Download Nurs 6202 Exam 1 Questions With Complete Solution and more Exams Nursing in PDF only on Docsity!
Nurs 6202 Exam 1 Questions With Complete Solutions 1 cup = ____ oz Correct Answers 8 oz 24 hour urine output is 200. Emesis is 50cc. The patient needs ________ fluids over the next 24 hours. Correct Answers 850 cc (output + 600 cc) 3 H's of Addisonian crisis: Correct Answers Hyponatremia, hypokalemia, hypoglycemia 30 mL = ____ oz Correct Answers 1 oz A "red flag" symptom of an acute kidney injury is: Correct Answers Low BP A common symptom of respiratory acidosis is: Correct Answers decreased respirations A nurse is caring for a client who just returned from the recovery room after undergoing abdominal surgery. The nurse monitors the client for which early sign of hypovolemic shock? Correct Answers increased pulse rate A patient is hospitalized for ARF. While assessing the patient at shift change, you note his oxygen saturation has changed from 96% to 84%. What is the first line of treatment? Correct Answers Administer oxygen on a nasal cannula at 2L
A patient who is postoperative following repair of an AAA has been receiving IV fluids at 125ml/hr continuously for the last 12hr. Urine output for the last 4 hours has been 60ml, 42ml, 28ml, and 20ml, respectively. What is the priority action that the nurse should take? Correct Answers Call physician and report low urine output. Pt either needs volume or there is decreased renal blood flow A patient's post 24 h transurethral resection of the prostate tells you he has bright red blood in the catheter. What is the priority? A. Call surgeon B. Assess catheter patency C. Open IV irrigation clamp to increase fluids to the bladder D. Clamp the catheter Correct Answers C. Open IV irrigation clamp to increase fluids to the bladder A person with kidney disease can take all except: A. milk of magnesia B. tylenol C. multivitamin with iron D. calcium phosphate Correct Answers A. milk of magnesia Those with kidney disease retain Mg. Milk of magnesia would further increase serum Mg levels A pt in the ER is having trouble breathing. What is a priority assessment finding? A. RR is 34 breaths/min B. PaO2 is 50 C. Shallow respirations D. PaCo2 is 34 Correct Answers B. Pa02 is 50
Common symptoms of a UTI in the elderly is: Correct Answers Confusion and mild abdominal pain Gentamycin is: A. The best choice for ARDS B. 1st line for nephritis C. Nephrotoxic D. Harmful to the liver Correct Answers C. nephrotoxic How do you know the treatment of hyperkalemia is efficient? Correct Answers EKG shows normal sinus rhythm How many mL/hr of urine should the average adult produce? Correct Answers 30 mL/hr How will you treat a very high potassium? Correct Answers Sodium bicarb, dialysis, insulin (binds to K+) Kidney disease and calcium: Correct Answers Lose Ca++ Kidney disease and iron: Correct Answers EPO is made in kidneys. When kidneys aren't working properly, EPO is not being made and iron is low Kidney disease and magnesium: Correct Answers Retain Mg Kidney disease and phosphorus: Correct Answers Retains phosphorus (found in fast foods--it is a preservative) High phosphorus is treated with diet correction and phosphate binders
One of the first signs of respiratory distress is: Correct Answers agitation and anxiety Phases of ARDS include all except: A. Fibrotic B. Proliferative C. Exudative D. Epithelial Correct Answers D. epithelial Relative hypovolemia vs actual (absolute) hypovolemia: Correct Answers Relative = fluid shift (NG tube suctioning, burns) Actual = blood loss (from trauma) RIFLE: Correct Answers Risk Injury Failure Loss End-stage kidney disease S/S of Cushing's: Correct Answers Moon face, stretch marks, buffalo hump, truncal obesity with little arms/legs Stages of ARDS: Correct Answers Exudative-interstitial and alveolar edema and atelectasis Proliferative-dense fibrous tissues Fibrotic-diffuse scarring and fibrosis
-Progressive (compensation begins to decline) -Refractory Treatment for Addison's: Correct Answers Cortisol supplementation Treatment for sepsis: Correct Answers -Fluids -Blood cultures -Antibiotic -Oxygen (nonrebreather) Types of kidney stones are all except: A. glucose B. struvite C. calcium D. uric acid Correct Answers A. glucose Calcium is most common type What are complementary and alternative therapies? Correct Answers Complementary: including in care along with Western medicine Alternative: replacing Western medical therapy with alternative therapies What are the stages of shock? Correct Answers -Compensatory -Progressive -Initial -Irreversible
What are the types of shock? Correct Answers Cardiogenic, hypovolemic, anaphylactic, septic, neurogenic What does adrenal cortex do? Correct Answers Regulates metabolism through cortisol (breaks down fats, proteins, carbs) What fluid is initially given in fluid resuscitation for hypovolemic shock? Correct Answers Normal saline, crystalloids, lactated ringer's, D5W, colloids, albumin What is Addison's disease? Correct Answers Decreased function of andrenal gland. Anterior pituitary communicates with ACTH hormone to produce cortisol What is an appropriate nursing diagnosis for a patient in an Addisonian crisis? Correct Answers Risk for fluid volume deficit (they are losing fluids) What is the 1st line of treatment for anaphylactic shock? Correct Answers Epinephrine 1: What is the first thing to do for any shock? Correct Answers Administer oxygen What is the most important in prevention of AKI? Correct Answers Promptly treat hypovolemia Which of the following abnormal electrolyte imbalances is EXPECTED with Addisonian crisis? A. K+ level of 3. B. Blood glucose 120
Removed the adrenal gland, which is the primary source of cortisol; they need permanent exogenous cortisol after the surgery Which serum laboratory values alert the nurse to the possibility of hyperaldosteronism? (Select all that apply.) A. Sodium 130 B. Sodium 150 C. Potassium 5. D. Potassium 2. E. pH 7. F. pH 7.28 Correct Answers B. Sodium 150 D. Potassium 2. E. pH 7. Hyperaldosteronism causes hypernatremia, hypokalemia, and metabolic alkalosis While caring for a patient with respiratory disease, the nurse observes that the patient's SaO2 drops from 94% to 85% when the patient ambulates in the hall. The nurse determines that: Correct Answers supplemental oxygen should be used when the patient exercises You administer oxygen 2L nasal cannula and the SPO2 is 88%. What would you do next? Correct Answers Increase to 4L. If does not respond, increase to 6L and then consider a mask You can delegate a UAP to: A. assess lung sounds B. evaluate pt's K+ intake to the blood level
C. teach patient about urinary catheter D. provide a backrub Correct Answers D. provide a backrub You can delegate an LPN to: A. give PO meds B. hang IV levofloxacin C. assess bowel sounds D. teach about warfarin Correct Answers A. give PO meds You identify your patient needs more teaching about his low potassium diet because: A. "I will have a piece of toast and apple juice" B. "Chicken is a good choice for me" C. "I will include celery in my meal" D. "Peanut butter crackers and whole milk is a good idea" Correct Answers D. "Peanut butter crackers and whole milk is a good idea" Dairy is high in K+ Your patient's creatinine is 2.3 and urine output was 1,600 for your shift. What stage AKI is this patient in? Correct Answers Diuretic (lots of urine production)
