NR 325 Exam 1 2023

NR 325 Exam 1 2023 iSBARR - CORRECT ANSWERS introduction, situation, background, assessment, recommendation, read back What does Phoebe the cat love? - CORRECT ANSWERS belly rubs Potassium normal values - CORRECT ANSWERS 3.5-5.0 mEq/L Treatment for hypokalemia - CORRECT ANSWERS 10 mEQ K+ IV/hour oral replacement- potatoes, avocados treatment for hyperkalemia - CORRECT ANSWERS DICK- Dextrose, Insuline (regular), Calcium glucunate, Kayexalate Lasix (not K+ sparing) Hypokalemia EKG changes - CORRECT ANSWERS ST Depression shallow T wave Prominent U wave hyperkalemia EKG changes - CORRECT ANSWERS Tall p eaked T wavenormal sodium value - CORRECT ANSWERS 135-145 mEq/L causes of hypernatremia - CORRECT ANSWERS Decreased sodium excretion (corticosteroids, Cushing's Syndrome, Renal failure, Hyperaldosterone) Increased sodium intake (excessive oral soidium ingestion or administration of sodium containing IV fluids) Decreased water intake (NPO) Increased water loss (increased rate of metabolism, fever, hyperventilation, infection, excessive diaphoresis, watery diarrhea, diabetes insipidus) causes of hyponatremia - CORRECT ANSWERS severe N/V/D, fluid overload symptoms of hypernatremia - CORRECT ANSWERS Water retention (edema), hypertension Red, flushed skin; dry, sticky mucous membranes; increased thirst; elevated temperature; decreased urine output seizure, confusion, altered mental status symptoms of hyponatremia - CORRECT ANSWERS rapid pulse, weakness, lethargy, headache, polyuria, decreased urine speficic gravity, dry skin/mucous membranes, and olguria *olguria is small urine production* seizure confusion altered mental status treatment of hypernatremia - CORRECT ANSWERS Monitor I & O Monitor Sodium levels Monitor vital signs and levels of consciousness Restrict Sodium Increase water intake fluid replacement treatment for hyponatremia - CORRECT ANSWERS - restrict water intake and promote water loss - correct underlying disorder - replace Na defects lassie for HF risks for hypovolemia - CORRECT ANSWERS GI loss, hemorrhage, infection/fever treatment for hypovolemia - CORRECT ANSWERS IV and oral fluids, Zofran(monitor I&O, daily weights, renal panel, CBC) risks for hypervolemia - CORRECT ANSWERS too much oral intake, excess IV fluid, edema treatment for hypervolemia - CORRECT ANSWERS diuretics, fluid restriction, ted hose(monitor daily weights, I&O, assess/reasse