Nur 176 Exam 2 Questions with 100%
Correct Answers | Verified | Updated
(Actual Exam) LATEST VERSION!!
Symptomatic diverticular disease
includes hemorrhage, inflammation (diverticulitis), or complications of diverticulitis such
as abscess, fistula, obstruction, or free perforation.
Clinical Presentation of Diverticulitis
Acute onset of left lower quadrant pain, intermittent, varying in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hematochezia
what would you find assessing a patient for diverticulitis
exam reveals pain LLQ, possible rebound or guarding
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)
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH
ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION OF THE
DIVERTICULUM.
,barium enema can
diagnosis but if acute beware
MORPHINE IS NOT GIVE TO THESE PATIENTS DUE TO
INTRALUMENAL PRESSURE.
What is hemodialysis?
most common renal replacement therapy used in ESKD and kidney failure
Where may hemodialysis be preformed?
-in-patient procedure on critically ill patients
-out-patient for more stable patients
What happens during hemodialysis?
-blood and dialysate run in different directions
-toxins are diffused into the dialysate, leaving the patient's blood free from toxins/at least
reduced toxins
What is a subclavian dialysis catheter?
-a radiopaque tube that can be used for hemodialysis
-Y-shaped tubing allows arterial outflow and venous return through a single catheter
-used for several weeks
What are possible complications of hemodialysis?
-disequilibrium syndrome
-muscle cramps
-hemorrhage
-air embolus
-hemodynamic changes (hypotension, anemia)
, -cardiac dysrhythmias
-infection
What do you have to do to access the AV fistula?
-two needles are used
-one toward venous blood flow (clean blood is returned to the body)
-other toward arterial blood flow (blood comes out to be cleaned)
What vessels are used to form an AV fistula?
-radial/brachial artery and a cephalic vein of nondominant arm
What complications can occur with vascular access?
-thrombosis (most frequent)
-stenosis
-infections
-aneurysms
-ischemia
-heart failure
What are common problems postdialysis and should be closely monitored for?
-hypotension/hpertension
-headache
-nausea/vomiting
-malaise/dizziness
-muscle cramps/bleeding
What neurological symptoms can result from dialysis equilibrium syndrome?
Correct Answers | Verified | Updated
(Actual Exam) LATEST VERSION!!
Symptomatic diverticular disease
includes hemorrhage, inflammation (diverticulitis), or complications of diverticulitis such
as abscess, fistula, obstruction, or free perforation.
Clinical Presentation of Diverticulitis
Acute onset of left lower quadrant pain, intermittent, varying in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hematochezia
what would you find assessing a patient for diverticulitis
exam reveals pain LLQ, possible rebound or guarding
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)
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH
ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION OF THE
DIVERTICULUM.
,barium enema can
diagnosis but if acute beware
MORPHINE IS NOT GIVE TO THESE PATIENTS DUE TO
INTRALUMENAL PRESSURE.
What is hemodialysis?
most common renal replacement therapy used in ESKD and kidney failure
Where may hemodialysis be preformed?
-in-patient procedure on critically ill patients
-out-patient for more stable patients
What happens during hemodialysis?
-blood and dialysate run in different directions
-toxins are diffused into the dialysate, leaving the patient's blood free from toxins/at least
reduced toxins
What is a subclavian dialysis catheter?
-a radiopaque tube that can be used for hemodialysis
-Y-shaped tubing allows arterial outflow and venous return through a single catheter
-used for several weeks
What are possible complications of hemodialysis?
-disequilibrium syndrome
-muscle cramps
-hemorrhage
-air embolus
-hemodynamic changes (hypotension, anemia)
, -cardiac dysrhythmias
-infection
What do you have to do to access the AV fistula?
-two needles are used
-one toward venous blood flow (clean blood is returned to the body)
-other toward arterial blood flow (blood comes out to be cleaned)
What vessels are used to form an AV fistula?
-radial/brachial artery and a cephalic vein of nondominant arm
What complications can occur with vascular access?
-thrombosis (most frequent)
-stenosis
-infections
-aneurysms
-ischemia
-heart failure
What are common problems postdialysis and should be closely monitored for?
-hypotension/hpertension
-headache
-nausea/vomiting
-malaise/dizziness
-muscle cramps/bleeding
What neurological symptoms can result from dialysis equilibrium syndrome?
