NURS 6521N – Cushing Syndrome Pathophysiology

NURS 6521N – Cushing Syndrome Pathophysiology

NURS 6521N – Cushing Syndrome Pathophysiology (This is part of a quiz)

? Question 1
0 out of 0 points

When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity? NURS 6521N – Cushing Syndrome Pathophysiology
Selected Answer:
Yes
Correct Answer:
Yes

? Question 2
1 out of 1 points

When a nurse is assessing the physical features of individuals with Cushing syndrome, these findings will include:
Selected Answer: b.
Truncal obesity and moon face
Correct Answer:

? Question 3
1 out of 1 points

If the patient has a problem with the pineal gland, which substance would the nurse monitor?
Selected Answer: a. NURS 6521N – Cushing Syndrome Pathophysiology
Melatonin
Correct Answer:

? Question 4
1 out of 1 points

When insulin binds to its receptors on muscle cells, an increase in glucose uptake by the muscle cells occurs. This is an example of a _____ effect by a hormone.
Selected Answer: d.
Direct
Correct Answer:

? Question 5
1 out of 1 points

If a patient’s posterior pituitary is removed, which hormone would the nurse expect to decrease?
Selected Answer: b. NURS 6521N – Cushing Syndrome Pathophysiology
ADH
Correct Answer:

? Question 6
1 out of 1 points

A 30-year-old male presents to his primary care provider reporting visual disturbances. CT reveals a pituitary tumor and lab tests reveal elevated prolactin. He is diagnosed with prolactinoma. Which of the following treatments would the nurse help implement?
Selected Answer: a.
Dopaminergic agonists
Correct Answer:

? Question 7
0 out of 1 points

NURS 6521N – Cushing Syndrome Pathophysiology

A 19-year-old female with type 1 DM was admitted to the hospital with the following lab values: serum glucose 500 mg/dl (high), urine glucose and ketones 4+ (high), and arterial pH 7.20 (low). Her parents state that she has been sick with the “flu” for a week. Which of the following statements best explains her acidotic state?
Selected Answer: a.
Increased insulin levels promote protein breakdown and ketone formation.
Correct Answer:

? Question 8
1 out of 1 points

A 12-year-old female is newly diagnosed with type 1 DM. When the parents ask what causes this, what is the nurse’s best response? NURS 6521N – Cushing Syndrome Pathophysiology
Selected Answer: c.
Immune destruction of the pancreas
Correct Answer:

? Question 9
1 out of 1 points

A 35-year-old female took corticosteroid therapy for several months. Which of the following would the nurse expect to find?
Selected Answer: d.
Type 2 DM
Correct Answer:

? Question 10
1 out of 1 points

A patient has researched lipid-soluble hormones on the Internet. Which information indicates the patient has a good understanding? Lipid-soluble hormone receptors cross the plasma membrane by:
Selected Answer: a.
Diffusion
Correct Answer:

NURS 6521N – Cushing Syndrome Pathophysiology

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NURS 6521N – Pituitary Adenoma

(This is part of a quiz).

? Question 11
0 out of 1 points

A 30-year-old male was diagnosed with hypothyroidism. Synthesis of which of the following would decrease in this patient?
Selected Answer: c.
Thyroid-binding globulin
Correct Answer: NURS 6521N – Pituitary Adenoma

? Question 12
1 out of 1 points

A patient wants to know why ADH is important in the body. What is the nurse’s best response? ADH is important in:
Selected Answer: a.
The body’s water balance and urine concentration
Correct Answer:

? Question 13
1 out of 1 points

A patient has high levels of hormones. To adapt to the high hormone concentrations, the patient’s target cells have the capacity for:
Selected Answer: c.
Down-regulation
Correct Answer: NURS 6521N – Pituitary Adenoma

? Question 14
1 out of 1 points

A nurse is teaching a patient about insulin. Which information should the nurse include? Insulin is primarily regulated by:
Selected Answer: b.
Serum glucose levels
Correct Answer:

? Question 15
1 out of 1 points

What common neurologic disturbances should the nurse assess for in a patient with a pituitary adenoma?
Selected Answer: b.
Visual disturbances
Correct Answer: NURS 6521N – Pituitary Adenoma

? Question 16
1 out of 1 points

A student asks the instructor which of the following is the most potent naturally occurring glucocorticoid. How should the instructor respond?
Selected Answer: c.
Cortisol
Correct Answer:

? Question 17
1 out of 1 points

NURS 6521N – Pituitary Adenoma

A 25-year-old male presents with fatigue, constipation, and sexual dysfunction. Tests reveal all pituitary hormones are normal and no masses are present. The nurse suspects the most likely cause of his symptoms is a dysfunction in the:
Selected Answer: d.
Pituitary stalk
Correct Answer: NURS 6521N – Pituitary Adenoma

? Question 18
1 out of 1 points

A 50-year-old female presents with lightheadedness and overall abnormal feelings. Hyperaldosteronism is diagnosed. Which of the following symptoms would the nurse expect?
Selected Answer: c.
Hypokalemia
Correct Answer:

? Question 19
1 out of 1 points

Visual disturbances are a common occurrence in patients with untreated Graves disease. The endocrinologist explains to the patient that the main cause of these complications is:
Selected Answer: b.
Orbital edema and protrusion of the eyeball
Correct Answer: NURS 6521N – Pituitary Adenoma

? Question 20
1 out of 1 points

A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hormone (GH). Which of the following would the nurse also expect to find?
Selected Answer: c.
Sexual dysfunction
Correct Answer:

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NURS 6521N – Pituitary Adenoma

NURS 6521N – Neurogenic Diabetes Insipidus

This is part of a quiz.

? Question 21
1 out of 1 points

While planning care for a patient with hypothyroidism, which principle should the nurse remember? The basal metabolic rate is unusually _____ with hypothyroidism.
Selected Answer: b.
Low
Correct Answer:

? Question 22
1 out of 1 points

A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient?
Selected Answer: b.
Glucagon
Correct Answer:

? Question 23
1 out of 1 points

A 50-year-old male patient presents with polyuria and extreme thirst. He was given exogenous ADH. For which of the following conditions would this treatment be effective?
Selected Answer: a.
Neurogenic diabetes insipidus
Correct Answer:

NURS 6521N – Neurogenic Diabetes Insipidus

? Question 24
1 out of 1 points

A 12-year-old male is newly diagnosed with type 1 DM. Which of the following tests should the nurse prepare the patient to best confirm the diagnosis?
Selected Answer: a.
Fasting plasma glucose levels
Correct Answer:

? Question 25
1 out of 1 points

A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?
Selected Answer: b.
Secondary hypothyroidism
Correct Answer:

? Question 26
1 out of 1 points

A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?
Selected Answer: a.
Hyponatremia
Correct Answer:

? Question 27
1 out of 1 points

An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?
Selected Answer: b
Cancer
Correct Answer:

? Question 28
1 out of 1 points

A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:
Selected Answer: d.
Diffuse thyroid enlargement
Correct Answer:

? Question 29
1 out of 1 points

A 45-year-old female has elevated thyroxine production. Which of the following would accompany this condition?
Selected Answer: d.
Decreased thyroid-stimulating hormone (TSH)
Correct Answer:

? Question 30
1 out of 1 points

A patient wants to know what can cause ACTH to be released. How should the nurse respond?
Selected Answer: d.
Acute stressors
Correct Answer:

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NURS 6521N – Neurogenic Diabetes Insipidus

NURS 6521N – Hyponatremia

NURS 6521N – Hyponatremia (this is part of a quiz)

? Question 31
1 out of 1 points

A 39-year-old female just had a baby. Which hormone will prevent excessive uterine bleeding?
Selected Answer: d.
Oxytocin
Correct Answer:

? Question 32
1 out of 1 points

Which principle should the nurse include while planning care for a patient with an ADH problem? ADH release from the posterior pituitary is stimulated by:
Selected Answer: b.
High serum osmolarity sensed by osmoreceptors in the hypothalamus
Correct Answer: NURS 6521N – Cushing Syndrome Pathophysiology

? Question 33
1 out of 1 points

A 50-year-old male patient is deficient in ADH production. Which of the following assessment findings would the nurse expect to find?
Selected Answer: c.
ADH is decreased by changes in intravascular volume
Correct Answer:

? Question 34
0 out of 1 points

While planning care for a patient from general anesthesia, which principle should the nurse remember? A side effect of some general anesthetic agents is _____ diabetes insipidus.
Selected Answer: a.
Neurogenic
Correct Answer:

? Question 35
1 out of 1 points

An endocrinologist isolated a new hormone and found it to be a water-soluble amine. Which of the following is most like this new hormone?
Selected Answer: d.
Epinephrine
Correct Answer:

? Question 36
0 out of 1 points

A 40-year-old male undergoes surgery for a PTH-secreting tumor in which the parathyroid is removed. Which of the following would the nurse expect following surgery?
Selected Answer: a.
Increased serum calcium
Correct Answer:

Saturday, October 27, 2018 4:21:02 AM EDT

? Question 25
1 out of 1 points

A 22-year-old female has a low level of TSH. What condition does the nurse expect the patient is experiencing?
Selected Answer: b.
Secondary hypothyroidism
Correct Answer:

? Question 26
1 out of 1 points

A 54-year-old patient with pulmonary tuberculosis (lung infection) is evaluated for syndrome of inappropriate ADH secretion (SIADH). Which of the following electrolyte imbalances would be expected in this patient?
Selected Answer: a.
Hyponatremia
Correct Answer:

? Question 27
1 out of 1 points

An aide asks the nurse what is the most common cause of elevated levels of antidiuretic hormone (ADH) secretion. How should the nurse respond?
Selected Answer: b.
Cancer
Correct Answer:

? Question 28
1 out of 1 points

A 25-year-old female with Graves disease is admitted to a medical-surgical unit. Palpation of her neck would most likely reveal:
Selected Answer: d.
Diffuse thyroid enlargement
Correct Answer:

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NURS 6521N Advanced Pharmacology – Pathophysiology of Respiratory Disorders

NURS 6521N Advanced Pharmacology – Pathophysiology of Respiratory Disorders

In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.

Consider the following three scenarios:

Scenario 1:

Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination …

NURS 6521N Advanced Pharmacology – Pathophysiology of Respiratory Disorders Solution Sample

Pathophysiology

…

Treatment

…

Conclusion

…

References

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Assignment Details

For this Assignment, you are going to write a paper explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements – NURS 6521N Advanced Pharmacology – Pathophysiology of Respiratory Disorders

Before finalizing your work, you should:

• Minimum requirement of at least 5 sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

NURS 6521N Advanced Pharmacology – Pathophysiology of Respiratory Disorders

NURS 6521N Advanced Pharmacology – Defining Quality of Care

Post a definition of quality for your selected organization.

Describe at least one quality-related measure that is currently being monitored within the organization.
Summarize the data collection process for this measure, and explain how this information is communicated to or among the staff.

Identify at least one strength and one weakness related to how quality is defined, measured, and/or monitored within the organization.

How do we define quality of care?

On the basis of several definitions in the literature, the WHO definition of quality of care is “the extent to which health care services provided to individuals and patient populations improve desired health outcomes. In order to achieve this, health care must be safe, effective, timely, efficient, equitable and people-centred.” NURS 6521N Advanced Pharmacology – Defining Quality of Care

Safe.
Delivering health care that minimizes risks and harm to service users, including avoiding preventable injuries and reducing medical errors.

Effective.
Providing services based on scientific knowledge and evidence-based guidelines.

Timely.
Reducing delays in providing and receiving health care.

Efficient.
Delivering health care in a manner that maximizes resource use and avoids waste.

Equitable.
Delivering health care that does not differ in quality according to personal characteristics such as gender, race, ethnicity, geographical location or socioeconomic status.

People-centred.
Providing care that takes into account the preferences and aspirations of individual service users and the culture of their community. NURS 6521N Advanced Pharmacology – Defining Quality of Care

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NURS 6521N Advanced Pharmacology – Defining Quality of Care

Assignment Details

For this Assignment, you are going to write a paper explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

• Minimum requirement of at least 5 sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

NURS6521N Advanced Pharmacology – Vesicoureteral Reflux

NURS6521N Advanced Pharmacology – Vesicoureteral Reflux

Question 1
1 out of 1 points

A 3-year-old female presents with recurrent urinary tract infections (UTIs), fever, poor growth and development, and feeding problems. Tests reveal a retrograde flow of urine from the urinary bladder into the ureters. When giving report to the oncoming shift, the nurse will call this condition:
Selected Answer: a.
Vesicoureteral reflux (VUR)
Correct Answer:

? Question 2
1 out of 1 points

While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is:
Selected Answer: a.
urine pH.
Correct Answer:

? Question 3
1 out of 1 points

A 4-year-old male is diagnosed with nephrotic syndrome. Which of the following assessment findings accompanies this condition?
Selected Answer: a.
Proteinuria
Correct Answer:

? Question 4
1 out of 1 points

A 35-year-old hypertensive male begins taking a diuretic. Which of the following common side effects of this medication should the nurse monitor?
Selected Answer: a.
Hypokalemia
Correct Answer:

? Question 5
1 out of 1 points

A 7-year-old male presents to his primary care provider for incontinence. His mother indicates that he has never been continent. Which of the following is the most likely diagnosis the nurse will observe on the chart?
Selected Answer: c.
Primary enuresis
Correct Answer:

? Question 6
0 out of 1 points

A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely experience?
Selected Answer: a.
Anuria
Correct Answer:

? Question 7
1 out of 1 points

A 29-year-old female presents with cloudy urine, flank pain, hematuria, and fever. Which of the following does the nurse suspect the patient is most likely experiencing?
Selected Answer: a.
Acute cystitis
Correct Answer:

? Question 8
1 out of 1 points

When a newborn is admitted with urinary tract infections (UTIs), which type of infection will the nurse look for in the newborn?
Selected Answer: b.
Infections caused by bacteria from the gastrointestinal (GI) tract
Correct Answer:

? Question 9
1 out of 1 points

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:
Selected Answer: c.
Acute glomerulonephritis
Correct Answer:

? Question 10
1 out of 1 points

A 5-year-old male was diagnosed with glomerulonephritis. History reveals that he had an infection 3 weeks before the onset of this condition. The infection was most likely located in the:
Selected Answer: c.
Respiratory tract
Correct Answer:

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NURS 6521N Advanced Pharmacology – Acute Pyelonephritis

NURS 6521N Advanced Pharmacology – Acute Pyelonephritis

? Question 21
1 out of 1 points

When describing the male urinary anatomy, which information should the nurse include? The portion of the male urethra that is closest to the bladder is the _____ portion.
Selected Answer: b.
Prostatic
Correct Answer:

? Question 22
1 out of 1 points

When a patient’s renal system secretes rennin, what effect will that cause in the body? It causes the direct activation of:
Selected Answer: a.
Angiotensin I
Correct Answer:

? Question 23
1 out of 1 points

A 42-year-old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by:
Selected Answer: c.
Inadequate renal blood flow
Correct Answer:

? Question 24
1 out of 1 points

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:
Selected Answer: c.
Acute glomerulonephritis
Correct Answer:

? Question 25
1 out of 1 points

A 60-year-old male is diagnosed with renal failure. While the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis?
Selected Answer: a.
Elevated plasma creatinine level
Correct Answer:

? Question 26
1 out of 1 points

NURS 6521N Advanced Pharmacology – Acute Pyelonephritis

A nurse observes on the chart that a patient is admitted with Wilms tumors. A nurse knows the tumors are found in the:
Selected Answer: a.
Kidneys
Correct Answer:

? Question 27
1 out of 1 points

While planning care for a patient who has acute pyelonephritis. A nurse recalls the most common condition associated with the development of acute pyelonephritis is:
Selected Answer: c.
Urinary tract obstruction
Correct Answer:

? Question 28
1 out of 1 points

A 42-year-old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting:
Selected Answer: c.
Proteins
Correct Answer:

? Question 29
1 out of 1 points

A 56-year-old male presents with flank pain and polyuria. Tests reveal that he has an enlarged prostate. Which of the following types of renal failure should the nurse monitor for as it is the most likely to occur?
Selected Answer: d.
Postrenal
Correct Answer:

? Question 30
1 out of 1 points

Which of the following clusters of symptoms would make a clinician suspect a child has developed glomerulonephritis?
Selected Answer: d.
Gross hematuria, flank pain, and hypertension
Correct Answer:

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NURS 6521N Advanced Pharmacology – Hemolytic Uremic Syndrome

NURS 6521N Advanced Pharmacology – Hemolytic Uremic Syndrome

? Question 11
0 out of 1 points

When a nurse is checking the urinalysis, plasma proteins should be absent from the urine because:
Selected Answer: a.
All proteins filtered are subsequently reabsorbed.
Correct Answer:

? Question 12
1 out of 1 points

A nurse is reviewing urinalysis results and notices glucose is present in the urine. A nurse realizes glucose will be excreted in the urine when:
Selected Answer: b.
The carrier molecules have reached their maximum
Correct Answer:

? Question 13
1 out of 1 points

A 19-year-old female was involved in a motor vehicle accident during which she sustained a closed head injury. She is now experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial medication treatment?
Selected Answer: a.
Alpha blocker
Correct Answer:

? Question 14
1 out of 1 points

NURS 6521N Advanced Pharmacology – Hemolytic Uremic Syndrome

When a child is admitted with acute renal failure, a clinician realizes the most common cause of acute renal failure is:
Selected Answer: d.
Hemolytic uremic syndrome (HUS) NURS 6521N – Cushing Syndrome Pathophysiology
Correct Answer:

? Question 15
1 out of 1 points

A 15-year-old female presents with flank pain, irritability, malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond?
Selected Answer: a.
Poststreptococcal infection
Correct Answer:

? Question 16
1 out of 1 points

While turning a patient with chronic renal failure, which principle should the nurse recall? Bone fractures are a risk factor in chronic renal failure because:
Selected Answer: c.
The kidneys fail to activate vitamin D.
Correct Answer:

? Question 17
1 out of 1 points

When a nurse is preparing to teach about urine, which information should the nurse include? Just before entering the ureter, urine passes through the:
Selected Answer: b.
Renal pelvis
Correct Answer:

? Question 18
1 out of 1 points

A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by:
Selected Answer: c.
dilation of the renal pelvis and calyces proximal to a blockage.
Correct Answer:

? Question 19
0 out of 1 points

On average the kidneys receive approximately _____ of the cardiac output.
Selected Answer: d.
26% to 35%
Correct Answer:

? Question 20
1 out of 1 points

A 2-year-old male is diagnosed with Wilms tumor. Which of the following clinical conditions is often associated with this disease? NURS 6521N – Cushing Syndrome Pathophysiology
Selected Answer: b.
Aniridia
Correct Answer: