CCRN Questions

Endocrine – Disk 1 (Endocrine/Hematology/Gastrointestinal/Renal/Integumentary = 20% !"at is t"e e##ect o# $DH on urine #ormation $& Retention Retention o# sodium sodium and 'ater 'ater e)cretion e)cretion o# *otassi *otassium um +& E)cretion E)cretion o# sodium sodium and 'ater 'ater e)cretion e)cretion o# *otassi *otassium um ,& Retention Retention o# 'ater 'ater concentr concentration ation o# urine urine D& E)cretion E)cretion o# 'ater 'ater diluti dilution on o# urine urine -"e releasing stimulus #or $DH is normally. $& Decreased Decreased serum serum 'all 'all myocardial myocardial in#arct in#arction ion +& Increas Increased ed serum serum osmo osmolar larity ity ,& $n eleate eleated d circulat circulating ing corti cortisol sol leel D& Increased Increased serum *otassium *otassium leels leels -"e normal range o# serum osmolarity is. $& 11 +& 20020 ,& 2324 D& 5253 6I$DH is mani#est clinically as a. $& Hy*eros Hy*erosmol molar ar state state +& 7o' 7o' out out*u *utt sta state te ,& 8y)e 8y)ede dema ma sta state te D& !ater into)i into)icat cation ion state state In addition to its e##ect on 9ody 'ater e:uili9rium e: uili9rium $DH $DH is also a. $& ;aso*r so*res esso sor  r  +& ,ard ,ardio ioto toni nicc ,& +eta +eta stim stimula ulato tor  r  D& ,ar9oni ,ar9onicc an"ydra an"ydrase se in"i9i in"i9iter  ter  -"e sym*tomatology you 'ould assess in t"e *atient 'it" 6I$DH results #rom. $& Eleate Eleated d *otass *otassium ium leel leelss +& !ater into)i into)icat cation ion ,& Increas Increased ed seru serum m osmol osmolali ality ty D& you are assigned to a *atient recently admitted 'it" di& !"ic" o# t"e #ollo'ing *atients 'ould 9e likely to deelo* di $& $n elderly *atient receiing t"ia?ides +& $ young 'omen 'it" seere *neumonia ,& $ 0 y/o man 'it" eso*"ageal arices on ncom*ensated res*iratory alkalosis ,& >ncom*ensated res*iratory acidosis D& >ncom*ensated meta9olic alkalosis  Ce'ly admitted mi *atient on t"ia?ide diuretics at "ome #or "y*ertension "as an $+G. I2 0&@ ncom*ensated meta9olic acidosis D& ,om*ensated meta9olic alkalosis se o# accessory muscles $ *atient 'it" status ast"maticus is admitted& His 9reat" sounds are diminis"ed t"roug"out "is lung #ields& RR=0& $#ter giing your *atient an aerosol 9ronc"od ilator your *atient sounds 'orse as t"ey are no' louder& -"is indicates. $& -"e *atient "as gotten 'orse +& -"e need #or anest"esia to 9e *resent stat ,& -"e *atient is getting 9etter  D& -"e *atient does not "ae ast"ma !"en adAusting t"e initial settings on a olume  entilator #or an adult in res*iratory #ailure t"e tidal olume is usually set at. $& $t least 10ml *er kg or t'ice normal +& 120 ml *er kg or t'ice normal ,& 00 ml #or all *atients D& 50000 ml $ 30 kg *atient entilated 'it" I2 o# % ;- o# B00 I8; o# B&