Med-Surg 2 Exam 1 | 2026/2027 Latest
Updated Questions & Answers |
Comprehensive Study Guide
AKI: medication side effects - correct answer-Diuretics: Electrolyte imbalance
Kayexolate: Electrolyte imbalance, constipation, diarrhea
Phosphate binders
Meds to avoid with AKI - correct answer-Avoid NSAIDS, Vanc/Genta, Contrast
Signs of resolved AKI - correct answer-Decreasing urine specific gravity
Increasing output
Systemic Concerns - correct answer-Electrolyte imbalance - Increased K+
Acid-Base imbalance - Metabolic acidosis
CKD dietary restrictions - correct answer-Protein restrictions
Sodium <2g per day
Fluid restriction
, Symptoms of disequilibrium syndrome - correct answer-Disequilibrium syndrome
- too much fluid lost during dialysis
Dizziness/unsteady, N/V, electrolyte imbalance, Hypotension, tachycardia
Hemodialysis considerations - correct answer-Do not give certain meds prior to
hemodialysis
-antibiotics (cleaned out w/ dialysis)
-HTN meds (removal of fluids=high risk for hypoglycemia)
-cardiac meds
Need weight, VS, labs pre and post dialysis
Usually takes 3-5 hours
-monitor VS post treatment (hypotension)
Hemodialysis arm considerations
-patient education (shouldn't carry heavy objects, don't wear tight clothing, check
for a thrill a day, check for infection)
-No BP, labs, or IV sticks
-Catheter only used for dialysis
PD considerations - correct answer-Positioning: Supine, laying flat
Dialysate should be clear - cloudy indicates infection
Resume treatment if cloudy, but take sample
Assess for compliance
Updated Questions & Answers |
Comprehensive Study Guide
AKI: medication side effects - correct answer-Diuretics: Electrolyte imbalance
Kayexolate: Electrolyte imbalance, constipation, diarrhea
Phosphate binders
Meds to avoid with AKI - correct answer-Avoid NSAIDS, Vanc/Genta, Contrast
Signs of resolved AKI - correct answer-Decreasing urine specific gravity
Increasing output
Systemic Concerns - correct answer-Electrolyte imbalance - Increased K+
Acid-Base imbalance - Metabolic acidosis
CKD dietary restrictions - correct answer-Protein restrictions
Sodium <2g per day
Fluid restriction
, Symptoms of disequilibrium syndrome - correct answer-Disequilibrium syndrome
- too much fluid lost during dialysis
Dizziness/unsteady, N/V, electrolyte imbalance, Hypotension, tachycardia
Hemodialysis considerations - correct answer-Do not give certain meds prior to
hemodialysis
-antibiotics (cleaned out w/ dialysis)
-HTN meds (removal of fluids=high risk for hypoglycemia)
-cardiac meds
Need weight, VS, labs pre and post dialysis
Usually takes 3-5 hours
-monitor VS post treatment (hypotension)
Hemodialysis arm considerations
-patient education (shouldn't carry heavy objects, don't wear tight clothing, check
for a thrill a day, check for infection)
-No BP, labs, or IV sticks
-Catheter only used for dialysis
PD considerations - correct answer-Positioning: Supine, laying flat
Dialysate should be clear - cloudy indicates infection
Resume treatment if cloudy, but take sample
Assess for compliance
