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NUR265/ NUR 265 Exam 1: (2024/ 2025 Update) Advanced Med-Surg | Complete Guide with Questions and Verified Answers| 100% Correct- Galen

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NUR265/ NUR 265 Exam 1: (2024/ 2025 Update) Advanced Med-Surg | Complete Guide with Questions and Verified Answers| 100% Correct- Galen Q: Anemia in kidney disease when kidneys are damaged they do not make enough EPO (this prompts the bone marrow to make RBCs, which than carry oxygen throughout the body), as a result the bone marrow makes fewer RBCs, causing anemia Q: Hypernatremia Answer: weakness, disorientation, irritability, muscle twitching, decreased reflex, HTN Q: Hyponatremia Answer: - confusion - seizures - muscle weakness - hypotension Q: Hypokalemia Answer: more severe than elevated - absent t wave - u waves - pvc - Vtach-- Coma - cramping - nausea - confusion NI - heart monitor Q: Hyperkalemia Answer: - tachycardia - peaked T wave - prolonged QRS - 3 degree heart block - v fib - diarrhea - weakness - paresthesia-- paralysis NI - heart monitor - concern when 5.5 Q: Hypocalcemia Answer: - seizures 6 - tetany - trousseaus - chevoscki - laryngospasm - resp collapse - paresthesias - prolonged ST-QT intravels - osteoporosis Q: Hypercalcemia Answer: - short QT interval - bradycardia - increased clotting - paralysis - decreased DTRs - kidney stone - pancreatitis NI: STONES, MOANS, BONES, AND GROANS Q: Hypomagnesemia Answer: - increased neuromuscular activity -increased CNS activity - torsades de point Q: Hypermagnesemia Answer: - decreased reflex - diarrhea - bradycardia - arrest Q: Phosphorus Answer: where phosphorus is calcium is not - sxs opposite of calcium Q: uremia pg 1383 Answer: presence of urinary waste in the blood Sxs: dyspnea, N/V, anorexia, paresthesias Q: Acute Kidney Injury Answer: Abrupt/ rapid decline of GFR - 30ml/hr or 0.5ml/kg/hr NI: - Monitor I&O (HOURLY) - daily weight Q: chronic kidney disease Answer: last longer than 3 months Causes: DM, HTN, autoimmune disease, polycystic kidney, kidney stone Q: Stages of CKD Stage 4-5 require dialysis Q: CKD cardiac changes Answer:

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