NUR 2243 FINAL EXAM
When teaching a pt with oliguric renal disease, make sure to teach -
ANSWERS-decrease intake of foods high in potassium, magnesium,
and phosphate to avoid imbalances
A pt with kidney disease is about to go for a CT scan, what med
should be held? - ANSWERS-metformin, risk for lactic acidosis; do
not give for at least 48-hrs before test
Hypokalemia s/sx - ANSWERS-- cardiac dysrhythmias and arrest
- muscle weakness
- orthostatic hypotension (FALL PRECAUTIONS)
- shallow respirations
- mental status changes
Hyperkalemia s/sx - ANSWERS-- cardiac dysrhythmias; peaked T
waves, elevated ST segment
- irritability
- tachypnea
- diarrhea
- increased muscle tone, clonus, hyperreflexia
Proteinuria indicates - ANSWERS-NEVER normal, indicates
decreased renal function
,When making assignments for a travel nurse, the charge nurse
understands - ANSWERS-float/travel nurses must be treated like
brand new nurse since they are new to the floor
Pt is experiencing EKG changes. The nurse should first assess -
ANSWERS-pt before assessing machine; do not call code unless both
are assessed!
Pacemaker aftercare - ANSWERS-- check dressing, pulses, cap. refill
- do not lift arm for 6 weeks
- no tight clothing
- stay away from magnets (no MRI)
DIC treatment - ANSWERS-- platelet, FFP, or coagulation factors
transfusion
- fixing cause
- priorities are circulation and oxygenation
Shock treatment - ANSWERS-- treat the underlying cause (restoration
of volume, treatment of infection, epi pen, etc.)
- oxygen
- meds (vasopressors + inotropes)
- fluids
, Shock s/sx - ANSWERS-hypotension, tachypnea, tachycardia,
narrowed MAP, decreased urinary output, cold/clammy skin
Stress test considerations - ANSWERS-NPO 2-6 hours before, no
beta blockers, no caffeine
Cardiac cath considerations - ANSWERS-- supine 6-8 hrs after test
- check groin, pedal pulses (if foot is cold, call HCP)
- risk for clot and stroke
A female pt comes into the ER complaining of SOB and indigestion.
The nurse knows this could be a sign of - ANSWERS-heart attack; GI
sx common in women experiencing heart issues
A diabetic pt experiencing cardiac problems may show no signs of -
ANSWERS-chest pain
Cushing's triad - ANSWERS-HTN (w/ widened pulse pressure),
bradycardia, irregular respirations
**s/sx of dangerous ICP increase
ED hand-off - ANSWERS-- mechanism of injury/why pt is there
- test results
- isolation precautions
- code status
When teaching a pt with oliguric renal disease, make sure to teach -
ANSWERS-decrease intake of foods high in potassium, magnesium,
and phosphate to avoid imbalances
A pt with kidney disease is about to go for a CT scan, what med
should be held? - ANSWERS-metformin, risk for lactic acidosis; do
not give for at least 48-hrs before test
Hypokalemia s/sx - ANSWERS-- cardiac dysrhythmias and arrest
- muscle weakness
- orthostatic hypotension (FALL PRECAUTIONS)
- shallow respirations
- mental status changes
Hyperkalemia s/sx - ANSWERS-- cardiac dysrhythmias; peaked T
waves, elevated ST segment
- irritability
- tachypnea
- diarrhea
- increased muscle tone, clonus, hyperreflexia
Proteinuria indicates - ANSWERS-NEVER normal, indicates
decreased renal function
,When making assignments for a travel nurse, the charge nurse
understands - ANSWERS-float/travel nurses must be treated like
brand new nurse since they are new to the floor
Pt is experiencing EKG changes. The nurse should first assess -
ANSWERS-pt before assessing machine; do not call code unless both
are assessed!
Pacemaker aftercare - ANSWERS-- check dressing, pulses, cap. refill
- do not lift arm for 6 weeks
- no tight clothing
- stay away from magnets (no MRI)
DIC treatment - ANSWERS-- platelet, FFP, or coagulation factors
transfusion
- fixing cause
- priorities are circulation and oxygenation
Shock treatment - ANSWERS-- treat the underlying cause (restoration
of volume, treatment of infection, epi pen, etc.)
- oxygen
- meds (vasopressors + inotropes)
- fluids
, Shock s/sx - ANSWERS-hypotension, tachypnea, tachycardia,
narrowed MAP, decreased urinary output, cold/clammy skin
Stress test considerations - ANSWERS-NPO 2-6 hours before, no
beta blockers, no caffeine
Cardiac cath considerations - ANSWERS-- supine 6-8 hrs after test
- check groin, pedal pulses (if foot is cold, call HCP)
- risk for clot and stroke
A female pt comes into the ER complaining of SOB and indigestion.
The nurse knows this could be a sign of - ANSWERS-heart attack; GI
sx common in women experiencing heart issues
A diabetic pt experiencing cardiac problems may show no signs of -
ANSWERS-chest pain
Cushing's triad - ANSWERS-HTN (w/ widened pulse pressure),
bradycardia, irregular respirations
**s/sx of dangerous ICP increase
ED hand-off - ANSWERS-- mechanism of injury/why pt is there
- test results
- isolation precautions
- code status
