Nur 176 Exam 2
1. Symptomatic diverticular dis- includes hemorrhage, inflammation (diverticulitis), or
ease complications of diverticulitis such as abscess, fistula, ob-
struction, or free perforation.
2. Clinical Presentation of Divertic- Acute onset of left lower quadrant pain, intermittent, vary-
ulitis ing in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hema-
tochezia
3. what would you find assessing a exam reveals pain LLQ, possible rebound or guarding
patient for diverticulitis
4. Labs/imaging for diverticulitis Labs to consider:
CBC
CMP, UA, stool studies if suspicious of other etiology
Imaging to consider:
CT ( scanning of the abdomen with IV and oral contrast
is the diagnostic test of choice in patients suspected of
having acute diverticulitis)
5. A BARIUM ENEMA IS CON- ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PER-
TRAINDICATED IN PATIENTS FORATION OF THE DIVERTICULUM.
WITH
, Nur 176 Exam 2
6. barium enema can diagnosis but if acute beware
7. MORPHINE IS NOT GIVE TO INTRALUMENAL PRESSURE.
THESE PATIENTS DUE TO
8. What is hemodialysis? most common renal replacement therapy used in ESKD
and kidney failure
9. Where may hemodialysis be pre- -in-patient procedure on critically ill patients
formed? -out-patient for more stable patients
10. What happens during hemodial- -blood and dialysate run in different directions
ysis? -toxins are diffused into the dialysate, leaving the patient's
blood free from toxins/at least reduced toxins
11. What is a subclavian dialysis -a radiopaque tube that can be used for hemodialysis
catheter? -Y-shaped tubing allows arterial outflow and venous return
through a single catheter
-used for several weeks
12. What are possible complications -disequilibrium syndrome
of hemodialysis? -muscle cramps
-hemorrhage
-air embolus
-hemodynamic changes (hypotension, anemia)
, Nur 176 Exam 2
-cardiac dysrhythmias
-infection
13. What do you have to do to access -two needles are used
the AV fistula? -one toward venous blood flow (clean blood is returned to
the body)
-other toward arterial blood flow (blood comes out to be
cleaned)
14. What vessels are used to form an -radial/brachial artery and a cephalic vein of nondominant
AV fistula? arm
15. What complications can occur -thrombosis (most frequent)
with vascular access? -stenosis
-infections
-aneurysms
-ischemia
-heart failure
16. What are common problems -hypotension/hpertension
postdialysis and should be close- -headache
ly monitored for? -nausea/vomiting
-malaise/dizziness
-muscle cramps/bleeding
17. What neurological symptoms -headache
can result from dialysis equilibri- -nausea/vomiting
um syndrome? -restlessness
-decreased LOC
-seizures
-coma
-death
1. Symptomatic diverticular dis- includes hemorrhage, inflammation (diverticulitis), or
ease complications of diverticulitis such as abscess, fistula, ob-
struction, or free perforation.
2. Clinical Presentation of Divertic- Acute onset of left lower quadrant pain, intermittent, vary-
ulitis ing in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hema-
tochezia
3. what would you find assessing a exam reveals pain LLQ, possible rebound or guarding
patient for diverticulitis
4. Labs/imaging for diverticulitis Labs to consider:
CBC
CMP, UA, stool studies if suspicious of other etiology
Imaging to consider:
CT ( scanning of the abdomen with IV and oral contrast
is the diagnostic test of choice in patients suspected of
having acute diverticulitis)
5. A BARIUM ENEMA IS CON- ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PER-
TRAINDICATED IN PATIENTS FORATION OF THE DIVERTICULUM.
WITH
, Nur 176 Exam 2
6. barium enema can diagnosis but if acute beware
7. MORPHINE IS NOT GIVE TO INTRALUMENAL PRESSURE.
THESE PATIENTS DUE TO
8. What is hemodialysis? most common renal replacement therapy used in ESKD
and kidney failure
9. Where may hemodialysis be pre- -in-patient procedure on critically ill patients
formed? -out-patient for more stable patients
10. What happens during hemodial- -blood and dialysate run in different directions
ysis? -toxins are diffused into the dialysate, leaving the patient's
blood free from toxins/at least reduced toxins
11. What is a subclavian dialysis -a radiopaque tube that can be used for hemodialysis
catheter? -Y-shaped tubing allows arterial outflow and venous return
through a single catheter
-used for several weeks
12. What are possible complications -disequilibrium syndrome
of hemodialysis? -muscle cramps
-hemorrhage
-air embolus
-hemodynamic changes (hypotension, anemia)
, Nur 176 Exam 2
-cardiac dysrhythmias
-infection
13. What do you have to do to access -two needles are used
the AV fistula? -one toward venous blood flow (clean blood is returned to
the body)
-other toward arterial blood flow (blood comes out to be
cleaned)
14. What vessels are used to form an -radial/brachial artery and a cephalic vein of nondominant
AV fistula? arm
15. What complications can occur -thrombosis (most frequent)
with vascular access? -stenosis
-infections
-aneurysms
-ischemia
-heart failure
16. What are common problems -hypotension/hpertension
postdialysis and should be close- -headache
ly monitored for? -nausea/vomiting
-malaise/dizziness
-muscle cramps/bleeding
17. What neurological symptoms -headache
can result from dialysis equilibri- -nausea/vomiting
um syndrome? -restlessness
-decreased LOC
-seizures
-coma
-death
