(Verified Update)
44 questions with answers
Topic: NURS307 - Week 5
1. Hyponatremia: patho and causes
Answer: -Serum sodium of <130 -Imbalance of water, losses by vomiting, diarrhea,
sweating, diuretics, adrenal insuflciency, certain medications, SIADH
2. Hyponatremia: clinical manifestations
Answer: poor skin turgor, dry mucosa, headache, decreased salivation, decreased BP,
nausea, abdominal cramping, neurologic changes
3. Hyponatremia: nursing interventions
Answer: -Determine the cause -IV fluids with appropriate saline concentration -monitor fluid
intake and output
4. UTI: patho (cystitis and pyelonephritis) and type (upper and lower)
Answer: -infectious agent enters urethra and up t bladder (cystitis) -if the infection enters
the ureters and up to kidneys then pyelonephritis has developed -Upper: kidneys and ureters
-Lower: bladder and urethra
5. UTI: clinical manifestations of cystitis and pyelonephritis
Answer: Cystitis: fever, vomiting, lethargy, painful, cloudy, odorous urine, hematuria Pyleno:
high fever, hematuria (frank blood), abdominal pain, nausea, vomiting, flank pain, moderate
to severe dehydration
6. UTI: management
Answer: -antibiotics -treat any fevers, dehydration, and pain
7. UTI: normal urinalysis (pH, Spec grav, protein, and what should NOT be there)
Answer: -pH: 5-9 -Spec grav: 1.001-1.035 (high=concentrated, low=diluted) -Protein: <20
-NO: ketones, hgb, wbc
8. Nephrotic Syndrome (minimal-change): patho
Answer: -clinical state that includes massive proteinuria, hypoalbuminemia, hyperlipidemia,
and edema
9. Nephrotic Syndrome: S/S
Answer: -weight gain -facial edema (eyeballs) (worse in the morning!!) -abdominal swelling
-irritable -easily fatigued -lethargy -hypotension -urine alterations (frothy/oliguria)
10. Nephrotic Syndrome: management
Answer: -supportive care -diet: low protein (easy on kidneys) and low sodium -steroids:
prednisone for inflammation (2mg/kg) -Immunosuppresent (cytoxan) -Diuretics
11. Traumatic Brain Injury: assessment
Answer: -Level of Consciousness (confusion and disoriented) -Pattern of Breathing -Size &
Reactivity of pupils (look for PERRLA) -Eye position and reflex response (maybe
hypo-reactive) -Skeletal muscle motor responses (maybe hypo-reactive)
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