{"id":130553,"date":"2023-12-18T07:53:59","date_gmt":"2023-12-18T07:53:59","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=130553"},"modified":"2023-12-18T07:54:03","modified_gmt":"2023-12-18T07:54:03","slug":"exam-1-nur2502-nur-2502-new-2023-2024-update-multidimensional-care-iii-mdc-3-exam-questions-and-verified-answers-100-correct-grade-a-rasmussen","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/12\/18\/exam-1-nur2502-nur-2502-new-2023-2024-update-multidimensional-care-iii-mdc-3-exam-questions-and-verified-answers-100-correct-grade-a-rasmussen\/","title":{"rendered":"Exam 1: NUR2502\/ NUR 2502 (New 2023\/ 2024 Update) Multidimensional Care III\/ MDC 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Rasmussen"},"content":{"rendered":"\n<p>Exam 1: NUR2502\/ NUR 2502 (New 2023\/ 2024 Update) Multidimensional Care III\/ MDC 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Rasmussen<\/p>\n\n\n\n<p>Exam 1: NUR2502\/ NUR 2502 (New 2023\/<br>2024 Update) Multidimensional Care III\/<br>MDC 3 Exam| Questions and Verified<br>Answers| 100% Correct| Grade ARasmussen<br>QUESTION<br>\u25aa What is the vaccine for cervical cancer?<br>\u25aa What age should you give it?<br>\u25aa Dose schedule?<br>\u25aa Who takes it?<br>Answer:<br><em>Gardasil (protects us from HPV)<\/em><br>\u25aa 11-13 for both boys and girls<br>\u25aa 3 doses total over 6 months<br>QUESTION<br>Treatment for Cervical Cancer<br>Answer:<br>cervical ablation<br>QUESTION<br>Post-cervical ablation care<br>Answer:<br>FOR AT LEAST 4 WEEKS<br>\u25aa <strong>Refraining from sexual intercourse for 2-3 days after the procedure.<\/strong><\/p>\n\n\n\n<p>\u25aa <strong>Do not use tampons or douche.<\/strong><br>\u25aa <strong>Do not take tub baths.<\/strong><br>\u25aa Avoid heavy lifting.<br>\u25aa <strong>Report vaginal bleeding, foul-smelling drainage, or fever.<\/strong><br>\u25aa <strong>Bed rest<\/strong><br>QUESTION<br>Causes: <em>Acute Kidney Injury<\/em><br>Answer:<br>\u25aa medications<br>\u25aa drugs\/alcohol<br>\u25aa infarct of kidney, liver, heart<br>\u25aa <strong>anything that causes decrease in perfusion (dehydration, hypovolemia, shock, cardiac)<\/strong><br>\u25aa Decreased blood flow<br>\u25aa Damage to the kidneys by disease processes<br>\u25aa Blockage of the urinary tract<br>QUESTION<br>Treatment: <em>Acute Kidney Injury<\/em><br>Answer:<br>\u25aa <strong>dialysis (severe) &#8211; ESRD, CKD<\/strong><br>\u25aa <strong>treat the underlying cause<\/strong><br>\u25aa <strong>fluid replacement for hypovolemia<\/strong><br>\u25aa fluid restriction in low urine output<br>\u25aa hemodialysis<br>\u25aa diuretics<br>\u25aa Kayexalate 30 g &#8211; loose BMs is a successful treatment<br>\u25aa monitor I&amp;Os and daily weights.<br>QUESTION<br>Prevention: <em>Acute Kidney Injury<\/em><br>Answer:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Avoid dehydration by drinking 2 to 3 L of water daily<\/strong><\/li>\n\n\n\n<li>Stop smoking<\/li>\n\n\n\n<li>Maintain a healthy weight<\/li>\n\n\n\n<li>Control DM or HTN<\/li>\n\n\n\n<li>Take all antibiotics prescribed for infections<\/li>\n\n\n\n<li>Be aware of urine characteristic changes<\/li>\n\n\n\n<li>Avoid nephrotoxic substances-Antibiotics, Aminoglycosides, NSAIDS, Chemotherapy Drugs<\/li>\n\n\n\n<li>Potassium restricted foods: avoid dark leafy greens, potatoes, bananas<\/li>\n\n\n\n<li><strong>exercise<\/strong><\/li>\n\n\n\n<li><strong>maintain proper glucose levels<\/strong><\/li>\n\n\n\n<li><strong>maintain a good diet<\/strong><\/li>\n\n\n\n<li><strong>maintain proper protein levels<\/strong><br>QUESTION<br>Nursing Care: <em>Dialysis<\/em><br>Answer:<\/li>\n\n\n\n<li>Before treatment: Evaluate baseline vital signs, weight, laboratory tests<\/li>\n\n\n\n<li>Continually monitor patient for respiratory distress, pain, discomfort<\/li>\n\n\n\n<li>Monitor prescribed dwell time, initiate outflow<\/li>\n\n\n\n<li>Observe outflow amount and pattern of fluid<br>\u25aa <strong>monitor for hypotension<\/strong><br>\u25aa <strong>daily weight<\/strong><br>\u25aa <strong>thrombophlebitis<\/strong><br>\u25aa <strong>signs of bleeding<\/strong><br>\u25aa <strong>check fistula for thrill and bruit<\/strong><br>\u25aa <strong>sterile technique with dressing changes<\/strong><br>\u25aa <strong>port site clean with dialysis catheter<\/strong><br>QUESTION<br>Patient Education: <em>Fistula<\/em><br>Answer:<br>\u25aa no blood pressure on that side<br>\u25aa no blood draws on that side<br>\u25aa no IV medications on that side<br>\u25aa put on a limb alert bracelet<br>Powered by <a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\">https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/learnexams.com\/search\/study?query=\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/learnexams.com\/blog\/wp-content\/uploads\/2023\/12\/EXAM-1-NUR2502-NUR-2502-NEW-2023-2024-UPDATE-MULTIDIMENSIONAL-CARE-III-MDC-3-EXAM-QUESTIONS-AND-VERIFIED-ANSWERS-100-CORRECT-GRADE-A-RASMUSSEN-725x1024.png\" alt=\"Exam 1: NUR2502\/ NUR 2502 (New 2023\/ 2024 Update) Multidimensional Care III\/ MDC 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Rasmussen\" class=\"wp-image-130554\"\/><\/a><\/figure>\n\n\n\n<p><a>\u25aa chancre, fever, headache, muscle aches, rash<br><br>Late:<br>\u25aa organ failure, blindness, neuro changes<\/a><\/p>\n\n\n\n<p><a>S\/S:&nbsp;<strong>Syphilis<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/Vk.r3YBtZT0hGk9VuBncJQ.jpg\" alt=\"Image: \u25aa chancre, fever, headache, muscle aches, rash\n\nLate:\n\u25aa organ failure, blindness, neuro changes\"\/><\/figure>\n\n\n\n<p><a>C. Syphilis<\/a><\/p>\n\n\n\n<p><a>A 20-year-old sexually active male reports symptoms of a low-grade fever, headache, malaise, muscular aches, sore throat, and a rash on his hands and feet. What condition does the nurse anticipate?<br><br>A. HIV<br>B. HPV<br>C. Syphilis<br>D. Gonorrhea<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/Vk.r3YBtZT0hGk9VuBncJQ.jpg\" alt=\"Image: C. Syphilis\"\/><\/figure>\n\n\n\n<p><a>Primary syphilis<\/a><\/p>\n\n\n\n<p><a>Which stage of syphilis is this?<br><br>\u25aa Ulcer called chancre develop at the site of entry and can occur anywhere.<br>\u25aa Highly infectious stage, begins as a small papule, then breaks down to a painless, indurated, smooth weeping lesion<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/i\/uNXOijtLujvVM7XKpA_K_w.jpg\" alt=\"Image: Primary syphilis\"\/><\/figure>\n\n\n\n<p><a>Secondary syphilis<\/a><\/p>\n\n\n\n<p><a>Which stage of syphilis is this?<br><br>\u25aa Develops 6 weeks to 6 months, becomes systemic circulating in the blood.<br>\u25aa Commonly mistaken for the flu. Rash appears on the palmar surfaces of hands and feet. Patchy alopecia<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/Vk.r3YBtZT0hGk9VuBncJQ.jpg\" alt=\"Image: Secondary syphilis\"\/><\/figure>\n\n\n\n<p><a>\u25aa Penicillin G<br>\u25aa What do you ask before giving? &#8220;Do you have any allergies?&#8221;<\/a><\/p>\n\n\n\n<p><a>Treatment:&nbsp;<strong>Syphilis<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/Vk.r3YBtZT0hGk9VuBncJQ.jpg\" alt=\"Image: \u25aa Penicillin G\n\u25aa What do you ask before giving? &quot;Do you have any allergies?&quot;\"\/><\/figure>\n\n\n\n<p><a>Azithromycin single dose 1 g IM<\/a><\/p>\n\n\n\n<p><a>Treatment:&nbsp;<strong>Chlamydia<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/aVJjEXOQQGQmdK7RlVhAvA.jpg\" alt=\"Image: Azithromycin single dose 1 g IM\"\/><\/figure>\n\n\n\n<p><a>\u25aa&nbsp;<strong>Abstinence<\/strong>&nbsp;(7 days) until treatment is completed<br>\u25aa&nbsp;<strong>Expedited Partner Therapy (EPT)<\/strong>&nbsp;&#8211; Educate the patient on the importance of contacting their sexual partners to enable them to seek testing and possible treatment.<\/a><\/p>\n\n\n\n<p><a>Patient Education:&nbsp;<strong>Chlamydia<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/aVJjEXOQQGQmdK7RlVhAvA.jpg\" alt=\"Image: \u25aa *Abstinence* (7 days) until treatment is completed\n\u25aa *Expedited Partner Therapy (EPT)* - Educate the patient on the importance of contacting their sexual partners to enable them to seek testing and possible treatment.\"\/><\/figure>\n\n\n\n<p><a>\u2022 Wear cotton underwear.<br>\u2022 Always wipe front to back<br>\u2022 Do not douche or use feminine hygiene sprays.<br>\u2022 Do not use scented products.<br>\u2022 Use ice packs to help inflammation<\/a><\/p>\n\n\n\n<p><a>Prevention:&nbsp;<strong>Vulvovaginitis<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/yuCiL8uhFP5nlLXaASuM1Q.png\" alt=\"Image: \u2022 Wear cotton underwear.\n\u2022 Always wipe front to back \n\u2022 Do not douche or use feminine hygiene sprays.\n\u2022 Do not use scented products.\n\u2022 Use ice packs to help inflammation\"\/><\/figure>\n\n\n\n<p><a>\u25aa iron levels, CBC (H&amp;H), hormone levels, low blood pressure<br><br>S\/S:<br>\u25aa dizziness, weakness, fatigue, SOB<\/a><\/p>\n\n\n\n<p><a>Patient has heavy vaginal bleeding &#8211; What are you checking and what manifestations do you expect?<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/amI3xWu.ZamnpQMh2hGYaQ.jpg\" alt=\"Image: \u25aa iron levels, CBC (H&amp;H), hormone levels, low blood pressure\n\nS\/S:\n\u25aa dizziness, weakness, fatigue, SOB\"\/><\/figure>\n\n\n\n<p><a>\u25aa Kegel exercises<br>\u25aa Bladder training<br>\u25aa No drinking after 5pm or 6pm<br>\u25aa Avoid foods or drinks with caffeine<br>\u25aa Skin care<br>\u25aa Proper hygiene<\/a><\/p>\n\n\n\n<p><a>Patient Education:&nbsp;<strong>Urinary Incontinence<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/eQB4Qo2P1rS5nkkGp.OSlQ.jpg\" alt=\"Image: \u25aa Kegel exercises\n\u25aa Bladder training\n\u25aa No drinking after 5pm or 6pm\n\u25aa Avoid foods or drinks with caffeine\n\u25aa Skin care\n\u25aa Proper hygiene\"\/><\/figure>\n\n\n\n<p>\u25aa distended bladder<br>\u25aa visible mass above the symphysis pubis<br>\u25aa difficulty initiating urination**<br>\u25aa decreased urine stream<br>\u25aa urinary hesitancy, frequency, urgency, retention, incontinence<br>\u25aa incomplete voiding<br>\u25aa dribbling post-void**<br>\u25aa nocturia<br>\u25aa hematuria<br>\u25aa straining with urination<br>\u25aa obstruction of urine flow<br><br>presents as a uniform, elastic non-tender enlargement**<\/p>\n\n\n\n<p><a>S\/S:&nbsp;<strong>BPH<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/4uVzDXc9sYTr.SN8LyC6PA.jpg\" alt=\"Image: \u25aa distended bladder\n\u25aa visible mass above the symphysis pubis\n\u25aa difficulty initiating urination**\n\u25aa decreased urine stream\n\u25aa urinary hesitancy, frequency, urgency, retention, incontinence\n\u25aa incomplete voiding\n\u25aa dribbling post-void**\n\u25aa nocturia\n\u25aa hematuria\n\u25aa straining with urination\n\u25aa obstruction of urine flow\n\npresents as a uniform, elastic non-tender enlargement**\"\/><\/figure>\n\n\n\n<p><a>alpha-1 blockers (doxazosin) &#8211; better for patients with hypertension too<\/a><\/p>\n\n\n\n<p><a>Pharmaceutical Treatment:&nbsp;<strong>BPH<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/4uVzDXc9sYTr.SN8LyC6PA.jpg\" alt=\"Image: alpha-1 blockers (doxazosin) - better for patients with hypertension too\"\/><\/figure>\n\n\n\n<p><a>anticholinergics<\/a><\/p>\n\n\n\n<p><a>What medications should patients with BPH avoid?<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/4uVzDXc9sYTr.SN8LyC6PA.jpg\" alt=\"Image: anticholinergics\"\/><\/figure>\n\n\n\n<p><a>\u25aa phosphodiesterase &#8211; 5 (PDE-5) inhibitors (ex: sildenafil, vardenafil, tadalafil)<\/a><\/p>\n\n\n\n<p><a>Pharmaceutical Treatment:&nbsp;<strong>Erectile Dysfunction<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/dgw.QoJoLh0eHDJtpwuWWQ.jpg\" alt=\"Image: \u25aa phosphodiesterase - 5 (PDE-5) inhibitors (ex: sildenafil, vardenafil, tadalafil)\"\/><\/figure>\n\n\n\n<p>\u25aa Stress**<br>\u25aa Increasing age**<br>\u25aa Smoking**<br>\u25aa Obesity<br>\u25aa Hypertension**<br>\u25aa Medications such as antihypertensives**<br>\u25aa Endocrine disorders (Diabetes mellitus, thyroid)**<br>\u25aa Chemotherapy<br>\u25aa Alcohol and drug abuse**<br>\u25aa Trauma or surgery to the pelvic area**<br>\u25aa Lumbosacral injuries<br>\u25aa Pelvic fractures<br>\u25aa Neurological diseases (Parkinson&#8217;s and multiple sclerosis)<br>\u25aa Inflammation of seminal vesicles, urethra, and prostate<br>\u25aa Prostatectomy, TURP**<br>\u25aa Poor overall health that prevents sexual intercourse<br>\u25aa DVT, PE**<br>\u25aa Cardiac issues**<\/p>\n\n\n\n<p><a>Risk factors for ED<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=100,onerror=redirect,w=120\/https:\/\/o.quizlet.com\/dgw.QoJoLh0eHDJtpwuWWQ.jpg\" alt=\"Image: \u25aa Stress**\n\u25aa Increasing age**\n\u25aa Smoking**\n\u25aa Obesity\n\u25aa Hypertension**\n\u25aa Medications such as antihypertensives**\n\u25aa Endocrine disorders (Diabetes mellitus, thyroid)**\n\u25aa Chemotherapy\n\u25aa Alcohol and drug abuse**\n\u25aa Trauma or surgery to the pelvic area**\n\u25aa Lumbosacral injuries\n\u25aa Pelvic fractures\n\u25aa Neurological diseases (Parkinson's and multiple sclerosis)\n\u25aa Inflammation of seminal vesicles, urethra, and prostate\n\u25aa Prostatectomy, TURP**\n\u25aa Poor overall health that prevents sexual intercourse\n\u25aa DVT, PE**\n\u25aa Cardiac issues**\"\/><\/figure>\n\n\n\n<p><a>\u25aa respect to privacy, nonjudgmental, open ended Qs<\/a><\/p>\n\n\n\n<p><a>Therapeutic communication&#8230;<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/6sglDYReJYg5BSW30sAegw.jpg\" alt=\"Image: \u25aa respect to privacy, nonjudgmental, open ended Qs\"\/><\/figure>\n\n\n\n<p><a>bone<\/a><\/p>\n\n\n\n<p><a>Prostate Cancer &#8211; Where is the most common site for metastasis?<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/9OuJP6mxrz8AERDkYgpLAw.jpg\" alt=\"Image: bone\"\/><\/figure>\n\n\n\n<p><a>Phosphorus (&gt;4.5)<br>Potassium (&gt; 5.0)<br>Magnesium (&gt; 2.5)<br>Calcium (&gt;10.5)<br>Creatinine (&gt; 1.2)<br>BUN (&gt; 20)<br>Liver enzymes<\/a><\/p>\n\n\n\n<p><a>Blood levels that might be elevated if prostate CA has metastasized to the bone<br><br>(SATA?)<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/9OuJP6mxrz8AERDkYgpLAw.jpg\" alt=\"Image: Phosphorus (&gt;4.5)\nPotassium (&gt; 5.0)\nMagnesium (&gt; 2.5)\nCalcium (&gt;10.5)\nCreatinine (&gt; 1.2)\nBUN (&gt; 20)\nLiver enzymes\"\/><\/figure>\n\n\n\n<p><a>\u25aa PSA<br>\u25aa age 40 (risk), 50 (non risk) + prostate exam<\/a><\/p>\n\n\n\n<p><a>What do we use to screen prostate CA? And when should this start?<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/9OuJP6mxrz8AERDkYgpLAw.jpg\" alt=\"Image: \u25aa PSA\n\u25aa age 40 (risk), 50 (non risk) + prostate exam\"\/><\/figure>\n\n\n\n<p><a>\u25aa often asymptomatic &#8211; if you&#8217;re not getting screened you won&#8217;t know!<br><br>late: hematuria, bone pain, scrotal edema<\/a><\/p>\n\n\n\n<p><a>S\/S:&nbsp;<strong>Prostate Cancer<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/9OuJP6mxrz8AERDkYgpLAw.jpg\" alt=\"Image: \u25aa often asymptomatic - if you're not getting screened you won't know!\n\nlate: hematuria, bone pain, scrotal edema\"\/><\/figure>\n\n\n\n<p><a>\u25aa sperm banking, self examination<\/a><\/p>\n\n\n\n<p><a>Patient Education:&nbsp;<strong>Testicular Cancer<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/68j22nZERkUUfHINlhXiQw.jpg\" alt=\"Image: \u25aa sperm banking, self examination\"\/><\/figure>\n\n\n\n<p><strong>Non-modifiable<\/strong><br>\u25aa Increased age &#8211; primary risk factor for both men and women<br>\u25aa Genetics (mutations in BRCA1 and BRCA2)**<br>\u25aa Family history<br>\u25aa Late menopause<br>\u25aa Early menarche<br><br><strong>Modifiable<\/strong><br>\u25aa Lack of exercise<br>\u25aa Diet<br>\u25aa Alcohol consumption<br>\u25aa Obesity<br>\u25aa Lack of breastfeeding<br>\u25aa Breast implants<br>\u25aa Smoking<br>\u25aa Medications such as birth control and hormone therapy<br>\u25aa nulliparity**<\/p>\n\n\n\n<p><a>Risk Factors:&nbsp;<strong>Breast CA<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/oevdi0nsih9Hi11CMGyxeQ.jpg\" alt=\"Image: *Non-modifiable*\n\u25aa Increased age - primary risk factor for both men and women\n\u25aa Genetics (mutations in BRCA1 and BRCA2)**\n\u25aa Family history\n\u25aa Late menopause\n\u25aa Early menarche\n\n*Modifiable*\n\u25aa Lack of exercise\n\u25aa Diet\n\u25aa Alcohol consumption\n\u25aa Obesity\n\u25aa Lack of breastfeeding\n\u25aa Breast implants\n\u25aa Smoking\n\u25aa Medications such as birth control and hormone therapy\n\u25aa nulliparity**\"\/><\/figure>\n\n\n\n<p><a>mammogram -&gt; breast biopsy<\/a><\/p>\n\n\n\n<p><a>If a patient comes in and found a breast lump, what is the process after that?<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/oevdi0nsih9Hi11CMGyxeQ.jpg\" alt=\"Image: mammogram -&gt; breast biopsy\"\/><\/figure>\n\n\n\n<p><a>monthly self-examination<br>yearly mammograms &#8211; start at age 45<\/a><\/p>\n\n\n\n<p><a>Screening:&nbsp;<strong>Breast CA<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/oevdi0nsih9Hi11CMGyxeQ.jpg\" alt=\"Image: monthly self-examination\nyearly mammograms - start at age 45\"\/><\/figure>\n\n\n\n<p><a>surgical<br>\u25aa total hysterectomy, salpingo-oophorectomy<br>non-surgical<br>\u25aa chemo and\/or radiation<\/a><\/p>\n\n\n\n<p><a>Treatment:&nbsp;<strong>Endometrial (Uterine) CA<\/strong><\/a><\/p>\n\n\n\n<p><a>\u25aa monitor VS and respiratory status<br>\u25aa monitor I\/Os for retention<br>\u25aa check drains<br>\u25aa pain management (report sudden onset immediately)<br>\u25aa DVT\/PE prophylaxis<br>\u25aa infection<br>\u25aa bleeding** (vaginal hyst.)<br>\u25aa mobilize the patient<\/a><\/p>\n\n\n\n<p><a>Post-surgical care (ex: hysterectomy)<\/a><\/p>\n\n\n\n<p><a>B. Heavy vaginal bleeding with clots<\/a><\/p>\n\n\n\n<p>A client returns from surgery after a laparoscopic total abdominal hysterectomy. On initial assessment, which finding by the nurse requires immediate intervention?<br><br>A. Decreased bowel sounds in all quadrants<br>B. Heavy vaginal bleeding with clots<br>C. Temperature of 99 F (37.2 C)<br>D. Client statement that pain is a 4 on a scale of 0 to 10<\/p>\n\n\n\n<p><a>Uterine Leiomyomas<\/a><\/p>\n\n\n\n<p><a>Abdominal distention, bleeding, uterine enlargement, abdominal enlargement, heavy menstrual cycles &#8211; these are S\/S of what?<\/a><\/p>\n\n\n\n<p><a>Gardasil (protects from HPV)*<br><br>\u25aa 11-13 for both boys and girls<br>\u25aa 3 doses total over 6 months<\/a><\/p>\n\n\n\n<p><a>\u25aa What is the vaccine for cervical cancer?<br>\u25aa What age should you give it?<br>\u25aa Dose schedule?<br>\u25aa Who takes it?<\/a><\/p>\n\n\n\n<p><a>cervical ablation<\/a><\/p>\n\n\n\n<p><a>Treatment for Cervical Cancer<\/a><\/p>\n\n\n\n<p><a>FOR AT LEAST 4 WEEKS<br><br>\u25aa *<strong>Refraining from sexual intercourse for 2-3 days after the procedure.<\/strong>*<br>\u25aa *<strong>Do not use tampons or douche.<\/strong>*<br>\u25aa *<strong>Do not take tub baths.<\/strong>*<br>\u25aa Avoid heavy lifting.<br>\u25aa *<strong>Report vaginal bleeding, foul-smelling drainage, or fever.<\/strong>*<br>\u25aa *<strong>Bed rest<\/strong>*<\/a><\/p>\n\n\n\n<p><a>Post-cervical ablation care<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/65SnY3k2MTniruF8abQpNA.jpg\" alt=\"Image: FOR AT LEAST 4 WEEKS\n\n\u25aa **Refraining from sexual intercourse for 2-3 days after the procedure.**\n\u25aa **Do not use tampons or douche.**\n\u25aa **Do not take tub baths.**\n\u25aa Avoid heavy lifting.\n\u25aa **Report vaginal bleeding, foul-smelling drainage, or fever.**\n\u25aa **Bed rest**\"\/><\/figure>\n\n\n\n<p><a>\u25aa medications<br>\u25aa drugs\/alcohol<br>\u25aa infarct of kidney, liver, heart<br>\u25aa *<strong>anything that causes decrease in perfusion (dehydration, hypovolemia, shock, cardiac)<\/strong>*<br>\u25aa Decreased blood flow<br>\u25aa Damage to the kidneys by disease processes<br>\u25aa Blockage of the urinary tract<\/a><\/p>\n\n\n\n<p><a>Causes:&nbsp;<strong>Acute Kidney Injury<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/Hg7oFQDryEJVT.AzEB5jog.png\" alt=\"Image: \u25aa medications\n\u25aa drugs\/alcohol\n\u25aa infarct of kidney, liver, heart\n\u25aa **anything that causes decrease in perfusion (dehydration, hypovolemia, shock, cardiac)**\n\u25aa Decreased blood flow\n\u25aa Damage to the kidneys by disease processes\n\u25aa Blockage of the urinary tract\"\/><\/figure>\n\n\n\n<p><a>\u25aa *<strong>dialysis (severe) &#8211; ESRD, CKD<\/strong>*<br>\u25aa *<strong>treat the underlying cause<\/strong>*<br>\u25aa *<strong>fluid replacement for hypovolemia<\/strong>*<br>\u25aa fluid restriction in low urine output<br>\u25aa hemodialysis<br>\u25aa diuretics<br>\u25aa Kayexalate 30 g &#8211; loose BMs is a successful treatment<br>\u25aa monitor I&amp;Os and daily weights.<\/a><\/p>\n\n\n\n<p><a>Treatment:&nbsp;<strong>Acute Kidney Injury<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/Hg7oFQDryEJVT.AzEB5jog.png\" alt=\"Image: \u25aa **dialysis (severe) - ESRD, CKD**\n\u25aa **treat the underlying cause**\n\u25aa **fluid replacement for hypovolemia**\n\u25aa fluid restriction in low urine output\n\u25aa hemodialysis\n\u25aa diuretics\n\u25aa Kayexalate 30 g - loose BMs is a successful treatment\n\u25aa monitor I&amp;Os and daily weights.\"\/><\/figure>\n\n\n\n<p>\u2022 *<strong>Avoid dehydration by drinking 2 to 3 L of water daily<\/strong>*<br>\u2022 Stop smoking<br>\u2022 Maintain a healthy weight<br>\u2022 Control DM or HTN<br>\u2022 Take all antibiotics prescribed for infections<br>\u2022 Be aware of urine characteristic changes<br>\u2022 Avoid nephrotoxic substances-Antibiotics, Aminoglycosides, NSAIDS, Chemotherapy Drugs<br>\u2022 Potassium restricted foods: avoid dark leafy greens, potatoes, bananas<br>\u2022 *<strong>exercise<\/strong>*<br>\u2022 *<strong>maintain proper glucose levels<\/strong>*<br>\u2022 *<strong>maintain a good diet<\/strong>*<br>\u2022 *<strong>maintain proper protein levels<\/strong>*<\/p>\n\n\n\n<p><a>Prevention:&nbsp;<strong>Acute Kidney Injury<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/Hg7oFQDryEJVT.AzEB5jog.png\" alt=\"Image: \u2022 **Avoid dehydration by drinking 2 to 3 L of water daily**\n\u2022 Stop smoking\n\u2022 Maintain a healthy weight\n\u2022 Control DM or HTN\n\u2022 Take all antibiotics prescribed for infections\n\u2022 Be aware of urine characteristic changes\n\u2022 Avoid nephrotoxic substances-Antibiotics, Aminoglycosides, NSAIDS, Chemotherapy Drugs\n\u2022 Potassium restricted foods: avoid dark leafy greens, potatoes, bananas\n\u2022 **exercise**\n\u2022 **maintain proper glucose levels**\n\u2022 **maintain a good diet**\n\u2022 **maintain proper protein levels**\"\/><\/figure>\n\n\n\n<p>\u2022 Before treatment: Evaluate baseline vital signs, weight, laboratory tests<br>\u2022 Continually monitor patient for respiratory distress, pain, discomfort<br>\u2022 Monitor prescribed dwell time, initiate outflow<br>\u2022 Observe outflow amount and pattern of fluid<br>\u25aa *<strong>monitor for hypotension<\/strong>*<br>\u25aa *<strong>daily weight<\/strong>*<br>\u25aa *<strong>thrombophlebitis<\/strong>*<br>\u25aa *<strong>signs of bleeding<\/strong>*<br>\u25aa *<strong>check fistula for thrill and bruit<\/strong>*<br>\u25aa *<strong>sterile technique with dressing changes<\/strong>*<br>\u25aa *<strong>port site clean with dialysis catheter<\/strong>*<\/p>\n\n\n\n<p><a>Nursing Care:&nbsp;<strong>Dialysis<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/farm2.staticflickr.com\/1311\/1215796693_0a90546bbc.jpg\" alt=\"Image: \u2022 Before treatment: Evaluate baseline vital signs, weight, laboratory tests\n\u2022 Continually monitor patient for respiratory distress, pain, discomfort\n\u2022 Monitor prescribed dwell time, initiate outflow\n\u2022 Observe outflow amount and pattern of fluid\n\u25aa **monitor for hypotension**\n\u25aa **daily weight**\n\u25aa **thrombophlebitis**\n\u25aa **signs of bleeding**\n\u25aa **check fistula for thrill and bruit**\n\u25aa **sterile technique with dressing changes**\n\u25aa **port site clean with dialysis catheter**\"\/><\/figure>\n\n\n\n<p><a>\u25aa no blood pressure on that side<br>\u25aa no blood draws on that side<br>\u25aa no IV medications on that side<br>\u25aa put on a limb alert bracelet<\/a><\/p>\n\n\n\n<p><a>Patient Education:&nbsp;<strong>Fistula<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/5i9v7e44XyPvhFNw4-QGuQ.jpg\" alt=\"Image: \u25aa no blood pressure on that side\n\u25aa no blood draws on that side\n\u25aa no IV medications on that side\n\u25aa put on a limb alert bracelet\"\/><\/figure>\n\n\n\n<p><a>D. Check for a bruit and thrill by auscultation and palpation over the site.<\/a><\/p>\n\n\n\n<p>A 70-year-old woman with chronic kidney disease and a history of type 2 diabetes had surgery two weeks ago to place a vascular graft access for hemodialysis. Which precaution will the nurse follow to ensure the function of the AV graft?<br><br>A. Insert an IV and run saline at 10 mL\/hr.<br>B. Keep the patient&#8217;s arm elevated on two pillows.<br>C. Monitor blood pressure and radial pulses in both arms.<br>D. Check for a bruit and thrill by auscultation and palpation over the site.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/5i9v7e44XyPvhFNw4-QGuQ.jpg\" alt=\"Image: D. Check for a bruit and thrill by auscultation and palpation over the site.\"\/><\/figure>\n\n\n\n<p><a>\u25aa flank pain<br>\u25aa fever<br>\u25aa N\/V<br>\u25aa difficulty urinating<br>\u25aa elevated WBC<\/a><\/p>\n\n\n\n<p><a>S\/S:&nbsp;<strong>Urolithiasis and Pyelonephritis<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/CDYXgk42eUCqoIG_euaj_w.jpg\" alt=\"Image: \u25aa flank pain\n\u25aa fever\n\u25aa N\/V\n\u25aa difficulty urinating\n\u25aa elevated WBC\"\/><\/figure>\n\n\n\n<p><a>\u25aa pyelonephritis is the result of *<strong>repeated upper UTIs<\/strong>* in patients with anatomy abnormalities of the urinary tract<br>\u25aa imaging, like a CT scan<\/a><\/p>\n\n\n\n<p><a>Since the s\/s of urolithiasis and pyelonephritis are so similar, how you diagnose the difference?<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/CDYXgk42eUCqoIG_euaj_w.jpg\" alt=\"Image: \u25aa pyelonephritis is the result of **repeated upper UTIs** in patients with anatomy abnormalities of the urinary tract\n\u25aa imaging, like a CT scan\"\/><\/figure>\n\n\n\n<p><a>B. 27-year-old female with urinary reflux<\/a><\/p>\n\n\n\n<p><a>The nurse is caring for four patients. Which patient does the nurse identify as at highest risk for acute pyelonephritis?<br><br>A. 19-year-old male with spinal cord injury<br>B. 27-year-old female with urinary reflux<br>C. 37-year-old male with HIV infection<br>D. 44-year-old female with urinary tract stones<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/MfM9sBsWK5kcKxmf0X7j6g.png\" alt=\"Image: B. 27-year-old female with urinary reflux\"\/><\/figure>\n\n\n\n<p><a>acute pyelonephritis<\/a><\/p>\n\n\n\n<p>A 35-year-old patient is admitted to the ED with fever, chills, and severe right flank pain. His heart rate is 112\/min and respiratory rate is 32\/min. He was recently treated for a urinary tract infection. Assessment reveals tenderness of the right costovertebral angle (CVA).<br><br>What diagnosis does the nurse expect?<\/p>\n\n\n\n<p><a>acute glomerulonephritis<\/a><\/p>\n\n\n\n<p><a>________ occurs suddenly and result from an infection (often *<strong>streptococcal<\/strong>*) within the body often caused by streptococcal infections that originate in the upper respiratory tract, middle ear, and strep throat.<\/a><\/p>\n\n\n\n<p>\u25aa fatigue<br>\u25aa anergia<br>\u25aa *<strong>hematuria<\/strong>*<br>\u25aa *<strong>proteinuria<\/strong>*<br>\u25aa nocturia<br>\u25aa *<strong>decreased urination<\/strong>*<br>\u25aa altered urinary elimination<br>\u25aa *<strong>painful urination<\/strong><br>\u25aa weight loss<br>\u25aa N\/V<br>\u25aa dyspnea<br>\u25aa edema lower extremities<br>\u25aa *<strong>elevated BP<\/strong>*<br>\u25aa jugular vein distention<br>\u25aa anemia from reduced production of erythropoietin<br>\u25aa hypercholesterolemia<br>\u25aa *<strong>&#8220;cardiac complications&#8221;<\/strong>*<\/p>\n\n\n\n<p><a>S\/S:&nbsp;<strong>Acute Glomerulonephritis<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/uKiS1czusF1ax82MgdpcNQ.jpg\" alt=\"Image: \u25aa fatigue\n\u25aa anergia\n\u25aa **hematuria**\n\u25aa **proteinuria**\n\u25aa nocturia\n\u25aa **decreased urination**\n\u25aa altered urinary elimination\n\u25aa **painful urination*\n\u25aa weight loss\n\u25aa N\/V\n\u25aa dyspnea\n\u25aa edema lower extremities\n\u25aa **elevated BP**\n\u25aa jugular vein distention\n\u25aa anemia from reduced production of erythropoietin\n\u25aa hypercholesterolemia\n\u25aa **&quot;cardiac complications&quot;**\"\/><\/figure>\n\n\n\n<p><a>*<strong>Genetics<\/strong>*<br><br>\u25aa autosomal dominant, which usually appears between the ages of 30 to 50<br>\u25aa autosomal recessive, which has a childhood onset and progresses rapidly to end-stage kidney disease.<\/a><\/p>\n\n\n\n<p><a>Risk Factors:&nbsp;<strong>Polycystic Kidney Disease<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/CM3gMBViRkD5HPvAygTP3A.jpg\" alt=\"Image: **Genetics**\n\n\u25aa autosomal dominant, which usually appears between the ages of 30 to 50\n\u25aa autosomal recessive, which has a childhood onset and progresses rapidly to end-stage kidney disease.\"\/><\/figure>\n\n\n\n<p><a>\u25aa *<strong>pain &#8211; first symptom<\/strong>*<br>\u25aa *<strong>CVA tenderness<\/strong>*<br>\u25aa constipation<br>\u25aa cyst bleeding<br>\u25aa changes in urine color or frequency<br>\u25aa hypertension<br>\u25aa headaches<br>\u25aa abdominal distention and pain<br>\u25aa dysuria<br>\u25aa hematuria<br>\u25aa nocturia<br>\u25aa kidney stone formation<\/a><\/p>\n\n\n\n<p><a>S\/S:&nbsp;<strong>Polycystic Kidney Disease<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/CM3gMBViRkD5HPvAygTP3A.jpg\" alt=\"Image: \u25aa **pain - first symptom**\n\u25aa **CVA tenderness**\n\u25aa constipation\n\u25aa cyst bleeding\n\u25aa changes in urine color or frequency\n\u25aa hypertension\n\u25aa headaches\n\u25aa abdominal distention and pain\n\u25aa dysuria\n\u25aa hematuria\n\u25aa nocturia\n\u25aa kidney stone formation\"\/><\/figure>\n\n\n\n<p><strong>Nursing Interventions<\/strong><br>\u25aa Administer medications as prescribed (antihypertensives) to *<strong>reduce cardiovascular complications<\/strong>* and slow the disease progression.<br>\u25aa Implement a low sodium diet.<br>\u25aa Monitor strict intake and output to assure adequate intake.<br>\u25aa Implement multimodal&nbsp;<strong>pain management<\/strong>&nbsp;strategies to include both pharmacological and non-pharmacological interventions.<br><br><strong>Patient Education<\/strong><br>\u25aa Get *<strong>genetic counseling<\/strong>* before you try to have children<br>\u25aa *<strong>Monitor blood pressure<\/strong>* and daily weight.<\/p>\n\n\n\n<p><a>Nursing Care\/Patient Ed.:&nbsp;<strong>Polycystic Kidney Disease<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/CM3gMBViRkD5HPvAygTP3A.jpg\" alt=\"Image: *Nursing Interventions*\n\u25aa Administer medications as prescribed (antihypertensives) to **reduce cardiovascular complications** and slow the disease progression.\n\u25aa Implement a low sodium diet.\n\u25aa Monitor strict intake and output to assure adequate intake.\n\u25aa Implement multimodal *pain management* strategies to include both pharmacological and non-pharmacological interventions.\n\n*Patient Education*\n\u25aa Get **genetic counseling** before you try to have children\n\u25aa **Monitor blood pressure** and daily weight.\"\/><\/figure>\n\n\n\n<p><a>B. Blood pressure of 170\/90<\/a><\/p>\n\n\n\n<p><a>The nurse is caring for a patient with polycystic kidney disease. Which assessment finding requires immediate nursing intervention?<br><br>A. Temperature of 99\u00b0 F<br>B. Blood pressure of 170\/90<br>C. Heart rate of 100 beats\/min<br>D. Urine output less than 30 cc\/hr<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/CM3gMBViRkD5HPvAygTP3A.jpg\" alt=\"Image: B. Blood pressure of 170\/90\"\/><\/figure>\n\n\n\n<p><a>nephrotic syndrome<\/a><\/p>\n\n\n\n<p>\u25aa an immunologic kidney disorder in which *<strong>glomerular permeability increases<\/strong>* so larger molecules pass through the membrane into the urine and then excreted.<br><br>\u25aa This process causes a&nbsp;<strong>massive loss of protein<\/strong>&nbsp;into the urine, edema formation, and decreased plasma albumin levels.<br><br>\u25aa Most common cause is altered immunity with inflammation<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/gkzNibB8liDTZthCx6rOZA.jpg\" alt=\"Image: nephrotic syndrome\"\/><\/figure>\n\n\n\n<p><a>\u25aa GFR<\/a><\/p>\n\n\n\n<p><a>Lab Values to Watch:&nbsp;<strong>Nephrotic Syndrome<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/gkzNibB8liDTZthCx6rOZA.jpg\" alt=\"Image: \u25aa GFR\"\/><\/figure>\n\n\n\n<p><a>90-120 mL\/min<br>\u2022 &#8220;Normal glomerular filtration rate (GFR) averages 125 mL\/min, totaling about 180 L daily.&#8221;<\/a><\/p>\n\n\n\n<p><a>What is the normal GFR?<\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/yo-PfO4vqcu1Fvi4tsMotA.png\" alt=\"Image: 90-120 mL\/min\n\u2022 &quot;Normal glomerular filtration rate (GFR) averages 125 mL\/min, totaling about 180 L daily.&quot;\"\/><\/figure>\n\n\n\n<p><a>\u25aa low protein diet (for an elevated GFR)<br>\u25aa maintain normal diet (for a normal GFR)<\/a><\/p>\n\n\n\n<p><a>Treatment:&nbsp;<strong>Nephrotic Syndrome<\/strong><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/quizlet.com\/cdn-cgi\/image\/f=auto,fit=cover,h=200,onerror=redirect,w=240\/https:\/\/o.quizlet.com\/i\/gkzNibB8liDTZthCx6rOZA.jpg\" alt=\"Image: \u25aa low protein diet (for an elevated GFR)\n\u25aa maintain normal diet (for a normal GFR)\"\/><\/figure>\n\n\n\n<p>A. Assess heart rate and rhythm.<br><br>Patients with ESKD experience significant fluid and electrolyte imbalances that are managed with medications and dialysis. Hyperkalemia can be a life-threatening event. In patients with kidney disease, the myocardial response (heart rate and rhythm) to hyperkalemia should be assessed to effectively determine appropriate treatment. High sodium can increase the patient&#8217;s risk for seizures, excessive fluid balance will negatively effect breathing, and patients with ESKD experience acid-base imbalances from an inability to synthesize bicarbonate.<\/p>\n\n\n\n<p>A patient with end-stage kidney disease (ESKD) has this serum laboratory analysis<br><br>K+ 5.9 mEq\/L<br>Na+ 152 mEq\/L<br>Creatinine 6.2 mg\/dL<br>BUN 60 mg\/dL<br><br>What is the priority nursing intervention?<br>A. Assess heart rate and rhythm.<br>B. Implement seizure precautions.<br>C. Assess the patient&#8217;s respiratory status.<br>D. Evaluate the patient&#8217;s acid-base balance.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Exam 1: NUR2502\/ NUR 2502 (New 2023\/ 2024 Update) Multidimensional Care III\/ MDC 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Rasmussen Exam 1: NUR2502\/ NUR 2502 (New 2023\/2024 Update) Multidimensional Care III\/MDC 3 Exam| Questions and VerifiedAnswers| 100% Correct| Grade ARasmussenQUESTION\u25aa What is the vaccine for cervical cancer?\u25aa What age should you [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-130553","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/130553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=130553"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/130553\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=130553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=130553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=130553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}