PN3

PN3 EXAM 3 QUESTIONS AND ANSWERS A pt with hyperaldosteronism is being treated w/ spironolactone before surgery. Which precautions does the nurse teach this pt? Read the label before using salt substitutes A nurse assess a pt w/ anterior pituitary hyperfunction. Which clinical manifestation would the nurse expect? - Protrusion of the lower jaw - Enlarged hands & feet - Barrel-shaped chest An emergency nurse cares for a pt who is experiencing an acute adrenal crisis. What action would ...

PN3 EXAM 3 QUESTIONS AND ANSWERS DIC signs and symptoms body clotting too much, body compensates and begins bleeding too much, clotting begins again, hard to reverse, high mortality rate. Eventually run out of clotting factors DIC Treatment Fluid replacement and blood transfusion treat the cause Addisonian Crisis Treatment • Start rapid infusion of normal saline or dextrose 5% in normal saline. • Initial dose of hydrocortisone sodium (Solu-Cortef) is 100 to 300 mg or dexamethasone...

PN3 EXAM 3 QUESTIONS AND ANSWERS Which treatment is used to manage hyperthyroidism? Select all that apply. Irradiation of the thyroid and Thyroidectomy Which problem is most likely to develop if hyperthyroidism remains untreated? Heart failure A client who has just had a thyroidectomy returns to the unit in stable condition. What equipment is it essential for the nurse to have readily available? Tracheostomy set Which finding would be the greatest cause for concern to the nurse during...

PN3 EXAM 3 QUESTIONS AND ANSWERS Emergency care of the client in Addisonian crisis includes which of the following? A) Hydrocortisone sodium IV bolus Following a traumatic brain injury, a client is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). The finding for this client would include which of the following? (SATA) A) Oliguria B) Fluid volume excess C) Hypernatremia A client is diagnosed with cardiac tamponade from pericarditis. Which of the following is the...

PN3 EXAM 3 QUESTIONS AND ANSWERS Which of the following interventions are appropriate for a client experiencing hypovolemic shock (SATA) A) Increase IV fluid delivery per order B) Monitor vital signs C) Monitor hemoglobin and hematocrit levels D) Admin oxygen per protocol What laboratory values does the nurse recognize as an indicatory of acute heart injury? Increase levels of myoglobin and Troponin Which of the following actions would the nurse perform to assess the patency of arter...

PN3 EXAM 3 QUESTIONS AND ANSWERS hypovalemic shock Lack of circulating blood volume cardiogenic shock weakened forward pumping function of the heart neurogenic shock hypoperfusion due to nerve paralysis (sometimes caused by spinal cord injuries) resulting in the dilation of blood vessels that increases the volume of the circulatory system beyond the point where it can be filled. septic shock a serious condition that occurs when an overwhelming bacterial infection affects the body Ma...

PN3 EXAM 3 QUESTIONS AND ANSWERS As a cook chops red onions he begins to tear up due to activation of the lacrimal grand. Which cranial nerve provided the stimulus? The Facial nerve (VII) A doctor asks her patient to follow the motion of her finger as she moves it up and down, left and right. Which of the following cranial nerve is NOT being tested? A. The Abducens (VI) B. The Vestibulocochlear nerve (VIII) C. The Oculomotor nerve (III) D. The Trochlear nerve (IV) B. The Vestibuloc...

PN3 EXAM 3 QUESTIONS AND ANSWERS Signs and symptoms of hypovolemic shock tachycardia, tachypnea, hypotension, anxiety, restlessness, delayed cap refill, poor circulation, decreased kidney function less than 10ml/hour. if not corrected, can lead to change in LOC Care of pt in cardiogenic shock with hypotension Place in trendelenburg if systolic less than 80. Monitor VS including I&O Physiological changes in anaphylaxis Airway closes due to edema and bronchospasms. Angioedema #1 sign of ...

PN3 EXAM 3 QUESTIONS AND ANSWERS What is happening in shock? Shock is a life-threatening condition that occurs when the body is not getting enough blood flow. Lack of blood flow means the cells and organs do not get enough oxygen and nutrients to function properly Manifestations for acute MI · Nausea · Diaphoresis · Tachycardia . ST elevation on ECG (STEMI) . chest pain -women may present differently with Jaw pain and indigestion Discharge instructions for cardiac catheterizatio...

PN3 EXAM 3 QUESTIONS AND ANSWERS Main types of shock hypovolemic, cardiogenic, septic, neurogenic, and anaphylactic Hypovolemic shock decrease in circulating blood volume Shock is classified as a CONDITION - not a disease Who needs to be monitored for shock? EVERYONE Hypovolemic shock leads to inadequate tissue perfusion - hypoxia What leads to neurogenic shock acute spinal chord injury, temporary spinal shock or permanent paralysis Septic shock infection What causes hypovolem...