Final Exam Review Nurs 6531 Deck 1
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic
hormone)? - correct answer ✔Increased production of ADH (antidiuretic
hormone), hyponatremia, concentrated urine (from excess water resorption),
elevated urine osmolality, mental status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - correct answer
✔Hypernatremia
Psychogenic polydipsia results in urine that is: - correct answer ✔diluted with
low osmolality and hyponatremia
How would you determine the cause of a patient's AKI who presents with
decreased urine output, history of neurogenic bladder, chronic foley, dark
urine, and Cr increase from 1.3 to 2.1 over 3 months? - correct answer
✔Flush the foley catheter to see if urine comes out and assess the patency of
the catheter. This action will unblock clogged sediment or biofilm from chronic
bacteriuria.
When a female patient presents to the ER after sexual assault, what
medications should be offered prior to discharge? - correct answer
✔Ceftriaxone, azithromycin, Plan B, and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - correct answer
✔hypernatremia, hypokalemia, and hypertension
What causes Cushing syndrome? - correct answer ✔Increased levels of
glucocorticoids, can be exogenous (from therapy) or endogenous (from
adenoma or neoplasm).
, Manifestations of Cushing syndrome? - correct answer ✔hypertension,
truncal obesity, osteoporosis, skin fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary
adrenocortical insufficiency? - correct answer ✔Skin hyperpigmentation is
present in primary adrenocortical insufficiency
What is Trousseau's sign? - correct answer ✔A carpal spasm elicited by
compression of the upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - correct answer ✔A hemifacial tic that is induced
by tapping the facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign? - correct answer ✔An upward response (extension)
of the hallux when the sole of the foot is stimulated with a blunt instrument.
Can identify spinal cord disease in adults.
What is Romberg's sign? - correct answer ✔Loss of balance in standing
when eyes are closed. Usually indicating a loss of proprioception or lesion in
the cerebellum.
What is Homan's sign? - correct answer ✔pain on passive dorsiflexion of
ankle, associated with DVT.
What is the clinical presentation of Goodpasture's syndrome? - correct
answer ✔Urinalysis: Specific gravity: 1.020. pH 5.5, 1+ albumin and large
blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic
hormone)? - correct answer ✔Increased production of ADH (antidiuretic
hormone), hyponatremia, concentrated urine (from excess water resorption),
elevated urine osmolality, mental status changes from cerebral edema.
Diabetes insipidus is associated with what sodium level? - correct answer
✔Hypernatremia
Psychogenic polydipsia results in urine that is: - correct answer ✔diluted with
low osmolality and hyponatremia
How would you determine the cause of a patient's AKI who presents with
decreased urine output, history of neurogenic bladder, chronic foley, dark
urine, and Cr increase from 1.3 to 2.1 over 3 months? - correct answer
✔Flush the foley catheter to see if urine comes out and assess the patency of
the catheter. This action will unblock clogged sediment or biofilm from chronic
bacteriuria.
When a female patient presents to the ER after sexual assault, what
medications should be offered prior to discharge? - correct answer
✔Ceftriaxone, azithromycin, Plan B, and Metronidazole.
Manifestations of Conn syndrome (hyperaldosteronism)? - correct answer
✔hypernatremia, hypokalemia, and hypertension
What causes Cushing syndrome? - correct answer ✔Increased levels of
glucocorticoids, can be exogenous (from therapy) or endogenous (from
adenoma or neoplasm).
, Manifestations of Cushing syndrome? - correct answer ✔hypertension,
truncal obesity, osteoporosis, skin fragility, and hyperglycemia.
What differentiates primary adrenocortical insufficiency from secondary
adrenocortical insufficiency? - correct answer ✔Skin hyperpigmentation is
present in primary adrenocortical insufficiency
What is Trousseau's sign? - correct answer ✔A carpal spasm elicited by
compression of the upper arm with a BP cuff that indicates hypocalcemia.
What is Chovstek's sign? - correct answer ✔A hemifacial tic that is induced
by tapping the facial nerve below the maxilla that indicates hypocalcemia.
What is Babinski's sign? - correct answer ✔An upward response (extension)
of the hallux when the sole of the foot is stimulated with a blunt instrument.
Can identify spinal cord disease in adults.
What is Romberg's sign? - correct answer ✔Loss of balance in standing
when eyes are closed. Usually indicating a loss of proprioception or lesion in
the cerebellum.
What is Homan's sign? - correct answer ✔pain on passive dorsiflexion of
ankle, associated with DVT.
What is the clinical presentation of Goodpasture's syndrome? - correct
answer ✔Urinalysis: Specific gravity: 1.020. pH 5.5, 1+ albumin and large
blood present.
Chest XR positive for bilateral diffuse infiltrates.
BUN 30, Cr 3.0
Symptoms: dyspnea with hemoptysis
