NUR 417 EXAM 1 SELF-ASSESSMENT
QUESTIONS AND ANSWERS
Which of the physician's orders would cause concern? (Select all that
apply).
1. Cardiac catheterization
2. Potassium protocol
3. 500 mL 0.9% NS at 50 mL/hr
4. Nephrology consult
5. Cardiology consult - CORRECT ANSWER- 1. Cardiac
catheterization
3. 500 mL 0.9% NS at 50 mL/hr
Fluid administration, the client will need to be closely monitored due to
dx of HF, edema, and crackles in lungs, indicating fluid volume overload.
The cardiologist will be using contrast media to perform the test and the
patient is already in AKI (contrast medium, is a nephrotoxic agent).
For a client with AKI, edema, PMHx HF, what nursing monitoring
interventions should be performed as a result of beginning an order for
500 mL bag of 0.9% NS at 50 mL/hr?
__________, _________, _________ - CORRECT ANSWER- -
Monitor intake and output
- Obtain baseline weight and monitor weight daily
- Assess V/S and lungs for s/s of fluid volume overload
A patient that weights 95kg has a blood glucose level of 218.
Understanding the blood sugar protocol (Kidney International, 2012),
what range will you want to keep your patient's blood sugar in?
1. 80 - 100 mg/dL
2. 100 - 130 mg/dL
, 3. 110 - 149 mg/dL
4. 150 - 179 mg/dL - CORRECT ANSWER- 3. 110 - 149 mg/dL
"In critically ill patients, we suggest insulin therapy targeting plasma
glucose 110-149 mg/dl (6.1-8.3 mmol/l). National Kidney Foundation
What caloric range would you recommend the physician order for a
patient who weighs 95kg based on the National Kidney Foundation
protocol?
1. 1000-1350 kcal/day
2. 1450-1650 kcal/day
3. 1650 - 1850 kcal/day
4. 1900 - 2850 kcal/day - CORRECT ANSWER- 4. 1900 - 2850
kcal/day
"We suggest achieving a total energy intake of 20-30 kcal/kg/d in
patients with any stage of AKI." National Kidney Foundation
Match the evidence-based management steps below to the relevant
rationale.
1. Eliminate oral and parenteral sources of K+
2. Administer IV insulin and nebulized Albuterol
3. Administer IV Glucose
4. Administer Calcium Gluconate
5. Administer Kayexalate (orally or rectally)
a. To increase elimination of K. Potassium binds to the drug and is
eliminated through the bowel
b. To force the potassium into the cells
c. To reverse the membrane potential effects of the elevated K and to
restore the electrical gradient
d. To keep the potassium from getting higher
e. To protect the patient from hypoglycemia - CORRECT ANSWER-
1. = d.
2. = b.
3. = e.
QUESTIONS AND ANSWERS
Which of the physician's orders would cause concern? (Select all that
apply).
1. Cardiac catheterization
2. Potassium protocol
3. 500 mL 0.9% NS at 50 mL/hr
4. Nephrology consult
5. Cardiology consult - CORRECT ANSWER- 1. Cardiac
catheterization
3. 500 mL 0.9% NS at 50 mL/hr
Fluid administration, the client will need to be closely monitored due to
dx of HF, edema, and crackles in lungs, indicating fluid volume overload.
The cardiologist will be using contrast media to perform the test and the
patient is already in AKI (contrast medium, is a nephrotoxic agent).
For a client with AKI, edema, PMHx HF, what nursing monitoring
interventions should be performed as a result of beginning an order for
500 mL bag of 0.9% NS at 50 mL/hr?
__________, _________, _________ - CORRECT ANSWER- -
Monitor intake and output
- Obtain baseline weight and monitor weight daily
- Assess V/S and lungs for s/s of fluid volume overload
A patient that weights 95kg has a blood glucose level of 218.
Understanding the blood sugar protocol (Kidney International, 2012),
what range will you want to keep your patient's blood sugar in?
1. 80 - 100 mg/dL
2. 100 - 130 mg/dL
, 3. 110 - 149 mg/dL
4. 150 - 179 mg/dL - CORRECT ANSWER- 3. 110 - 149 mg/dL
"In critically ill patients, we suggest insulin therapy targeting plasma
glucose 110-149 mg/dl (6.1-8.3 mmol/l). National Kidney Foundation
What caloric range would you recommend the physician order for a
patient who weighs 95kg based on the National Kidney Foundation
protocol?
1. 1000-1350 kcal/day
2. 1450-1650 kcal/day
3. 1650 - 1850 kcal/day
4. 1900 - 2850 kcal/day - CORRECT ANSWER- 4. 1900 - 2850
kcal/day
"We suggest achieving a total energy intake of 20-30 kcal/kg/d in
patients with any stage of AKI." National Kidney Foundation
Match the evidence-based management steps below to the relevant
rationale.
1. Eliminate oral and parenteral sources of K+
2. Administer IV insulin and nebulized Albuterol
3. Administer IV Glucose
4. Administer Calcium Gluconate
5. Administer Kayexalate (orally or rectally)
a. To increase elimination of K. Potassium binds to the drug and is
eliminated through the bowel
b. To force the potassium into the cells
c. To reverse the membrane potential effects of the elevated K and to
restore the electrical gradient
d. To keep the potassium from getting higher
e. To protect the patient from hypoglycemia - CORRECT ANSWER-
1. = d.
2. = b.
3. = e.
