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Exam (elaborations)

NRSG 2500 Exam 2 Questions With Complete Solutions

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NRSG 2500 Exam 2 Questions With Complete Solutions

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NRSG 2500 Exam 2 Questions With Complete Solutions

_____agents must be held on dialysis days to avoid hypotension
Correct Answer Antihypertensive

0.45% NS (1/2 NS) Special Considerations Correct Answer
Use with caution
May cause cardiovascular collapse or increased intracranial
pressure
Don't use with liver disease, trauma, or burns
Hydrate cells, deplete fluid within circulatory system
Do not use hypotonic solutions with liver disease, trauma, burns
due to potential depletions of intravascular fluid volume

0.45% NS (1/2 NS) Uses Correct Answer Water replacement
DKA (intracellular dehydration)
Gastric fluid loss from NG or vomiting
Helps the kidneys excrete excess fluids and electrolytes

0.9% NS Special Considerations Correct Answer Can lead to
overload
Use with caution in patients with heart failure, renal disease or
edema

0.9% NS Uses Correct Answer Shock
Hyponatremia (Mild)
Blood Transfusions
Resuscitation
Fluid challenges
Metabolic acidosis such as DKA
Hypercalcemia

, Heavy drainage from GI suction, wounds or fistulas

1 L 5% dextrose supplies ___ calories to the patient Correct
Answer 170

1kg=_____ml of retained fluid Correct Answer 1000

1lb=____ml of retained fluid Correct Answer 450

Acidosis causes ___ symptoms Correct Answer cardiac

Acute Renal Injury Correct Answer A reversible syndrome
that results in decreased GFR and oliguria. Criterion is >50%
increase in serum creatinine.

Adult minimum urine output Correct Answer 30ml/hr

Alkalosis causes ___ or ___ symptoms Correct Answer
neuromuscular, sedative

Assessment of Kidney Function, Perfusion, and Fluid Balance
Correct Answer VS (MAP
I&O
Lungs, LOC, Pulses, Urine, Kidneys, Abdomen, Edema, CMS,
Color, Flank Pain, Skin
Labs: Specific gravity, Creatinine & GFR, BUN, Potassium,
Sodium
Weight

Buffers Correct Answer Bicarbonate, phosphate, protein

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