Advanced Med Surg Exam 1 Galen exam |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
with correct answers
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A patient with nephrotic syndrome is at risk for what? - correct answer✔✔Infections
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The nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to follow up with the PCP if the client - correct answer✔✔had a AAA repair 2 days ago and has
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a creatinine that has increased from 0.9 to 2.5mg/dl
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If a patient is a low GFR what modifications should we make to their diet? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔lower their protein intake |||\\\ |||\\\ |||\\\
What lab for your kidneys is most important to look at? - correct answer✔✔Creatinine (0.6-
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1.3)
The nurse is caring for a client who has been hospitalized for 8 days with AKI caused by
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dehydration which of the following should the nurse report immediately to the PCP? - correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔A. a BUN level of 67mg/dl |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B!!!! a rhythm strip reading that has tall, peaked T waves
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C. a decreased GFR|||\\\ |||\\\ |||\\\
D. a creatinine level of 3mg/dl
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You need a MAP higher than what to perfuse the kidneys? - correct answer✔✔65
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What meds are nephrotoxic? - correct answer✔✔-mycins, chemo (methotrexate, ibuprofen
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Who is 4x more likely to get chronic kindey disease? - correct answer✔✔African Americans
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, At what GFR rate should we consider dialysis? - correct answer✔✔15 and below
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A patient is on gentamicin and developed oliguria and increased blood pressure what should
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
we do? - correct answer✔✔request peak and trough levels
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The nurse is caring for a client with CKD, the client is reporting muscle weakness diarrhea, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tingling in the hands. Which action should the nurse take first? - correct answer✔✔Check
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Blood Specimen Levels and ABG |||\\\ |||\\\ |||\\\ |||\\\
What can we electrolyte imbalances can we expect with a patient in Early CKD vs Late CKD -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔Early: Low NA |||\\\ |||\\\ |||\\\ |||\\\
High: High NA and High K |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
If a patient returns from dialysis and has weakness and fatigue what do you do? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Report it to the doctor |||\\\ |||\\\ |||\\\ |||\\\
What are 3 important things to do for peritoneal dialysis? - correct answer✔✔Enema Prior
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
High Fowlers |||\\\
Mask on Pt when changing dressing |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are two symptoms of acute pancreatitis? - correct answer✔✔left should pain and back
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pain
A patient is experiencing symptoms of dialysis disequilibrium because of fluid being removed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
too fast. What is your priority action? - correct answer✔✔Assess LOC and Call Rapid!!!
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A patient has pancreatitis and presents with sterrorrhea? Do suspect acute or chronic? -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔Chronic |||\\\ |||\\\
with correct answers
|||\\\ |||\\\ |||\\\
A patient with nephrotic syndrome is at risk for what? - correct answer✔✔Infections
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is reviewing the laboratory results of an assigned client; it is a priority for the nurse
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
to follow up with the PCP if the client - correct answer✔✔had a AAA repair 2 days ago and has
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
a creatinine that has increased from 0.9 to 2.5mg/dl
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
If a patient is a low GFR what modifications should we make to their diet? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔lower their protein intake |||\\\ |||\\\ |||\\\
What lab for your kidneys is most important to look at? - correct answer✔✔Creatinine (0.6-
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1.3)
The nurse is caring for a client who has been hospitalized for 8 days with AKI caused by
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dehydration which of the following should the nurse report immediately to the PCP? - correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔A. a BUN level of 67mg/dl |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B!!!! a rhythm strip reading that has tall, peaked T waves
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C. a decreased GFR|||\\\ |||\\\ |||\\\
D. a creatinine level of 3mg/dl
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
You need a MAP higher than what to perfuse the kidneys? - correct answer✔✔65
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What meds are nephrotoxic? - correct answer✔✔-mycins, chemo (methotrexate, ibuprofen
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Who is 4x more likely to get chronic kindey disease? - correct answer✔✔African Americans
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, At what GFR rate should we consider dialysis? - correct answer✔✔15 and below
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A patient is on gentamicin and developed oliguria and increased blood pressure what should
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
we do? - correct answer✔✔request peak and trough levels
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is caring for a client with CKD, the client is reporting muscle weakness diarrhea, and
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tingling in the hands. Which action should the nurse take first? - correct answer✔✔Check
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Blood Specimen Levels and ABG |||\\\ |||\\\ |||\\\ |||\\\
What can we electrolyte imbalances can we expect with a patient in Early CKD vs Late CKD -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔Early: Low NA |||\\\ |||\\\ |||\\\ |||\\\
High: High NA and High K |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
If a patient returns from dialysis and has weakness and fatigue what do you do? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Report it to the doctor |||\\\ |||\\\ |||\\\ |||\\\
What are 3 important things to do for peritoneal dialysis? - correct answer✔✔Enema Prior
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
High Fowlers |||\\\
Mask on Pt when changing dressing |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are two symptoms of acute pancreatitis? - correct answer✔✔left should pain and back
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
pain
A patient is experiencing symptoms of dialysis disequilibrium because of fluid being removed
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
too fast. What is your priority action? - correct answer✔✔Assess LOC and Call Rapid!!!
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A patient has pancreatitis and presents with sterrorrhea? Do suspect acute or chronic? -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answer✔✔Chronic |||\\\ |||\\\
