Hondros NUR 163 (Exam 2) QUESTIONS |\ |\ |\ |\ |\ |\
WITH ANSWERS |\
Positive Chovstek's sign - CORRECT ANSWERS ✔✔Facial nerve
|\ |\ |\ |\ |\ |\ |\ |\
twitching
-Tap the face just below and in front of the ear
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-If facial twitching occurs one side of mouth, nose, check =
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
positive
Hypernatremia - CORRECT ANSWERS ✔✔high sodium, diabetes |\ |\ |\ |\ |\ |\ |\
inspidus, infection, cushings syndrome, kidney problems
|\ |\ |\ |\ |\
Hypernatremia causes - CORRECT ANSWERS ✔✔Causes: Excess |\ |\ |\ |\ |\ |\ |\
water loss, excess sodium administration, diabetes insipidus,
|\ |\ |\ |\ |\ |\ |\
heat stroke, hypertonic IV solutions
|\ |\ |\ |\
Hypernatremia S/S - CORRECT ANSWERS ✔✔S/S |\ |\ |\ |\ |\
F flushed skin
|\ |\
R restless increased bp & fluid retention
|\ |\ |\ |\ |\ |\
E edema
|\
D decreased urine output
|\ |\ |\ |\
S skin flushed/dry
|\ |\
,A agitation
|\
L low grade fever
|\ |\ |\ |\
T thirst (dry mucous membranes)
|\ |\ |\ |\
BIG and BLOATED |\ |\
Hypernatremia treatment - CORRECT ANSWERS ✔✔Treatment: |\ |\ |\ |\ |\
- IV treatment of hypotonic solution
|\ |\ |\ |\ |\ |\
- encourage fluids
|\ |\ |\
- decrease sodium in diet (sodium restriction)
|\ |\ |\ |\ |\ |\
- monitor daily weight
|\ |\ |\
- diuretics
|\
Hyperkalemia - CORRECT ANSWERS ✔✔high potassium >5, |\ |\ |\ |\ |\ |\ |\
metabolic acidosis, DKA, kidney disease |\ |\ |\ |\
Hyperkalemia causes - CORRECT ANSWERS ✔✔Causes: |\ |\ |\ |\ |\
M - Medications - ACE inhibitors, NSAIDS
|\ |\ |\ |\ |\ |\
A - Acidosis - Metabolic and respiratory
|\ |\ |\ |\ |\ |\
C - Cellular destruction - Burns, traumatic injury
|\ |\ |\ |\ |\ |\ |\
H - Hypoaldosteronism, hemolysis
|\ |\ |\
I - Intake - Excesssive
|\ |\ |\ |\
N - Nephrons, renal failure
|\ |\ |\ |\
E - Excretion - Impaired
|\ |\ |\ |\
, Hypernatremia nursing interventions - CORRECT ANSWERS |\ |\ |\ |\ |\ |\
✔✔Interventions: monitor I&O, behavior changes, lab findings, |\ |\ |\ |\ |\ |\ |\
monitor diet, vitals, encourage fluids as ordered
|\ |\ |\ |\ |\ |\
Hyperkalemia S/S - CORRECT ANSWERS ✔✔S/S: |\ |\ |\ |\ |\
M - Muscle weakness
|\ |\ |\
U - Urine, oliguria, anuria
|\ |\ |\ |\
R- Respiratory distress
|\ |\
D - Decreased cardiac contractility
|\ |\ |\ |\
E - ECG changes
|\ |\ |\
R - Reflexes, hyperreflexia, or areflexia (flaccid)
|\ |\ |\ |\ |\ |\
Hyperkalemia treatment - CORRECT ANSWERS ✔✔iv calcium |\ |\ |\ |\ |\ |\ |\
gluconate and insulin and glucose |\ |\ |\ |\
identifying the cause of the fear - CORRECT ANSWERS ✔✔What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
will help when having difficulty coping with stress
|\ |\ |\ |\ |\ |\ |\
physically, mentally, cognitively - CORRECT ANSWERS ✔✔How
|\ |\ |\ |\ |\ |\ |\
does depression effect the body
|\ |\ |\ |\
elevated pulse, hyperventilation, headaches, hypertension -
|\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Physiologic signs of stress
|\ |\ |\ |\ |\
WITH ANSWERS |\
Positive Chovstek's sign - CORRECT ANSWERS ✔✔Facial nerve
|\ |\ |\ |\ |\ |\ |\ |\
twitching
-Tap the face just below and in front of the ear
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-If facial twitching occurs one side of mouth, nose, check =
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
positive
Hypernatremia - CORRECT ANSWERS ✔✔high sodium, diabetes |\ |\ |\ |\ |\ |\ |\
inspidus, infection, cushings syndrome, kidney problems
|\ |\ |\ |\ |\
Hypernatremia causes - CORRECT ANSWERS ✔✔Causes: Excess |\ |\ |\ |\ |\ |\ |\
water loss, excess sodium administration, diabetes insipidus,
|\ |\ |\ |\ |\ |\ |\
heat stroke, hypertonic IV solutions
|\ |\ |\ |\
Hypernatremia S/S - CORRECT ANSWERS ✔✔S/S |\ |\ |\ |\ |\
F flushed skin
|\ |\
R restless increased bp & fluid retention
|\ |\ |\ |\ |\ |\
E edema
|\
D decreased urine output
|\ |\ |\ |\
S skin flushed/dry
|\ |\
,A agitation
|\
L low grade fever
|\ |\ |\ |\
T thirst (dry mucous membranes)
|\ |\ |\ |\
BIG and BLOATED |\ |\
Hypernatremia treatment - CORRECT ANSWERS ✔✔Treatment: |\ |\ |\ |\ |\
- IV treatment of hypotonic solution
|\ |\ |\ |\ |\ |\
- encourage fluids
|\ |\ |\
- decrease sodium in diet (sodium restriction)
|\ |\ |\ |\ |\ |\
- monitor daily weight
|\ |\ |\
- diuretics
|\
Hyperkalemia - CORRECT ANSWERS ✔✔high potassium >5, |\ |\ |\ |\ |\ |\ |\
metabolic acidosis, DKA, kidney disease |\ |\ |\ |\
Hyperkalemia causes - CORRECT ANSWERS ✔✔Causes: |\ |\ |\ |\ |\
M - Medications - ACE inhibitors, NSAIDS
|\ |\ |\ |\ |\ |\
A - Acidosis - Metabolic and respiratory
|\ |\ |\ |\ |\ |\
C - Cellular destruction - Burns, traumatic injury
|\ |\ |\ |\ |\ |\ |\
H - Hypoaldosteronism, hemolysis
|\ |\ |\
I - Intake - Excesssive
|\ |\ |\ |\
N - Nephrons, renal failure
|\ |\ |\ |\
E - Excretion - Impaired
|\ |\ |\ |\
, Hypernatremia nursing interventions - CORRECT ANSWERS |\ |\ |\ |\ |\ |\
✔✔Interventions: monitor I&O, behavior changes, lab findings, |\ |\ |\ |\ |\ |\ |\
monitor diet, vitals, encourage fluids as ordered
|\ |\ |\ |\ |\ |\
Hyperkalemia S/S - CORRECT ANSWERS ✔✔S/S: |\ |\ |\ |\ |\
M - Muscle weakness
|\ |\ |\
U - Urine, oliguria, anuria
|\ |\ |\ |\
R- Respiratory distress
|\ |\
D - Decreased cardiac contractility
|\ |\ |\ |\
E - ECG changes
|\ |\ |\
R - Reflexes, hyperreflexia, or areflexia (flaccid)
|\ |\ |\ |\ |\ |\
Hyperkalemia treatment - CORRECT ANSWERS ✔✔iv calcium |\ |\ |\ |\ |\ |\ |\
gluconate and insulin and glucose |\ |\ |\ |\
identifying the cause of the fear - CORRECT ANSWERS ✔✔What
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
will help when having difficulty coping with stress
|\ |\ |\ |\ |\ |\ |\
physically, mentally, cognitively - CORRECT ANSWERS ✔✔How
|\ |\ |\ |\ |\ |\ |\
does depression effect the body
|\ |\ |\ |\
elevated pulse, hyperventilation, headaches, hypertension -
|\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Physiologic signs of stress
|\ |\ |\ |\ |\
