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125 Cards in this Set

  • Front
  • Back
You notice your patient is has nephrotic syndrome. The strongest indicator is --

A. Serum Albumin = 4.5
B. 4g of protein in urine
C. LDL of 125
D. Decreased coagulation
B
Your patient has nephrotic syndrome. GFR is 35. Your dietary approach would be --

A. Increased fats
B. Decreased fats
C. Increased proteins
D. Decreased proteins
D - if gfr is low, than lower proteins
Your patient has nephrotic syndrome. GFR is 96. Your dietary approach would be --

A. Dietary fats are needed
B. Decreased fats
C. Dietary protein is needed
D. Decreased proteins
C
Your patient has nephrotic syndrome. Your patient is on ACE inhibitors. This will result in --

A. Decreased proteinurea
B. Increased lipid levels
C. A minor change in bp
D. Fluid retention
A
Your patient has nephrotic syndrome and has problems breathing. You would assess for --

A. Fluid accumulation in the lungs
B. Ascites
C. Venous return from the feet
D. Serum protein levels
B - makes it harder to breathe
Your patient has nephrotic syndrome. THe patient is sitting in a chair. You would look for generalized edema in --

A. Face
B. Ankles
C. Kneecaps
D. Abdomen
B
Your patient has nephrotic syndrome and edema. The paitent wakes up as you enter the room at 6am. You would assess for edema FIRST at this site --

A. Feet
B. Hands
C. Eyes
D. Peroneal
C
Your patient is lying supine on a table. He has nephrotic syndrome. You would primarily look at this place for edema --

A. Neck
B. Sacrum
C. Scrotum
D. Eyes
C
Your patient has nephrotic syndrome. THe bp is 140/90, Sod = 138, K+ = 5.9
and hgb is 13.3. Your BEST intervention would be --

A. Fluid volume increase by 2000 mL
B. Immediate infusion of epogen
C. Hydrotherapy
D. Lassix prn
D
A child has just been diagnosed with nephrotic syndrome. The child is edematous and spilling protein in the urine. The nurse knows INITIAL treatments that would BEST correct the problem will include --

A) antihypertensives
B) corticosteroids
C) fluid and salt restrictions
D) diuretics
B
Your patient asks why nephrotic system features immune issues, you would say --

A. Because the kidneys are failing and not producing wbc's.
B. Because epogen isn't reacting to the kidneys
C. Because Immunoglobulins are lost by passing through in the urine
D. Because the liver is hyperstimulated
C
Your patient has nephrotic syndrome. As you assess, you would be surprised to find this manifestation --

A. Dry skin
B. Prominent veins
C. Pale skin
D. Brittle hair
A Skin would be shiny, not dry
You are examining a urine specimen from a patient with nephrotic syndrome. You would expect the urine to look --

A. Dilute
B. Foamy
C. Red
D. Blue alternating with yellow
B - protein and albumin relesed
T/F - In Nephrotic syndrome, hypercoagulability results due to loss of antihrombin --
True
Your patient with nephrotic syndrome was prescribed prednisone. The teaching is correct when she says --

A. My albumin levels will be fully restored within 48 hrs
B. My face might look gaunt when taking this
C. My protein levels will fall within 2-3 weeks of starting predinsone
D. My respirations will alter periodically at the beginning of therapy
C
Your patient has nephrotic syndrome, daily prednisone worked after six weeks, because protein levels fell. You would then tell your patient --

A. Discard remaining prednisone
B. Take predinsone only with meals now
C. Take two weeks off, then re-start prednisone the next week
D. Take the next six weeks, alternating days
D
Your patient's child had a relapse of nephrotic syndrome after a respiratory infection. MOm asks is this always going to be like this. You say --

A. Yes, this is a chronic condition
B. It depends on how the body reacts to steroids
C. The relapses will become infrequent or stop by puberty
D. It depends on the protein in the diet
C
Your patient is given cyclosporine for nephrotic syndrome. You would explain to the patient that --

A. This works in concert with prednisone to help retain protein
B. This works to counter the effects of predinsone due to overdosing
C. This helps glomular function by helping the nephrons absorb prednisone
D. This is used if the patient is resistant to corticosteroids
D
Your patient has nephrotic syndrome. Edema +3, given diuretics, urine output is 20 mL per hour for the last four hours. You would then do this dependent intervention --

A. Fluid restriction asap
B. IV administration of albumin
C. Corticosteroids IV flush
D. Oral diuretic (because IV administration is absorbed too quickly)
B
Your patient's show a menu for their kid, who has nephrotic syndrome. You would tell them to remove --

A. Blueberry's and cream of wheat
B. Apples and chicken breast
C. Bacon and egg beaters w/ cheese
D. Veggies and roasted potatoes
C - low salt
Your patient just suffered nephrotic syndrome. You would advise the patient to avoid --

A. A swim in the family pool
B. Sunbathing outside
C. Having the neighborhood come over for a welcome back party
D. Drinking a couple of beers while hanging out alone playing basketball
C - infection risk
Your patient with NS just wrapped corticosteroid therapy. The parents say they have to schedule a vaccination series before school starts. You would then say --

A. The sooner the better, while immune function is still high
B. You should have gotten this before we did all this
C. I can do that now, you don't want to wait
D. Wait six months from now
D
Diuretic usage is occuring for the kid with NS. You would observe for --

A. Edema
B. Moist skin turgor
C. Stabilized urineation
D. Shock
D
You know the injection of azathioprine works when you see --

A. Increase in RBC
B. Decrease in platelets
C. Decrease in WBC
D. Increase in osmolarity
C - works with kidney transplants -- immunosupressent
Your kidney transplant patient is on big-time imunosupression meds. You will see all except --

A. Opportunistic infection
B. Reduced blood glucose
C. Increased bp
D. Lymphoma
B - Corticosteroids elevate BG
Sign that the kidney transplant is going okay --

A. BUN = 14
B. Creatinine = 2.4
C. Temp = 100.3
D. Abdominal tenderness
A - Bun/creatinine levels rise
You have to perform emergency hemodialysis on an infant. You would expect to see a(n) --

A. Artificial blood vessel
B. Double lumen catheter in femoral, jugular or subclavian vein
C. Arteriovenous shunt
D. Av fistula
B
You are about to start dialysis. You would first administer --

A. Heparin
B. Metformin
C. Prothronmbinase
D. Betablockrs
A - to reduce clotting
Your patient is a child on dialysis. You would best use this intervention when it comes to dietary needs --

A. Decrease eating by 20%, because of fluids retained by dialysis
B. Have child take heperin before meals to prevent gi bleeding
C. Have child eat small, frequent meals
D. Have child abstain from pain medications
C - Kids have decreased appetite
You would tell the parents of your dialysis treatment that they can help self esteem by --

A. Giving child a hat that says "I am on Dialysis and I love myself"
B. Having kids from school over for a "get to know dialysis" party
C. Let the patient's friends play with a fake dialysis simulator to understand
D. Buy the kid some trendy clothes that hide the catheter, dialysis bag
D - this will raise the kids self esteem
Your patient is undergoing hemodiaylsis. You notice sudden nausea, vomiting and tachycardia. No problems with conciousness You assess and find out --

A. There was a hole in the tubing and all is lost
B. Hypotension - too much fluid taken from the body
C. Rapid electrolyte change
D. Disequalibrium syndrome
B
Your patient has muscle cramping and dizziness while on dialysis. You would assess --

A. Pain level
B. Positioning of the bed
C. Electrolyte/rapid fluid exchange
D. The eyesight
D
The chart says tha tthe hemodialysis patient has endured dysequalibrium syndrome. You would find this data inconsistant --

A. Loss of conciousness
B. Lethargy
C. Muscle twitching
D. Blurred vision
B - restlessness
Your peritoneal dialysis patient is about to drain the diasylate. It is important to --

A. Use sterile gloves
B. Call doctor if there is a little tinge of blood in the bag
C. Hang bag lower than the pelvis
D. If output is less than input, insert intermittent catheter to void
C
A 12 year old female is on peritoneal dialysis for chronic renal failure. You would watch for signs of --

A. Advanced acne
B. Amenorrhea
C. Herpes zoster
D. Enlarged nephron tissue
B
Your patient on PD has aqcuired peritonitis. You would administer this dependent intervention --

A. Irrigate the peritoneum and administer fluids
B. Infuse antibiotics in the diasylate
C. Place client in supine position, lower room temperature
D. CHeck fever q hour
B
Your patient has chronic renal failure. Has siezures, cheyne-stokes respirations, anorexia, muscle cramps and changle in level of conciousness. You would assess --

A. Sodium
B. Potassium
C. Magnesium
D. Calcium
A
Your patient with renal failure has heart block, diarrhea, muscle weakness and peaked t waves, widening of qrs waves on ecg. You would look into --

A. Sodium
B. Potassium
C.
D. Calcium
B
T/F for kids with acute renal failure, infusions of saline or lacted ringers help ensure renal perfusion --
True
Your ARF patient has tetany. This might be a time to administer this dependent intervention --

A. Kayexalate
B. Sodium bicarbonate
C. Sodium nitroprusside
D. Calcium gluconate 10%
D
Your patient is receiving calcium gluconate for ARF. As a nurse, you must remember to --

A. Administer with orange juice
B. Admnister slowly
C. Give it with food that is not acidic
D. Administer it with milk
B - avoid bradycardia
You give apatient kayexalate and an hour later, your patient asks why there's no change in potassium levels. You would --

A. Recheck bloodwork
B. Call Doctor
C. Explain that it takes up to four hours to take effect
D. Some patients have reactions to this medication
Cq
Your patient's chart said there is a dx of uremic frost. You would assess the --

A. Skin
B. Eyes
C. Arms
D. Pelvis
A
Your patient's diet (has CRF) would include --

A. Orange, greens salad and teryaki chicken
B. Whole grain bread with low-fat lunch meat
C. Lean steak and baked sweet potato
D. chicken salad on white bread
D
Your patient's phospherous levels are really high. You encourage your patients to have --

A. Maalox
B. Smoked vegetables
C. TUMS
D. Glucagon
C
Your patient is in the oliguric phase of ARF. You would expect to see --

A. Hypervolemia
B. Increased urine specific gravity
C. Hypokalemia
D. Hypophosphotamia
A
Your patient is in the oligiuric phase of renal failure. Typical lung sound findings of this phase would include --

A. Slow, shallow breaths
B. Slow, deep breaths
C. Deep, fast breaths
D. Shallow, fast breaths
C - compensate
Your patient has ARF. K+ = 5.8, BP = 188/88, headaches. Your would give --

A. 2500 mL of fluid daily
B. 2000 ML of fluid daily
C. 1500 mL fluid daily minus the measured urinary output
D. 600 mL a day, plus measured urinary output
D
Your patient has ARF. Output was seen as 320mL for the previous day. You have 600 mL of fluid on hand to administer throughout the day. You would administer a total of --

A. 280 mL
B. 400 mL
C. 600 mL
D. 920 mL
D
Your patient as ARF and pericarditis. You nte friction rub, chest pain with inspiration. You would also assess --

A. Pulse ox
B. BG
C. Low-grade fever
D. Esophageal varices
C
Your patient who entered ARF had a BUN of 43 and a Creatinine of 3.2. Two weeks later, you would expect to see these stats --

A. BUN = 49, Crea = 3.5
B. BUN = 43, Crea = 32
C. BUN = 34, Crea = 32
C - diuretic phase
Two weeks after being struck with ARF, your patient is excreting 4 Liters daily. YOu would --

A. Document
B. Administer diuretics
C. Take the temperature
D. Check urine for salts
A - this is normal during the diuretic phase
Your patient two weeks ago entered ARF. Now today, you are expected to encourage your patient to eat more --

A. Deli meats
B. Nuts
C. Chocolate
D. Banannas
D
You monitor your patient with ARF and hear lung rhonchi and wheezes. YOu would further assess for --

A. Dehydration
B. Hypovolemia
C. Fluid overload
D. Isotonic abrasions
C
Best food choice for your patient with chronic renal failure --

A. Bananna
B. Nuts
C. Licorice
D. 7-Up
C
You are about to administer TUMS with your meds. THis patient has chronic renal failure. You would make sure you take this med a few hours later --

A. PO iron tablet
B. Calcitrex IV
C. Glucagon SQ
D. IM of Vitamin B12
A - never give iron with phosphate binders
Your patient has a low hemoglobin and asks why he can't get a blood transfusion right now. He does not have acute blood loss or symptomatic anemia. You give this rationale --

A. You might get too high of a blood cell count and that will lead to increased bad bacteria
B. Infusing blood when there is no anemic symptoms will cause hypervascular reactions
C. Since there is no acute blood loss, the replacement blood will self-destroy clotting factors
D. Blood transfusions decrease the stimulus to produce red blood cells
D
The Dr. Tells you that Urea has been broken down into amonia. You would check for bleeding in this area --

A. Urinary tract
B. GI tract
C. Hepatic circulation
D. Brain area
B - intestinal bacterial breaks down urea
Your patient just entered the first stage of chronic renal failure. You would expect this charting --

A. BUN = 25, Creatinine = 2.2
B. Nocturia/Polyurea
C. Decreased reaction to lassix
D. Edema formation lgihtly in the peripheral areas
B - Reneal reserve diminished phase. Values aren't out of wack yet, oliguria and edema have not set in. Decreased ability to concentrate urine.
T/F - In the first stage of renal failure (chronic), you would assess the client for increased concentration of urine --
F - Dilute
You are about to give meds for a patient with chronic renal failure. You would question this order --

A. Lassix 320 mg
B. Morphine 0.7 mL
C. Aspirin 320 mg
D. Tums 20 mg
C - never give aspirin to someone with renal failure
You fear that the potassium reading of 8 is going to nearly kill the patient. Your first move is to --

A. Check apical pulse
B. Listen to lung sounds
C. Check edema in legs
D. Administer fluids
A - peaked potassium could really mess with cardiac functioning
Your patient has extreme excess of wastes and urate crystals are forming. You would assess --

A. Eyes
B. Urine
C. Skin
D. Musculature
C
Your patient with CRF has a very low calcium level of 6. You would assess for deposits in the --

A. Knees
B. Ears
C. Eyes
D. Lips
C
Your patient with CRF has a very low calcium level of 6. Your pertininent nursing dx would be --

A. Imbalanced nutrition, electrolyte loss
B. Risk for injury
C. Risk for acute confusion
D. Ineffective tissue perfusion
B
Your patient has edema from hypervolemic ramifications of CRF. You notice there is blood tinged-sputum, tachycardia and basilar lung crackles. You would --

A. Withold fluids, reassess after next weigh in
B. Encourage deep breathing
C. Document
D. Get Doctor immediately
D
Your patient has tums to bind phosphates. You would find this acompanying med to complement the order --

A. Stool softeners
B. Sodium bicarbonate
C. Omega 3 oils
D. Antiulcer medication
A - Phosphate binders cause constipation
You administer Phos-Lo to your patient with crf. You would expect to see this manifestation --

A. Elevated RBC
B. Decreased HGB
C. Elevated Calcium
D. Decreased sodium
C
Your patient has CRF and you notice the magnesium levels are real high. You would find this documentation non-collaborative with the labs --

A. Increased peripheral vasodilation
B. Tachycardia
C. Hypotension
D. Lethargy
B - Bradycardia
The client’s ammonia level is 95 mcg/dl. The nurse plans to administer the prescribed --

A) albumin intravenously
B) additional protein in his diet
C) lactulose (Cephulac)
D) Kayexalate enema
C
The nurse assesses the client in renal failure and notes the following: crackles in the lung bases, BP 170/100, weight gain of 3 pounds in 2 days, increase in abdominal girth, decreased bowel sounds, no BM for 2 days. The PRIORITY nursing diagnosis is --

A) fluid volume excess R/T kidney’s inability to maintain fluid balance
B) alteration in tissue perfusion R/T interrupted arterial blood flow
C) increased cardiac output R./T fluid overload
D) constipation R/T decrease in peristalsis
A
A client admitted with GI bleeding and a history of alcohol abuse has pitting edema of the lower extremities, shortness of breath, and a distended abdomen. Vital signs are T 97.8, P 118, BP 108/62. Lab results are serum sodium 145 mEq/L, potassium 5.2 mEq/L, serum osmolality 312 mOsm/kg. The nursing diagnosis fluid volume deficit is consistent with the sign/symptom of --

A) serum osmolality of 312 mOsm/kg
B) peripheral edema of lower extremities
C) shortness of breath
D) temperature 97.8
A
The nurse is preparing to administer medications to a client who has hypertension and renal insufficiency. The nurse notes the client’s BP is 128/72, pulse 68, resp 18. Lab data include Na 135, K 5.5, BUN 45, creatinine 3.8. Based on this information the nurse will contact the physician and --

A) increase D51/2NS IV to 125 mL/hr
B) withhold the prescribed potassium chloride
C) encourage po fluids
D) not administer the prescribed furosemide (Lasix)
B
The client is receiving epoetin alfa (Epogen) for several weeks. The nurse should regularly assess the client”s --

A) breath sounds
B) blood pressure
C) temperature
D) EKG
B
The client has just returned from dialysis at 1600. Accucheck is 132. BP is 98/54. Lab data includes Hgb 9.2 and Hct 33%, phosphorus 5.6. The nurse reviews the medication the client is to receive and holds
A) aluminum hydroxide (Amphogel)
B) Humulin N
C) enalapril (Vasotec)
D) erythropoietin (Epogen)
C
A child has just been diagnosed with nephrotic syndrome. The child is edematous and spilling protein in the urine. The nurse knows INITIAL treatments that would BEST correct the problem will include --

A) antihypertensives
B) corticosteroids
C) fluid and salt restrictions
D) diuretics
B
You assess your patient's catheter who is to receive PD. You note this as the correct placement --

A. In the umbilicus
B. 3 inches to the right of umbilicus
C. 3-5 inches below the umbilicus
D. 3-5 inches to the left of the umbilicus
C
Your patient has a high glucose concentration in the peroneal dialsylate. You would expect the fluid to be removed at exchange would be --

A. Higher
B. Lower
C. No change
A
Your patient on PD kept the dwell time extend beyond doctor's orders. You would immediately assess --

A. Blood glucose
B. Sodium level
C. Pulse
D. Urine PH
A - can cause hyperglycemia
Your patient is on PD and the outflow is slow to start. You can --

A. Squeeze the tube
B. Raise the collecting bag
C. Turn the client side to side
D. Have client raise arms above head
C
Your patient on PD took in 2000 mL of diasylate. Out came 1800mL. You would take the 200 mL and --

A. Irrigate the catheter
B. Add 200 mL to daily intake
C. Administer antibiotics
D. Insert foley catheter
B
Your patient on PD complains of abdomominal pain. YOu would tel lhim --

A. This will go away after a couple of weeks
B. Have you been consuming caffeine
C. What was your urinary input
D. Do you take nsaids?
A
T/F - Placing a heating pad on the abdomen is dangerous for PD --
F - it will help relieve discomfort
You find that the outflow from the PD treatment is clear and colorless. Your first priority is to --

A. Call doctor
B. Clamp the tube, administer oral fluids
C. Check the tube for patency
D. Document
D - this is the color it should be
You notice the outflow for PD is cloudy. You would first assess --

A. The bladder
B. Bowell
C. Peritoneum
D. ALl the above
C - cloudy usually means infection (peritonitus)
Your patient on PD is having insufficient outflow repeatedly. You assess the situation by asking --

A. How much fiber is in your diet
B. Are you drinking too much water
C. Have you had night sweats
D. Have you eaten too much gastroinflammatory foods
A - constipation can hurt outflow
Your patient have insufficient outflow due to catheter migration out of the area. You would tell the patient --

A. Drink some water, hold breath for ten seconds. THe fluids will draw the catheter in alignment
B. Push back in, not too fast, just even and consistent pace
C. Have doctor reposition it.
D. Place vasoline on it and ease it back in
C
Your patient is scheduled for a session of hemodialysis. You would give the bp meds --

A. Before treatment
B. During treatment
C. After treatment stops
D. Back at the room after treatment
D
Your patient is scheduled for hemodialysis. you tell him he can eat --

A. Before and after
B. During and after
C. Before and during
D. Anytime
C
You have a patient in hemodialysis treatment. You see a temporary subclavian catheter. Besides dialysis, you can use it for --

A. Blood draws
B. Feeding infusions
C. For insulin IV push
D. For dialysis ONLY
D
Your patient for hemodialysis has a femoral catheter placed. You would advise the patient to --

A. Not lean forward
B. Do not sit up more than 45 degrees
C. Do not lay supine
D. Both A and B
E. Both B and C
D
Your patient has a shunt in the right arm for hemodialysis. You should remember to --

A. Use other arm for injections, bp
B. Use no arms for bp, injections
C. Only use the shunted arm for drawing blood
D. Blood has to be drawn from the femoral vein
C
Your patient is enduring arterial steal syndrome. Assess for --

A. Dyspnea
B. Perfusion to the hand
C. Elevated head
D. Oral secretions
B
You need to assess for a thrill. You would do this by --

A. Palpating
B. Auscultating
C. Percussing
D. Observing
A
T/F - A bruit may not be heard with a shunt and make sure teh shunt doies not get wet --
True
You want to advance the maturity of your patient's AV fistula. You would have the patient conduct --

A. Elbow flexing
B. Shoulder rotations
C. Hand flexing
D. Pronation
C
You are assessing a fistula and monitoring _____ for signs of ischemia --

A. Bumps on the forearm
B. Pain surrounding the fistula
C. Green skin at wrist area
D.Swollen hand
D
Your patient has a fistula and is receiving hemodyalsis. THe patient complains of tingling in the arm. You would assess for --

A. Pulmonary embolism
B. Spinal fl uid leak
C. Clotting
D. Infection
C
Your patient endured shock. THe kidneys respond. You would expect this assessment value over the next two hours --

A. BP = 188/101
B. HR = 48
C. Urine ouput >20 mL in 2 hrs
D. Ocult stool
C - Hypotension - not enough fluid, increased HR
Your patient's BUN levels have increased and the serum creatinine really hasn't much at all. You would assess for all but --

A. Protein breakdown
B. Renal failure
C. Volume depletion
D. Azotemia
B - only if they rise together
Your patient is on PD and develops peritonitis. You would have the patient inject antibiotics via --

A. PO
B. IP
C. IV
D. IM
B
Your patient endured acute tubular necrosis after the surgery. This patient might needs dialysis until --

A. Adequate output returns
B. Creatinine levels normalize
C. BUn levels normalize
D. Both A and B
E. A, B and C
E
The doctor is nervous about thrombosis occuring after a renal transplant for your patient. He asks you to assess --

A. Pain
B. Breathing patterns
C. Quality of urine
D. Output of urine
D
Your patient is about to get a kidney transplant on Tuesday. You would tell the patient --

A. Receive dialysis on Monday and a blood transfusion on Tuesday
B. Do NOT receive dialysis before surgery, at least a week
C. Receive a blood transusion on Friday and Dialysis on Monday
D. None of the above
A
You have four patients inquiring about renal transplant. You would suspect decline to the patient who has --

A. Alcohol issues
B. Hx of cancer
C. Hx of hypertension
D. Both A and B
E. Both B and C
E
T/F - A cancer patient can never get a kidney transplant --
F - if it has been 2 to 5 years remission is okay
Your patient on PD has an outflow of 300 more than expected. You would --

A. Administer diuretics as ordered
B. Count it as intake
C. Withold diuretics, administer antibiotics
D. Subtract from intake
B
Your patient has a peritoneal dialysis catheter. FOr masking --

A. Nurse and patient wear
B. Only patient
C. Only nurse
A
Your patient reports pain after first inflow of dialsate in PD therapy. You would tell the patient --

A. I will give you pain meds
B. Pain will no longer occur after a week or two
C. I will assess you for infection
D. Have you had any chills
B
You instruct your patient to warm diaylsate before infusion. You would tell the patient to avoid warming it --

A. Warming chamber
B. Heating pad
C. Microwave
D. All are safe
D
Your patient reports poor dialysate flow in PD. You would assess for --

A. Fever
B. Constipation
C. Pain
D. Emesis
B
The drainage bag for PD must be positioned --

A. On an IV pole
B. Eye level
C. Attached to the arm
D. Lower than abdomen
D
Your patient receives PD and still has inadequate outflow or inflow. You have checked the tubing and there is no twisting or kinking. You would --

A. Change bag
B. Reposition the client
C. Assess urine color
D. Check tubing again
B
A bad position for peritoneal diaylsis for your patient --

A. Supine
B. Prone
C. Low fowlers
D. Side lying
B
Your patient sees some blood tinged outflow. Patient just started PD. You would tell patient --

A. I will give you pain meds
B. This is normal, it will eventually stop
C. I will assess you for infection
D. Have you had any chills
B
Your patient's PD regimen is well established. You see effluent that is light yellow and clear. You would --

A. Document
B. Take temperature
C. Call doctor
D. Scream
A
Your patient on PD has outflow that is the same color as urine. Suspect bladder perforation --

A. If glucose is also risen
B. If glucose is the same
C. If headaches persists
D. If outflow has been gradually increasing
B
T/F - IP heparin is absorbed systemically and affects blood clotting --
TOtally false
You tell your patient to not mix these in a dialsylate bag --

A. Sodium and potassium
B. Chloride and bicarbonate
C. Antibiotics and potassium
D. Chlorine and Sulfates
C
Your patient just had a fistula created on his right arm. You would make sure to --

A. Have patient avoid range of motion exercises
B. Have patient lie on right side
C. Palpate for thrills, assess brutes
D. Start IV as long as it's two inches away from fistula
C range of motion exercises are good
Your patient has steal syndrome. You would assess for --

A. Warm eyes
B. Cold hands
C. Numb feet
D. Wet peritoneum
C
Your pd patient has hemodyalsis. You would stop assessing for bleeding --

A. During procedure, because it is replaced and excreted
B. At the end of treatment
C. Four to six hours later
D. Six to eight weeks
C
Your patient might have p edema. You notice anxiety, restlessness and rapid heart rate. Your first priority --

A. Give lasix as ordered
B. Raise bed / Administer O2
C. Listen to heart sounds
D. Call the doctor
B
Your patient has PD. YOu would advise patient to eat more -____ --

A. Protein
B. Fats
C. Carbs
D. Vitamins
A - must better since some gets lost
Your patient is entering mild chronic kidney disease. Besides assessing GPR you can also assess for --

A. Absent bowel sounds
B. DIstended bladder
C. More dilute urine
D. Increased resistance in capillaries
C