1. A nurse is providing teaching to a client who has chronic kidney disease and is starting hemodialysis. Which of the following information should the
... [Show More] nurse include in the teaching? Hemodialysis: Hemodiaylsis is needed three times per week for 3-5 sessions. It involves insertion of two needels one into an artery and the other into a vein. (page 379)
-Notify the nurse of headache, nausea, or dizziness during dialysis
-Do not eat during dialysis
-Have protamine sulfate ready to reverse the heparin
-Report hypotension, cramping, vomiting, bleeding at the access site, contamination of equipment.
-Provide emotional support and offer activities (books, magazines, music, cards, or television)
-Have an informed consent signed for hemodialysis
-Monitor the AV fistula (you want to hear a bruit but feel the thrill)
-Take medications to replace folate loss
-Eat a well balanced meal high in folate (beans, green vegetables) and take supplements.
-Diaylsis depletes protein so increase protein intake over prediaylsis limitations (page 380)
-Avoid sleeping on top of the extremity with the access device
2. Emergency care of the client in Addisonian crisis includes which one of the following interventions? This is a life threatening event. Occurs when there is an acute drop of adrenocorticoids due to sudden discontinue of glucocorticoid medication or when induced by severe trauma, infection, or stress. (page 542)
-Start a rapid infusion of 0.9% Na+ Cl. (administer hydrocortisone sodium IV bolus initially then a continuous infusion.
-PPI complication is C-Diff
-Causes hyperkalemia (loop or thiazide diuretics are used to manage this)
-It causes hyponatremia (neurologic changes are first, put them on seizure precautions), hypoglycemia, and hyperkalemia (telemetry)
-Place the patient in the recumberent position with legs elevated.
-Administer a H2 antagonist (rantidine) IV for ulcer prevention
-Administer vasopresssors to increase the blood pressure.
-Gi issues, salt cravings, weight loss, weakness, bronze pigmentation of the skin
3. A 40 year-old ale presents complaining of LUQ pain, diarrhea with oily, fowl-smelling stool, and abdominal distention. The nurse initially suspects which one of the following conditions?
-Pancreatitis
4. The nurse is caring for a client experiencing hypovolemic shock from blood loss. Which of the following interventions would be appropriate for this client? SATA
-Modified trendsdelenberg position
-Replace the fluids with crystalloids
-Packed RBC
-Blood cultures
-Hemoglobin and hemocrit
-Oxygen
5. A nurse is caring for a client with polycystic kidney disease. Which of the following would the nurse expect for this condition?
-Cyst can form on other parts of the body
-It is HEREDITARY
-Abdomen and flank pain
-Bloody and cloudy urine
-Ascitites
-Cyst multiply when patient reaches 30 years old
-Nocturia
-Hyponatremia
-Progressive kidney failure
-Low sodium diet
-Diagnostic lab test include: Hematuria, proteinuria, and bacteria indicating infection, gradual increase of blood creatine, BUN, creatine clearance (page 395) [Show Less]