NUR 2502 Rasmussen MDC III - Exam 1 Latest

NUR 2502 Rasmussen MDC III - Exam 1 Latest Update - Questions and 100% Verified Correct Answers Guaranteed A+

**Genetics**

▪ autosomal dominant, which usually appears between the ages of 30 to 50 ▪ autosomal recessive, which has a childhood onset and progresses rapidly to end- stage kidney disease. - CORRECT ANSWER: Risk Factors: *Polycystic Kidney Disease*

*Gardasil (protects us from HPV)*

▪ 11-13 for both boys and girls ▪ 3 doses total over 6 months - CORRECT ANSWER: ▪ What is the vaccine for cervical cancer?▪ What age should you give it?▪ Dose schedule?▪ Who takes it?

*Non-modifiable* ▪ Increased age - primary risk factor for both men and women ▪ **Genetics (mutations in BRCA1 and BRCA2)** ▪ Family history ▪ Late menopause ▪ Early menarche

*Modifiable* ▪ Lack of exercise ▪ Diet ▪ Alcohol consumption ▪ Obesity ▪ Lack of breastfeeding ▪ Breast implants ▪ Smoking ▪ Medications such as birth control and hormone therapy ▪ **No pregnancies (nulliparity)** - CORRECT ANSWER: Risk Factors: *Breast CA*

*Nursing Interventions* ▪ Administer medications as prescribed (antihypertensives) to **reduce cardiovascular complications** and slow the disease progression.▪ Implement a low sodium diet.▪ Monitor strict intake and output to assure adequate intake. 1 / 2

▪ Implement multimodal *pain management* strategies to include both pharmacological and non-pharmacological interventions.

*Patient Education* ▪ Get **genetic counseling** before you try to have children

▪ **Monitor blood pressure** and daily weight. - CORRECT ANSWER: Nursing

Care/Patient Ed.: *Polycystic Kidney Disease*

• **Avoid dehydration by drinking 2 to 3 L of water daily** • Stop smoking • Maintain a healthy weight • Control DM or HTN • Take all antibiotics prescribed for infections • Be aware of urine characteristic changes • Avoid nephrotoxic substances-Antibiotics, Aminoglycosides, NSAIDS, Chemotherapy Drugs

• Potassium restricted foods: avoid dark leafy greens, potatoes, bananas

• **exercise** • **maintain proper glucose levels** • **maintain a good diet** • **maintain proper protein levels** - CORRECT ANSWER: Prevention: *Acute Kidney Injury*

• Before treatment: Evaluate baseline vital signs, weight, laboratory tests

• Continually monitor patient for respiratory distress, pain, discomfort • Monitor prescribed dwell time, initiate outflow • Observe outflow amount and pattern of fluid ▪ **monitor for hypotension** ▪ **daily weight** ▪ **thrombophlebitis** ▪ **signs of bleeding** ▪ **check fistula for thrill and bruit** ▪ **sterile technique with dressing changes** ▪ **port site clean with dialysis catheter** - CORRECT ANSWER: Nursing Care: *Dialysis*

• Wear cotton underwear.• Always wipe front to back after having a bowel movement or urinating.• Do not douche or use feminine hygiene sprays.• Do not use scented products.• Use ice packs to help inflammation - CORRECT ANSWER: Prevention: *Vulvovaginitis*

▪ **dialysis (severe) - ESRD, CKD** ▪ **treat the underlying cause** ▪ **fluid replacement for hypovolemia**

• / 2