NUR 3125 - Exam #2 Latest Update - Actual Exam 150 Questions and 100% Verified Correct Answers Guaranteed A+ Approved by the Professor _____ and ______ indicates infection in urine test - CORRECT ANSWER: nitrite & leukocyte esterase
______ will compensate first, _______ will lag behind - CORRECT ANSWER: lungs,
kidneys
- theories of nephrolithiasis - CORRECT ANSWER: 1. supersaturation of urine by stone
- deposition of calcium phosphate -> plaque becomes a calculi
- deficiency of one or all proteins that inhibit stone formation
forming constituents
acute coronary syndrome (ACS) - CORRECT ANSWER: unstable angina to MI (cardiac
emergency)
acute hypercapnic respiratory failure - CORRECT ANSWER: unable to maintain a level of alveolar ventilation sufficient to eliminate CO2 and keep arterial O2 levels within normal range - ventilatory FAILURE
acute hypoxemic respiratory failure - CORRECT ANSWER: mismatch of ventilation and perfusion (lungs ventilated but not perfused) - NOT oxygenating
acute kidney injury - CORRECT ANSWER: decreased GFR, increased BUN &
creatinine
ARDS - CORRECT ANSWER: diffuse alveolar injury, pulmonary capillary damage,
bilateral pulmonary infiltrates and severe hypoxemia
- severity evaluated by PF ratio 1 / 3
asthma - CORRECT ANSWER: hyper reactive airway disease, chronic inflammatory
disease, bronchial hyper reactivity, REVERSIBLE AIRWAY CONSTRICTION
patho:
- presence of EOSINOPHILS, lymphocytes, mast cells
- IgE mediated
- TNF-a, IL-4 and IL-5
- eosinophils release LEUKOTRIENES -> release of HISTAMINE from mast cells
clinical man:
WHEEZING, cough, dyspnea, chest tightness, USE OF ACCESSORY MUSCLES (abdominal/intercostal)
atelectasis - CORRECT ANSWER: incomplete expansion of a lung or portion of lung
atypical pneumonia - CORRECT ANSWER: caused viral and mycoplasma infections
that involve alveolar septum and interstitium of lung (patchy)
- pneumoniae
- influenza
- RSV
less striking symptoms
BUN - CORRECT ANSWER: increases azotemia when:
- kidney is dysfunctional
- HIGH protein diet is consumed
- DEHYDRATION concentrates blood urea
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calcium oxalate - CORRECT ANSWER: 75%
- hyperabsorption
chronic bronchitis - CORRECT ANSWER: - hypersecretion of mucus and edema inhibit ventilation
- cannot get air IN
- cough for 3 MONTHS OUT OF THE YEAR FOR 2 CONSECUTIVE YEARS
- chronic hypoxia
- clubbing of fingernails
- blue boater
chronic ischemic heart disease - CORRECT ANSWER: recurrent, transient myocardial ischemia and stable angina
chronic renal failure - CORRECT ANSWER: - usually progresses to ESRD
- hemodialysis or kidney transplant are the ONLY options to support life
clinical manifestations of acute kidney injury - CORRECT ANSWER: METABOLIC
ACIDOSIS, volume overload -> pulmonary edema, encephalopathy, HYPERKALEMIA, CVA tenderness, HEMATURIA, PROTEINURIA, OLIGURIA (< 400 mL urine output per day or < 20 mL per hour)
clinical manifestations of ARDS - CORRECT ANSWER: rapid onset (12-18 hrs),
tachycardia, marked hypoxemia (refractory hypoxemia), BILATERAL INFILTRATES, non-compliant lung (very stiff)
clinical manifestations of fluid volume deficit - CORRECT ANSWER: dark urine, DRY mucous membranes, low urine output, orthostatic hypotension, poor skin turgor
clinical manifestations of fluid volume excess - CORRECT ANSWER: ascites, crackles in lungs, dyspnea, edema, weight gain (2 # = 1 L fluid)
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