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Exam 1 Pathophysiology Nursing School

front 1

Decrease in cell size

Due to underuse

back 1

Atrophy

front 2

Increase in cell size

Due to overuse

back 2

Hypertrophy

front 3

Increase in number of cells

Compensatory Mechanism

(Think Mammary Glands or Uterine Enlargement due to Pregnancy)

back 3

Hyperplasia

front 4

One Mature Cell type is replaced by a different Mature Cell type due to original cells inability to withstand environment

(GERD esophagus, Respiratory tract of smokers)

back 4

Metaplasia

front 5

cells vary in shapes and sizes no organization

pre cancerous change

(cervical)

back 5

Dysplasia

front 6

cells are undifferentiated

variable nuclear and cell structures

numerous mitotic figures

back 6

Anaplasia

front 7

Control growth apoptosis stick together

back 7

Normal cell

front 8

Long Term Potassium deficits increase the risk of?

back 8

Cardiac Dysrhythmia

front 9

muscle cramps/weakness/fatigue

abdominal cramps

lethargy/confusion/seizures

back 9

Signs of Hyponatremia

front 10

Excessive sweat

vomiting

Diarrhea

Excessive water intake

back 10

Risk Factors of Hyponatremia

front 11

Muscle Cramps

Abdominal Cramps

Anorexia

Nausea

Fatigue/Lethargy/confusion

Decrease in Blood Pressure

back 11

Signs/Manifestations of Hyponatremia

front 12

Renal Failure

potassium (K+) sparing diuretics

Burns/Crush injuries

back 12

Causes of Hyperkalemia

front 13

Arrhythmias

Nausea/ Diarrhea

Muscle Weakness

Paralysis

Paresthesia (abnormal tingling)

Oliguria (production of abnormally small amounts of urine)

back 13

Manifestations of Hyperkalemia

front 14

Hypothyroidism

malabsorption

vitamin D deficiency

back 14

Causes of Hypocalcemia

front 15

Usually occurs with renal failure

increase Mg intake

back 15

Causes of Hypermagnesemia

front 16

Loss of hydrogen ions

Gain of bicarbonate

back 16

Causes of Metabolic Alkalosis

Bicarbonate higher than 26

pH lower than 7.35

CO2 is normal 35-45

front 17

Loss of acid

Vomiting

NG tube suctioning

Diuretics

Gain of Bicarbonate

back 17

Risk Factors of Metabolic Alkalosis

front 18

Agitation/Irritable

Light-headedness

Tetany (muscle spasms)

paresthesia

seizures

back 18

Manifestations of Metabolic Alkalosis

front 19

Gain in hydrogen ions

loss of bicarbonate

back 19

Causes of Metabolic Acidosis

Bicarbonate is below 22

CO2 is normal 35-45

pH is higher than 7.45

front 20

Headache/confusion/lethargy/coma

Kussmaul's respirations

Nausea/vomiting/abdominal pain

Cardiac Dyrshythmias

back 20

Manifestations of Metabolic Acidosis

front 21

muscle twitching/ tetany

chvostek sign (spasm of lip or face when tapped in front of the ear)

trousseau sign (carpopedal spasm when a blood pressure cuff is applied blocking blood flow to hand)

cardiac dysrhythmias

back 21

Manifestations of Hypocalcemia

front 22

Hyperthyroidism

bone cancer

immobility

back 22

causes of Hypercalcemia

front 23

Muscle weakness

loss of muscle tone

spontaneous fractures

kidney stones

cardiac dysrhythmias

back 23

manifestations of Hypercalcemia

front 24

Normal Level of Calcium

back 24

8.5-10.5mg/dL

front 25

Diuretics

Inadequate K+ intake

Excessive Diarrhea

back 25

Causes of Hypokalemia

front 26

Muscle Fatigue/Cramps

Nausea/vomiting/constipation

Cardiac Dysrhythmias

back 26

Manifestations of Hypokalemia

front 27

Normal Level of Magneisum

back 27

1.6-2.5mEq/L

front 28

If Magnesium is low what else is low

back 28

Potassium and Calcium are also low

front 29

Hypocapnia (decrease in CO2)

Ventilation impairments

Hyperventalation

back 29

causes of Respiratory Alkalosis

front 30

Panic attacks

fever

brain injuries

mechanical ventilation

back 30

Risk factors of respiratory alkalosis

front 31

Agitated/ irritable

light headedness

seizures

tetany

paresthesia

back 31

Manifestations of Respiratory Alkalosis

front 32

Hypercapnia

ventilation impairments

hypoventilation

back 32

causes of Respiratory Acidosis

front 33

opiate overdose/overuse

respiratory disease

sleep apnea

airway obstruction

anesthetics

back 33

Risk Factors of Respiratory Acidosis

front 34

Headache/ confusion/ lethargy/coma

tremors

paralysis

back 34

manifestations of respiratory acidosis

front 35

Loss of water

Excessive intake of sodium

back 35

causes of Hypernatremia

front 36

Excessive sweating

vomiting/ diarrhea

decreased water intake

back 36

Risk Factors of Hypernatremia

front 37

Signs of fluid deficit

thirst

headache/ agitation

back 37

manifestations of hypernatremia

front 38

Fluid Compartments

back 38

Intra cellular

Extracellular

front 39

Compartments of Extracellular

back 39

Intravascular

Interstitial

Cerebrospinal

Transellular

front 40

Intracellular

back 40

the compartment and fluid with in the cells and bounded by the cell membrane

front 41

Intravascular

back 41

fluid with in lymph capillaries and blood vessels

front 42

interstitial

back 42

fluid between the cells

front 43

Maintaining fluid balance

back 43

Thirst Mechanism

Hormones

front 44

Antidiuretic Hormone

back 44

reabsorbed water in kidneys

front 45

Aldosterone

back 45

reabsorbed water and sodium

front 46

Atrial natriuretic peptide

back 46

promotes excreation of water and sodium (urinate more)

front 47

Filtration

back 47

fluid and solute from blood vessel to interstitial space

front 48

osmosis

back 48

from interstitial space to blood vessel

front 49

hydrostatic pressure

back 49

Increase in volume stay away pushing pressure

front 50

Osmotic Pressue

back 50

Come to mama

pulling pressure

front 51

increased hydrostatic pressure

back 51

higher blood pressure

prevents return of fluid

Kidney failure, CHF, or Pulmonary disease are all examples)

front 52

Decreased Osmotic Pressure

back 52

loss of plasma proteins specifically albumin

front 53

Increased capillary permeability

back 53

localized edema

inflammatory response or infection

(bacteria toxins, large burns or wounds)

front 54

Lymphatic Obstruction

back 54

excessive fluid and protein are not returned to general circulation

front 55

Kidney/ liver/ heart failure

increased sodium intake

IV Fluid

Blood transfusions

back 55

Causes of Fluid Excess

front 56

Dyspnea

Decreased Lab values

increased urine output

High blood pressure

Bounding pulse (slow or fast)

Jugular Vein Distention

Edema

back 56

Manifestations of Fluid excess

front 57

Increased capillary hydrostatic pressure

decreased capillary osmotic pressure

increased capillary permeability

Obstruction of the Lymphatic Circulation

back 57

Causes of Edema

front 58

Complications of Edema

back 58

Restriction in range of motion at joints

pain

decreased arterial circulation

skin break down or damage

front 59

Malnutrition issues

Malabsorption issues

Diuretics

back 59

Causes of Hypomagnesemia

front 60

Tremors

Hyperreflexia

insomnia

back 60

Manifestations of Hypomagnesemia

front 61

Hyporeflexia

Lethargy

Respiratory Depression

back 61

Manifestations of Hypermagnesemia

front 62

Normal Level of Potassium

back 62

3.5-5 mEq/L

front 63

Normal Level of Sodium

back 63

135-145mEq/L

front 64

Skin Turgor

back 64

Skin with decreased turgor remains elevated after being pulled up and released.

front 65

Dry Mucous Membrane

back 65

Manifestation of Fluid deficit

front 66

Excess loss

inadequate intake

or combination of both

back 66

Causes of Fluid Deficit

front 67

Vomiting/Diarrhea

Excessive Sweating

Insufficient water intake

back 67

Risk factors of Fluid Deficit

front 68

Dry mouth

Decreased Skin Turgor

increased lab values

decreased urine output

low blood pressure

fast and weak heart rate

confusion

back 68

manifestations of fluid deficit

front 69

A nurse is teaching a client about the manifestations of hypokalemia. Which manifestation, if stated by the client, indicates teaching was effective?

back 69

Cardiac dysrhythmias

front 70

The movement of water from the interstitial space to the vascular space is known as what?

back 70

Osmosis

front 71

What is the role of ADH in maintaining fluid balance?

back 71

Reabsorption of water

front 72

What is the role of ADH in maintaining fluid balance?

back 72

High Blood Pressure

front 73

Which manifestation of fluid deficit stated by the nurse requires further teaching?

back 73

Bounding Pulse

front 74

A client has been profusely sweating and is complaining of being thirsty. What electrolyte imbalance does the nurse suspect?

back 74

Hypernatremia

front 75

What is a manifestation of hyponatremia?

back 75

Seizures

front 76

A client presents with renal failure. Which electrolyte imbalance does the nurse suspect?

back 76

Hypermagnesemia

front 77

A client comes in with bone cancer. What electrolyte imbalance does the nurse suspect?

back 77

Hypercalcemia

front 78

How does the respiratory system maintain acid base balance?

back 78

Retaining or excreting CO2

front 79

What is the cause of respiratory acidosis?

back 79

Hypercapnia

front 80

Which is a normal ABG?

back 80

pH 7.40, CO2 35, HCO3 22

front 81

A client comes in with sepsis. For which acid-base imbalance does the nurse monitor?

back 81

Metabolic acidosis

front 82

A client has renal failure and deep rapid respirations. What is the name of the compensation mechanism responsible for the clients respiratory pattern?

back 82

Kussmaul respiration

front 83

A client has been taking a diuretic medication. What acid base imbalance does the nurse expect?

back 83

Metabolic alkalosis

front 84

Which ABG result is indicative of Respiratory acidosis?

back 84

pH 7.22, CO2 60, HCO3 26

front 85

Which is a cause of hyponatremia?

back 85

Taking in too much water

front 86

Tears is _____ in defense

back 86

First

front 87

Inflammation is ________ in defense

back 87

Second

front 88

Skin is _____ in defense

back 88

First

front 89

T-Lymphocytes is ______ in defense

back 89

third

front 90

Saliva is _______ in defense

back 90

First

front 91

Neutrophils/Macrophages is _______ in defense

back 91

Second

front 92

Unique antibodies is ______ in defense

back 92

Third

front 93

Mucous Membranes is ______ in defense

back 93

First

front 94

A nurse is teaching a student about the role of inflammation. Which statement by the student indicates a need for further instruction?

back 94

It is the body's specific response to tissue injury.

front 95

What is the role of histamine in the inflammatory process?

back 95

It causes vasodilation.

front 96

Fever is local or systemic?

back 96

Systemic

front 97

Redness is local or systemic?

back 97

Local

front 98

Warmth is local or systemic?

back 98

Local

front 99

Malaise is local or systemic?

back 99

Systemic

front 100

Fatigue is local or systemic?

back 100

Systemic

front 101

Headache is local or systemic?

back 101

Systemic

front 102

Pain is local or systemic?

back 102

Local

front 103

Swelling/Edema is local or systemic?

back 103

Local

front 104

Exudate is local or systemic?

back 104

Local

front 105

Anorexia is local or systemic?

back 105

Systemic

front 106

Decreased function/ range of motion is local or systemic?

back 106

Local

front 107

A nurse is teaching a client about complications of chronic inflammation. Which complications, if stated by the client, indicate understanding of the teaching? (Select all that apply)

back 107

Development of extensive scar tissue More tissue destruction occurs. Periodic exacerbations of acute inflammation

Deep ulcers and perforation

front 108

What are the complications that occur due to scar tissue formation?

back 108

Loss of function

Ulcerations

Obstructions

Adhesions

Contractures

front 109

What is the Rule of Nines used for?

back 109

To determine the body surface area burned.

front 110

true or false: Nosocomial infections are acquired out in the community such as malls, amusement parks, and grocery stores.

back 110

False

front 111

Guidelines by which all blood, body fluids, and wastes are considered infected in any client regardless of the client's apparent condition is the basis of which precaution?Group of answer choices

back 111

Standard

front 112

Red, pink, dry Type of burn

back 112

Superficial

front 113

Charred, black, hard, dry, leathery

back 113

Full Thickness

front 114

Mottled, red, white and waxy

back 114

Deep Partial Thickness

front 115

Affects all of the epidermis and dermis

back 115

Deep Partial Thickness

front 116

Extends into the subcutaneous tissue and underlying structures

back 116

Full Thickness

front 117

Affects the outer layer of the epidermis

back 117

Superficial

front 118

Affects all of the epidermis and part of the dermis

back 118

Superficial Partial Thickness

front 119

Heals readily without scar tissue

back 119

Superfical

front 120

Sun poisoning

back 120

Superficial Partial Thickness

front 121

Healing takes months to years and usually needs skin grafts

back 121

Full Thickness

front 122

Sunburn

back 122

Superficial

front 123

Sexual intercourse

back 123

Direct Tranmission

front 124

Respiratory secretion expelled from the body

back 124

Droplet transmission

front 125

Mosquitos carrying West Nile Virus

back 125

Vector

front 126

Tuberculosis

back 126

Aerosol Transmission

front 127

Flu Virus

back 127

Droplet

front 128

Contact with contaminated food

back 128

Indirect

front 129

Small particles from the respiratory tract that remain suspended in the air and travel on air currents

back 129

Areosol

front 130

Vague manifestations such as fatigue, anorexia, and headache.

back 130

Prodromal stage

front 131

Manifestations start subsiding and body processes return to normal

back 131

Recovery Stage

front 132

The time between exposure to an organism and appearance of manifestations.

back 132

Incubation Period

front 133

Fully developed infection; manifestations peak

back 133

Acute Period

front 134

What diagnostic tests are used to diagnose infections?

back 134

C-Reactive Protein (CRP)

Erythrocyte Sedimentation Rate (ESR)

Complete blood count (CBC)

Cultures

front 135

What is the role of the complement system in immunity?

back 135

It promotes inflammation and phagocytosis

front 136

What is the term for the antibodies that attack the body's own tissues?

back 136

Autoantibodies

front 137

What is the role of antibodies?

back 137

Bind to antigen to destroy it

front 138

A nurse is teaching on the different types of hypersensitivities. Which hypersensitivity stated by the nurse requires further teaching?

back 138

Toxic reactions

front 139

Which type of acquired immunity involves direct exposure to an antigen?

back 139

Active natural

front 140

What is an example of a Type IV hypersensitivity?

back 140

Organ rejection

front 141

What is a manifestation of being immunodeficient?

back 141

Recurrent infections

front 142

What precaution is needed for a client with AIDS?

back 142

Standard precautions