GUIDE COMPLETE ACCURATE EXAM ACTUAL
QUESTIONS AND CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES
(RELIABLE SOLUTIONS) A NEW UPDATED
VERSION 2026 EDITION ||JUST RELEASED
Describe peritoneal dialysis
-Sterile procedure at home where catheter is placed into
the abdomen
-Wear a mask
-Solution may be warmed using a heating bag or blanket,
not microwave!
-Make sure patient turns and repositions to mix solution
in the cavity
,Describe nursing care for an AV fistula.
-Palpate and auscultate- bruit and thrill
-Distal pulses
-ROM- helps form the fistula
-Monitor for infection
-No heavy lifting or carrying
-No pressure
-Aneurysm can form at AV fistula site
Describe dialysis disequilibrium syndrome
-Life threatening! (occurs if fluid is pulled off too fast)
-S/S: restless, headache, decreased LOC, seizures, coma
-Call a rapid immediately
-Give barbiturates and anticonvulsants
,What is cirrhosis?
An extensive, irreversible scarring of the liver.
What are common causes of cirrhosis?
-ETOH
-Viral hepatitis (HEP C)
- Autoimmune hepatitis
-Drugs and chemicals (aetaminophen or anything else
hepatotoxic)
What are early S/S of cirrhosis?
-Enlarged liver
-Fatigue
-Weight loss
-Anorexia
-N/V
-Abdominal pain
-dry skin
-brusing
-spinder angioma
-fector hep (funky breath)
, What are end stage S/S of cirrhosis?
-Ascites
-Small liver
-clotting disorder (bruising, GI bleed)
-Jaundice
-Elevated ammonia levels (give Lactulose)
-Hepatic encephalopathy
-Decreased bile production
What are the stages of hepatic encephalopathy?
-Stage 1: personality changes, subtle things that may not
be recognized
-Stage 2: Continuing mental changes, mental confusion,
disorientation to time, place, and person
-Stage 3: Marked mental confusion, progressive
deterioration
-Stage 4: metabolic acidosis, unresponsiveness leading
to death in most patients, unarousable
What causes hepatic encephalopathy?
The buildup of ammonia in the body