Medical Surgical Nursing II (NURS223) Exam 5 Questions & Answers

Medical Surgical Nursing II (NURS223) Exam 5 Questions & Answers-Most important finding to report to the provider about a patient who just received an AVG in their forearm? - Hand is cold below AVG insertion site Which drug does the nurse anticipate administering to the patient with acute glomerulonephritis with a high K+ level? - Calcium gluconate Patients with CKD need to measure their fluid intake - True Patients with CKD should consume a lot of dairy products - False Calcium carbonate impacts the creatinine level of a patient with kidney disease - False Priority assessment prior to giving Kayexalate is? - Bowel sounds Which patient is able to receive CVVH? - Patient with kidney failure who is in septic shock What does a patient with kidney failure have the greatest difficulty in secreting? - Potassium What lab should be monitored when certain drugs are given that can be harsh on the kidneys - Serum creatinine The CRT lab value is most important to report prior to a patient with ESKD receiving epoetin alfa - False During the draining phase of dialysis, you expect to see what kind of fluid? - Clear or straw colored with minimal blood BPH can cause urinary retention and elevate creatinine and BUN values - True What would you expect to do first when caring for the BPH patient with elevated CRT and BUN? - Insert a catheter If your patient has hyperkalemia, they should be on a cardiac monitor - True You work in a dialysis clinic, what can you delegate to a dialysis technician? - Check the pt's VS During the infusion phase of dialysis approximately 4-5 liters of fluid will be infused - False SATA: Pt teaching for peritoneal dialysis must include: - Eating more protein Keep catheter site clean and dry Maintain clean technique for exchanges Notify HCP about purulent drainage Which OTC medication would you be concerned about when assessing your patient who has jaundice? - Ibuprofen It is important to monitor albumin for a patient who has liver cirrhosis and ascites - True It is ok for a patient with liver cirrhosis to drink alcohol - False The patient has a K+ of 3.1. There are orders for sprionolactalone and furosemide. Give the furosemide first. - False Lactulose is effective for the patient with liver cirrohisis and encephalopathy and decreased LOC when: - The patient is A&O x 4 What is the purpose of a TIPS procedure? - To decrease incidence of bleeding varices What should you have the patient do prior to having a paracentesis? - Have them urinate Which lab value is the nurse most concerned with for a patient with pancreatitis? - Amylase SATA: risk factors for acute pancreatitis - Trauma Excessive alcohol consumption SATA: Pt. instructions for pancreatic enzymes(pancrealipase) should include: - Take with each meal Wipe Lips and rinse mouth after taking Drink a full glass of water after taking