine-specific gravity.
3. Order 24-hour urine protein and creatinine.
4. Order a stat noncontrast computed tomography
of the head.
Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
,Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
2. A 25-year-old male patient is admitted to the 1. Order 2 mcg desmopressin (DDAVP) intravenously (IV) and 1 L 0.9%
intensive care unit after a motor vehicle collision saline.
resulting in an isolated severe traumatic brain injury Rationale: This patient has central diabetes insipidus from pituitary
causing elevated intracranial pressure. He is on a compression. Treatment involves urgent administration of desmopressin
ventilator and minimally responsive. On the second and fluids to attenuate the hypernatremia.
day of hospitalization, he has increasing vasopressor
requirements and hourly urine output of 400 mL. His
serum sodium increased from 146 to 155 in the last 6
hours and urine specific gravity (SG) is 1.001. To
address this problem, the nurse practitioner would:
1. Order 2 mcg desmopressin (DDAVP) intravenously
(IV) and 1 L 0.9% saline.
2. Increase maintenance fluids from 75 to 150 mL/hr
and repeat sodium and SG in 6 hours.
3. Order 2 mcg DDAVP IV and fluid restriction.
4. Calculate the free water deficit and order free
water via nasogastric tube.
Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
, Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
3. A 68-year-old 70-kg male patient with a history of 3. Institute a fluid restriction.
tobacco abuse was admitted with dyspnea. A chest Rationale: The syndrome of inappropriate antidiuretic hormone is
x-ray revealed a pulmonary mass, flattened bilateral commonly caused by pulmonary disease and malignancy. First-line
diaphragm, and no pulmonary edema. He is alert treatment is a fluid restriction in the absence of symptoms such as seizure,
and breathing comfortably after being started on 4 mental status change, and falls.
L of oxygen via nasal cannula. His initial sodium is 128
mEq/L. Based on the nurse practitioner's knowledge
of the probable diagnosis, how would the nurse
practitioner correct his sodium?
1. Start 3% saline at 75 mL/hr.
2. Start 0.9% saline at 1000 mL/hr.
3. Institute a fluid restriction.
4. Order 40 mg furosemide and repeat sodium in 8
hours.
Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf Adult-Gerontology Acute Care Nurse Practitioner Certification ENDOCRINE.pdf
