NUR 445 EXAM 5 ALL QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+ | VERIFIED ANSWERS | LATEST VERSION 2025
what are the clinical manifestations of cirrhosis of the liver? - CORRECT ANSWER-Shortness of
breath
• Decreased blood pressure
• Petechiae, bruising, and bleeding
• Altered mental status
• Asterixis
• Elevated liver enzymes
• Jaundice
• Dark amber urine
• Increased abdominal girth and bloating
• Decreased serum albumin levels
• Spider angiomas
• Palmar erythema
• Pruritus (secondary to accumulation of bile salts)
how is cirrhosis of the liver treated? - CORRECT ANSWER-sodium rstrictions
fluid restrictions
ativan diazepam
lactulose- waste excess ammonia
diuretics to help wast fluid ascites
parecentesis to drain ascites
vitamins a, b, c, k and folate to help vitamin b12 deficiencies
liver biopsy- removing damaged part of liver
,Administer vitamin K, blood products, and fresh frozen plasma as ordered (Corrects coagulation
disorders)
small, frequent meals to prevent protein loading
transjugular intrahepatic portosystemic shunt -reduces fluid accumulation
what can cause AKI? - CORRECT ANSWER-Dehydration or illness/ shock can cause AKI
what are the clinical manifestations of renal failure? - CORRECT ANSWER-decreased urine
output,
edema,
pulmonary edema
shortness of breath,
heart failure
jugular vein distention,
hypertension,
dysthymias
chest pain or pressure
increased potassium, phosphorous, BUN/creatinine; decreased calcium, sodium, and pH; and
metabolic acidosis
Anorexia
Nausea
constipation
Diarrhea
Confusion
Lethargy
Electrolyte imbalances
Seizure
, coma
fluid replacement in patients with renal failure? - CORRECT ANSWER-Replace fluids slowly
Monitor I's and os
Chronic Kidney disease complications? - CORRECT ANSWER-Risk of kidney transplant rejection
Fever,
Bleeding
Dialysis dequilirbium
Hypertension
Decreased urine output
Azotemia- toxic waste in blood
Immunosuppression due to immunosuppressive therapy for rejection.
Proteinuria
Infection - peritineal dialysis
How to assess AV fistula - CORRECT ANSWER-auscultate bruit
functional a palpable pulsation, a thrill,
assess for signs of infection
NO BP ON THAT ARM
medications contraindicated in patients with CKD - CORRECT ANSWER-Tylenol, contrast dye,
opiates, demerol,
NSAIDS ,aminoglycosides, penicillin, and tetracyclines
Medications typically prescribed in the morning may need to be given after dialysis,
|ALREADY GRADED A+ | VERIFIED ANSWERS | LATEST VERSION 2025
what are the clinical manifestations of cirrhosis of the liver? - CORRECT ANSWER-Shortness of
breath
• Decreased blood pressure
• Petechiae, bruising, and bleeding
• Altered mental status
• Asterixis
• Elevated liver enzymes
• Jaundice
• Dark amber urine
• Increased abdominal girth and bloating
• Decreased serum albumin levels
• Spider angiomas
• Palmar erythema
• Pruritus (secondary to accumulation of bile salts)
how is cirrhosis of the liver treated? - CORRECT ANSWER-sodium rstrictions
fluid restrictions
ativan diazepam
lactulose- waste excess ammonia
diuretics to help wast fluid ascites
parecentesis to drain ascites
vitamins a, b, c, k and folate to help vitamin b12 deficiencies
liver biopsy- removing damaged part of liver
,Administer vitamin K, blood products, and fresh frozen plasma as ordered (Corrects coagulation
disorders)
small, frequent meals to prevent protein loading
transjugular intrahepatic portosystemic shunt -reduces fluid accumulation
what can cause AKI? - CORRECT ANSWER-Dehydration or illness/ shock can cause AKI
what are the clinical manifestations of renal failure? - CORRECT ANSWER-decreased urine
output,
edema,
pulmonary edema
shortness of breath,
heart failure
jugular vein distention,
hypertension,
dysthymias
chest pain or pressure
increased potassium, phosphorous, BUN/creatinine; decreased calcium, sodium, and pH; and
metabolic acidosis
Anorexia
Nausea
constipation
Diarrhea
Confusion
Lethargy
Electrolyte imbalances
Seizure
, coma
fluid replacement in patients with renal failure? - CORRECT ANSWER-Replace fluids slowly
Monitor I's and os
Chronic Kidney disease complications? - CORRECT ANSWER-Risk of kidney transplant rejection
Fever,
Bleeding
Dialysis dequilirbium
Hypertension
Decreased urine output
Azotemia- toxic waste in blood
Immunosuppression due to immunosuppressive therapy for rejection.
Proteinuria
Infection - peritineal dialysis
How to assess AV fistula - CORRECT ANSWER-auscultate bruit
functional a palpable pulsation, a thrill,
assess for signs of infection
NO BP ON THAT ARM
medications contraindicated in patients with CKD - CORRECT ANSWER-Tylenol, contrast dye,
opiates, demerol,
NSAIDS ,aminoglycosides, penicillin, and tetracyclines
Medications typically prescribed in the morning may need to be given after dialysis,
