NUR 201 Test 12 - Answer When patient has low calcium levels, bel...

NUR 201 Test 12

• When does Chvostek's sign appear and what is it?

Answer When patient has low calcium levels, below 6

• Tapping the cheek to see if that side of the face draws up towards the tapping

• Trousseau's sign and when does that appear

Answer It appears with patients with low calcium

• When you compress the upper arm and the arm starts to draw up like a TRex arm

• What electrolyte affects Digoxin

Answer Digoxin is most effective in systems with hypokalemia (low potassium)

• this also increases the risk of Digoxin poisioning

• What does Digoxin do?

Answer Lowers HR without lowering BP

• What is the best question to ask an obese patient when speaking about their weight

Answer What do you think lead you to become being obese?

• What things can put someone at risk for becoming obese

Answer

• Are you obese because of food choices?

• Poverty 1 / 3

• Food drought, no access to food
• Disability preventing you from cooking food or being active
• emotional state
• Recreational drug use
• Mobility problems

• What is the effect of Kayexelate

Answer Used to treat high potassium levels by binding to the K in the body so it can be excreted through GI

• What lab show when dehydrated

Answer Hemoglobin, hematocrit, potassium, sodium values will all be high because there is a higher concentration of solids than fluid

• What is Aldosterone

Answer Hormone that is secreted when ECF sodium value is low, prevent further sodium and water loss

• When is antidiuretic hormone released

Answer Secreted more in response to in- creased blood osmolality causing water retention, so you don't pee out whatever fluid is left

• What labs show when patient has volume overload

Answer All lab vales run low because they are diluted in the excess water

• What hormones and drug help combat volume overload

Answer BNP (causes you to pee more)

-lactone drugs (diaretics) 2 / 3

• ACE inhibitors (-pril drugs)

• What are the assessment questions for dehydration

Answer

• Have you had any N/V/D

• Have you been sweating fluids, not replacing
• Any new medications (diuretics, laxative use)
• Daily weights
• Hx of renal issues
• Endocrine problems

• What are the risk factors for low Phosphorus

Answer

• Burns (due to high calcium levels in response, low K causes low Phos)

• eating less
• Alcoholics
• Vitamin D deficiency
• Diuretic use

• What lab values can show someone is malnourished

Answer

• Albumin (2 weeks)

• Prealbumin (2 days)
• Low transferrin
• Low cholesterol levels (less than 160)
• Low total lymphocyte count (less than 1500)

• Physical signs of malnourishment

Answer

• Dull hair, hair loss

• Sunken eyes
• / 3