Jeff Solheim CEN Course Questions with

Jeff Solheim CEN Course Questions with Complete Solutions (Latest 2025)

Hyporeflexia is most commonly associated w/:

Hypokalemia Hypocalcemia Hypomagnesaemia Myperphosphatemia - Correct Answers ✅Hypokalemia The ED nurse knows that a pt with azotemia... - Correct Answers ✅Has an increase in blood urea nitrogen and creatinine level Addison's disease/chrisis NEED Refined - Correct Answers ✅Adrenal glands produce insufficient amounts of the hormone cortisol and sometimes aldosterone, too. When the body is under stress (e.g. fighting an infection), this deficiency of cortisol can result in a life threatening Addisonian crisis characterized by low blood pressure. NEED

REFINED

Cushing Syndrome - Correct Answers ✅Type of Adrenal Emergency -- Excessive steroids, usually from systemic exogenous admin, result in temporary hypernatremia (fluid retention), hypokalemia, hyperglycemia, and hypocalcemia.Immunosuppression and appropriate precautions required. If pt does not wean down the dose, an Addisonian crisis from insufficient glucosteroids can result. 1 / 3

Jeff Solheim CEN Course Questions with Complete Solutions (Latest 2025) Acute Adrenal Insufficiency results from... - Correct Answers ✅I.e., Adrenal crisis, Addisonian crisis), results from a sudden decrease in cortisol and aldosterone levels.Acute Adrenal Insufficiency, types - Correct Answers ✅Primary adrenal insufficiency occurs in individuals with preexisting chronic adrenal insufficiency (Addison dz). A common trigger is an acute illness/stressor.Secondary (suppression of adrenal hormone release) is much more common. Long-term glucocorticoid use (hydrocortisone, prednisone) causes adrenal gland suppression, primarily reducing cortisol production. Consequently, abrupt d/x of those may precipitate acute adrenal crisis.S/Sx - Acute Adrenal Insufficiency - Correct Answers ✅Weakness, fatigue Hypotension Anorexia, Wt. Loss N/V, abdominal pain, diarrhea, constipation Hyperpigmentation Diagnostic procedures - Acute Adrenal Insufficiency - Correct

Answers ✅Complete Met Panel:

• Hypoglycemia
• Hyponatremia, hypochloremia, hyperkalemia (in pt's with

primary adrenal insuff.) 2 / 3

Jeff Solheim CEN Course Questions with Complete Solutions (Latest 2025) Obtain creatinine level Draw cortisol and adrenocorticotropic hormone levels Therapeutic Interventions - Acute Adrenal Insufficiency - Correct Answers ✅- Stabilize fluids/electrolytes

• IV Hydrocortisone
• Dexamethasone

Thrombocytopenia - Correct Answers ✅low platelet count Aldosterone function - Correct Answers ✅- Facilitates sodium and water reabsorption

• Indirectly affects potassium excretion

Cushing's Syndrome - adrenal emergency - Correct Answers ✅Elevated glucose Decreased Potassium Elevated Sodium puffy/bloated appearance (fat), immunocompromised, poor wound healing Addison's (Adrenal) Crisis - Correct Answers ✅Decreased glucose Decreased sodium (can't reabsorb, thus water loss)

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