Exam 2 Review - NUR 235 Fall 2024
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Questions and Answers

What could lead to hyperkalemia in the body?

  • Severe vomiting
  • Diuretic use
  • Renal failure (correct)
  • Excessive intake of sodium
  • What is the primary consequence of imbalances in extracellular electrolytes?

  • Increased fluid retention
  • Altered cellular functions (correct)
  • Decreased blood pressure
  • Enhanced oxygen transport
  • Which of the following describes a hypotonic fluid?

  • Increases blood volume in circulation
  • Has a lower concentration of solutes than blood plasma (correct)
  • Has a higher concentration of solutes than blood plasma
  • Is isotonic to cellular fluid
  • Which buffer system is NOT one of the three primary systems used to regulate physiologic pH?

    <p>Hormonal buffer system</p> Signup and view all the answers

    What primarily happens when ventilation is impaired?

    <p>Reduced gas exchange efficiency</p> Signup and view all the answers

    What should students do if they finish the test early?

    <p>Quietly sit and occupy themselves or leave quietly</p> Signup and view all the answers

    What is prohibited immediately after the test?

    <p>Congregating in the hallway</p> Signup and view all the answers

    What is necessary for students with accommodations?

    <p>They should send LIU-approved documentation</p> Signup and view all the answers

    What is the primary purpose of the exam?

    <p>To evaluate students’ understanding of the material</p> Signup and view all the answers

    What should students remember regarding technical difficulties on test day?

    <p>Technical difficulties happen to everyone, so they should be considerate</p> Signup and view all the answers

    Which condition is characterized by impaired ventilation and can lead to hypoxemia, hypoxia, and hypercapnia?

    <p>Cystic fibrosis</p> Signup and view all the answers

    What is the primary effect of impaired ventilation-perfusion matching?

    <p>Hypoxemia</p> Signup and view all the answers

    Which of the following conditions results from alterations in cardiac output?

    <p>Shock</p> Signup and view all the answers

    What is the role of the cardiac cycle in the circulatory system?

    <p>Pumping blood throughout the body</p> Signup and view all the answers

    Which clinical model is directly associated with impaired circulation?

    <p>Myocardial infarction</p> Signup and view all the answers

    How can impaired ventilation and diffusion primarily be measured?

    <p>Pulmonary function tests</p> Signup and view all the answers

    What changes can altered perfusion lead to in terms of tissue demand?

    <p>Increased perfusion demands</p> Signup and view all the answers

    Which intervention is commonly used to treat impaired ventilation and diffusion?

    <p>Bronchodilators</p> Signup and view all the answers

    What should be the primary approach to studying for the test?

    <p>Supplement PowerPoints with readings and class discussions.</p> Signup and view all the answers

    What is emphasized as a critical thinking skill when answering test questions?

    <p>Applying learned concepts to real-life scenarios.</p> Signup and view all the answers

    Which of the following is least likely to help when preparing for scenarios on the test?

    <p>Just knowing the treatments without context.</p> Signup and view all the answers

    What advice is given regarding memorization?

    <p>Understanding concepts is more beneficial than rote memorization.</p> Signup and view all the answers

    What does the content suggest about the arrangement of the room during the test?

    <p>Desks should be spread out to facilitate movement.</p> Signup and view all the answers

    Why is it important to understand why diseases and symptoms occur?

    <p>It allows for a deeper comprehension of medical concepts and their applications.</p> Signup and view all the answers

    When preparing for the exam, what is suggested regarding technological devices?

    <p>Charge all devices and place them in front of the room before starting.</p> Signup and view all the answers

    What is a key aspect to focus on while reviewing core concepts?

    <p>Understanding general processes such as inflammation and immune response.</p> Signup and view all the answers

    Study Notes

    Exam 2 Review - NUR 235 Fall 2024

    • Chapters Covered: 8, 9, 15, 16 of the Applied Pathophysiology textbook (4th edition).

    Chapter 8: Altered Fluid and Electrolyte Balance

    • Electrolyte Values: Expected (normal) extracellular electrolyte values are crucial. Electrolyte imbalances (e.g., sodium, potassium, calcium) have specific causes (vomiting, diarrhea, renal failure) which impact cells and tissues.
    • Fluid Movement: Fluid movement in and out of cells, tissues, and circulation (e.g., nephrons) is a key concept.
    • Fluid Intake/Excretion: Regulation of fluid intake and excretion for balance is critical. Conditions like hypovolemia, hemorrhage, dehydration, water intoxication, and hypervolemia/edema are important to understand.
    • Fluid Types: Isotonic, hypertonic, and hypotonic are relevant fluid types.

    Chapter 9: Altered Acid-Base Balance

    • Physiological pH: Maintaining physiologic pH is vital for cellular function.
    • Buffer Systems: The body uses 3 buffer systems to maintain pH within a range.
    • Metabolic Acidosis: Models, signs and symptoms, tests, and treatment aspects need review.

    Chapter 15: Altered Ventilation and Diffusion

    • Ventilation Process: Understanding the mechanics of inspiration and expiration.
    • Diffusion Process: The exchange of gasses (O2 and CO2) is essential.
    • Impaired Ventilation/Diffusion: Consequences of impaired processes (hypoxemia, hypoxia, hypercapnia).
    • Ventilation-Perfusion Mismatch: Understanding the concept and consequences.
    • Models: COPD (emphysema, chronic bronchitis, asthma, cystic fibrosis) are models to focus on. Models also include conditions such as impaired circulation, altered cardiac output, ventilation-perfusion mismatch.

    Chapter 16: Altered Perfusion

    • Perfusion Pathway: Path from ventilation to perfusion, including pulmonary and systemic circulatory systems (pathway).
    • Circulatory System: Cardiac function and the entire circulatory system are pertinent.

    General Study Advice

    • Diverse Resources: Utilize textbook, notes, pre-lecture materials, class discussions, and Brightspace videos.
    • PowerPoint Supplement: PowerPoint slides should be complemented with textbook and class notes.
    • Core Concepts: Focus on the basic foundational concepts (cell response, inflammation, repair, infection).
    • Real Diagnoses: Learn the pathophysiology, symptoms, tests, and treatment of provided exam examples of real diagnoses,
    • Understanding Why: Don’t just memorize, understand why diseases occur, WHY symptoms occur, and why tests and treatments are employed.
    • Critical Thinking: Be prepared for questions that require applying medical knowledge in critical scenarios.
    • Exam Format: Be aware that the exam covers 40 questions in 1 hour, the instructions regarding prior notice of accommodations for exam participation (e.g. special needs for time accommodation), and important tips for exam preparation (e.g. quiet exam seating arrangements).
    • Academic Honesty: Understanding the exam guidelines and academic dishonesty policies.

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    Description

    Prepare for your NUR 235 Exam 2 with this review quiz covering chapters 8, 9, 15, and 16 of the Applied Pathophysiology textbook. Dive into topics like fluid and electrolyte balance, acid-base balance, and the physiological implications of these concepts on health. Test your knowledge and ensure you're ready for your exam!

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