HONDROS NUR 212 EXAM 2 LATEST

HONDROS NUR 212 EXAM 2 LATEST /

WITH 300 ACTUAL EXAM QUESTIONS AND

ANSWERS (100% CORRECT VERIFIED

ANSWERS) GRADED A+

Why would calcium gluconate be given to a patient with AKI? - ANSWER-Due to hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur therefor protecting the heart

Nursing interventions for almost all kidney patients - ANSWER-Fluid restriction Daily weights

If there is abdominal pain during hemodialysis what should the nurse do? - ANSWER-Decrease the flow rate

What is given to excrete potassium? - ANSWER-Kayexelate

What is an important thing to remember for the process of peritoneal dialysis? - ANSWER-It must be completely STERILE

What is a major complication from peritoneal dialysis? - ANSWER-Peritonitis

If patient begins to have pain or cramping during peritoneal dialysis what should the nurse do? - ANSWER-Slow down the infusion rate

At what temperature is peritoneal dialysis given? - ANSWER-Must be warmed to body temperature

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What medication can cause an IBS flare up? - ANSWER-Sulfasalazine (anti- inflammatory medication)

Treatment goals for CKD? - ANSWER-Treat hyperkalemia, HTN, and mineral/bone disease

Potassium enriched foods? - ANSWER-Bananas, tomatoes

Why would a patient with CKD have pruritus? - ANSWER-Due to uremic frost (urea crystallizes on skin)

cure for ulcerative colitis - ANSWER-illiostomy, removal of colon, J-pouch

issues for Crohns can happen from where? - ANSWER-From mouth to anus

Common signs/symptoms of Crohn's disease and ulcerative Colitis - ANSWER- diarrhea, weight loss abdominal pain, fever and fatigue

Normal creatinine levels? - ANSWER-Male: 0.6-1.2

Female: 0.5-1.1

Normal GFR? - ANSWER-90-120ml/min

At which GFR level does dialysis begin? - ANSWER-15

S/S of acute glomerulonephritis? - ANSWER-Headache, increased BP, facial edema, malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria 2 / 4

S/S of chronic glomerulonephritis? - ANSWER-Proteinuria and hematuria

Lab findings for glomerulonephritis? - ANSWER-Increased BUN, CR Decreased albuminin

Common s\e of hemodialysis? - ANSWER-Hypotension due to all of the blood and fluids leaving the body

Nephrotic syndrome s\s - ANSWER-SEVERE proteinuria MASSIVE edema Hypertension, foamy urine, anasarca, ascites

Why might medication doses be decreased for a patient with kidney issues? - ANSWER-Due to medications not being excreted through kidneys

Prerenal causes - ANSWER-Due to decreased blood flow to kidneys Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular obstructions, severe vasoconstriction

Intrarenal causes - ANSWER-Due to damage to the gumeruli, interstitial tissue or tubules (parynchymal damage) Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE, obstetric complications, and malignant hypertension

Post renal causes - ANSWER-Obstruction to the urine collecting system

BPH 3 / 4

Phases of AKI - ANSWER-Oliguric Diuretic Recovery (if not then CKD may develop)

Oliguric Phase - ANSWER-Urinary changes (output less than 400ml/day) Lasts 10-14 days Neck veins distended, bounding pulse, edema, hypertension Increased potassium (causing heart issues!)

Diuretic Phase - ANSWER-Daily urine output 1-3 liters may reach 5L or more Monitor for hyponatremia, hypokalemia, and dehydration as well as hypotension This phase may last 1-3 weeks

drug classes used to treat IBD - ANSWER-corticosteroids - decreases inflammation immunosuppressants - suppresses immune response antimicrobials - prevent or treat secondary infection aminosalicylates - decreases inflammation

indications a illeostomy or other surgical therapy may be needed are - ANSWER-- fistulas

• intestinal obstruction
• inability to decrease corticosteroids

what may increase your risk for an exacerbation with IBD's? - ANSWER--stress

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