Medical Surgical Nursing II (NURS223) Exam 5 Questions & Answers-Most important finding to report to the provider about a patient who just received an AVG
... [Show More] in their forearm? - Hand is cold below AVG insertion site
Which drug does the nurse anticipate administering to the patient with acute glomerulonephritis with a high K+ level? - Calcium gluconate
Patients with CKD need to measure their fluid intake - True
Patients with CKD should consume a lot of dairy products - False
Calcium carbonate impacts the creatinine level of a patient with kidney disease - False
Priority assessment prior to giving Kayexalate is? - Bowel sounds
Which patient is able to receive CVVH? - Patient with kidney failure who is in septic shock
What does a patient with kidney failure have the greatest difficulty in secreting? - Potassium
What lab should be monitored when certain drugs are given that can be harsh on the kidneys - Serum creatinine
The CRT lab value is most important to report prior to a patient with ESKD receiving epoetin alfa - False
During the draining phase of dialysis, you expect to see what kind of fluid? - Clear or straw colored with minimal blood
BPH can cause urinary retention and elevate creatinine and BUN values - True
What would you expect to do first when caring for the BPH patient with elevated CRT and BUN? - Insert a catheter
If your patient has hyperkalemia, they should be on a cardiac monitor - True
You work in a dialysis clinic, what can you delegate to a dialysis technician? - Check the pt's VS
During the infusion phase of dialysis approximately 4-5 liters of fluid will be infused - False
SATA: Pt teaching for peritoneal dialysis must include: - Eating more protein
Keep catheter site clean and dry
Maintain clean technique for exchanges
Notify HCP about purulent drainage
Which OTC medication would you be concerned about when assessing your patient who has jaundice? - Ibuprofen
It is important to monitor albumin for a patient who has liver cirrhosis and ascites - True
It is ok for a patient with liver cirrhosis to drink alcohol - False
The patient has a K+ of 3.1. There are orders for sprionolactalone and furosemide. Give the furosemide first. - False
Lactulose is effective for the patient with liver cirrohisis and encephalopathy and decreased LOC when: - The patient is A&O x 4
What is the purpose of a TIPS procedure? - To decrease incidence of bleeding varices
What should you have the patient do prior to having a paracentesis? - Have them urinate
Which lab value is the nurse most concerned with for a patient with pancreatitis? - Amylase
SATA: risk factors for acute pancreatitis - Trauma
Excessive alcohol consumption
SATA: Pt. instructions for pancreatic enzymes(pancrealipase) should include: - Take with each meal
Wipe Lips and rinse mouth after taking
Drink a full glass of water after taking [Show Less]