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Exam 4 Review: NU 189 / NU189 (Latest 2026 / 2027) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen
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2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Hyperpituitary Agromegaly Gigantism (never fuse) Growth plate distinguish one never fuse Gigantism Never fuses (elongated bones) Acromegaly (enlarged bones) enlargement of the extremities Hypopituitary Dehydration Addison (secondary)
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen amenorrhea Headaches Visual disturbances S/S of hyperpituitary Test to diagnose Cushing disease Dexamethasone suppression test Steps for a dexamethasone test NPO Blood specimen collected (1st thing) Pheochromcytoma tumor of the adrenal medulla
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Drop in urine specific gravity Fluid overload Treatment for SIADH Tolvaptan DI (dry inside) (primary DI) Decreased production of ADH (dilute urine) Secondary DI TBI Neurosurgery Trauma Infection Sx Dipsogenic DI Excessive fluid intake
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Nephrogenic DI kidneys don't respond properly to ADH Drug related DI Lithium, demeclocycline S/S OF DI Dehydration For someone with DI, check vital signs for Tachycardia and hypotension Treatment for DI DDAVP (desmopressin)
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Make sure BG is maintained Things to do for those with retinopathy Eye exam Adequate light to see Do you apply heat or cold to skin if you have neuropathy No! What does a person who is stressed expect Hyperglycemia Addison therapeutic treatment Hypernatremia With hypernatremia remember
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Everything is decreased except K+ Cushing is at risk of infection due to Low cortisol What do you do if the pt has bloody mucus after transhypophysectomy Notify PCP What position do you put someone in for transhypophysectomy Semi Fowler What do you avoid when you a have transhypophysectomy No brushing your teeth No coughing What should you do when you are doing a renal scan
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen Cover with sterile gauze What do you do if a patient has a bright red arterial blood from wound Apply pressure Difference between small pox and chicken pox Small pox has lesions on the soles of hands and feet When do you discontinue precautions for the plague After 48 hours of antibiotics You need 3 negative tests How do you handle a patients clothes with toxic waste on them With tongs
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen What do you do if someone with peritoneal dialysis has slow outflow Check tubing for kinks Reposition pt Make sure more fluids are going in the out 1200ml broke up 500, 500, 200 S/S of End of chronic renal failure Respiration assessment Fluid overflow Carcinogenic pulmonary edema Treatments for dry skin and pruritis Luke warm water
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen low S/S of SIADH (soaked inside) seizures fluid overload weight gain Lab values of SIADH low BUN low Hgb low Hct low Creatine meds for SIADH Tolvaptan s/s of diabetes insipidus diuresis
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen dehydration hypovolemia seizures polydipsia Trx for DI Replace fluids and electrolytes Meds for DI DDVAP What does tolvaptan do? increases uprine output what does DDVAP do decreases urine output
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen hypophysectomy removal of the pituitary gland What position should you be in when you have a hypophysectomy semi fowler expected finding after a hypophysectomy bloody drainage (REPORT CLEAR OR MUCUS LIKE DRAINAGE) High sodium in the urine SIADH Low sodium in the urine DI Sodium levels 135 - 145
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen bun 10 - 20 creatine levels 0.6-1.2 mg/dL hgb levels M: 14- 18 F: 12- 16 hct levels M: 42-52% F: 37-47% serum osmolality levels 285 - 295
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen low serum low sodium low BP low BG addison disease high Serum high BP high BG high sodium cushings What has bronze pigment Addisons what has ABD straie cushings
2026 / 202 7 ) Medical-Surgical Nursing II Review | Questions & Answers | 100% Correct (Verified Solutions) | Grade A - Galen moon face cushings ___________________taper steroids always S/S of Addisons crisis low BP leg pain What causes a addisons crisis Physical stress dwarfism hypopituitarism S/S of hypopituitarism
