Hondros NUR 212 Exam 2 Questions And Answers Verified 100% Correct

Hondros NUR 212 Exam 2 Questions And Answers Verified 100% Correct recovery phase - ANSWER GFR increases; BUN/CR plateau and decrease; major improvements in 1-2 weeks, impaired function for 12 months, if no recovery=CKD What blood gas issue are you at risk for with CKD? - ANSWER Metabolic acidosis - patient may develop kussmaul respiration's patient with AKI, what are some post-renal causes? - ANSWER renal calculi Pre-renal Kidney causes? - ANSWER hypertension sclerotic changes issues vasscularization hypovalemic shock intrarenal causes? - ANSWER trauma meds ischemia Pt newly admitted with high potassium, what is your first response? - ANSWER Put patient on a heart monitor Pt is on peritoneal dialysis and is suspected to have peritonitis what is the order of care? - ANSWER 1. vitals 2. culture 3. antibiotics What does the term anasarca mean? - ANSWER edema of the whole ass body Where does edema start for glomerularnephritis? - ANSWER edema starts at the eye nephrotoxic meds? - ANSWER -mycins lasix -contrast dye aminoglycosides BPH Obstruction Pt is having crohns exacerbation and dehydration and diarrhea for 4-5 days, what are we worried about? - ANSWER hypokalemia What is hemodialysis biggest infection risk? (from the nurse) - ANSWER hepatitis Hemodialysis Complications - ANSWER Hypotension Muscle cramps Loss of blood Hepatitis Sepsis Disequilibrium syndrome (headache, twitching, cerebreal edema, nausea, vomiting) Someone with guillaine barre syndrome with tube feed, how do you start it? - ANSWER trickle it in and then slowly advance, due to GI mobility complications. Goodpasture syndrome clinical manifestations? - ANSWER flu-like symptoms with pulmonary symptoms: cough, mild shortness of breath, hemoptysis, crackles, rhonchi, pulmonary insufficience, hematuria, weakness, pallor, anemia, renal failure goodpasture syndrome causes? - ANSWER causes lung cancer and kidney diease, causes bleeding into the lungs and glomerulonephritis What kind of temperatures may cause an exacerbation for MS? - ANSWER hot or extreme temperatures What is the pathohysiology of MS? - ANSWER damage to the myelin sheath Age of onset of MS - ANSWER 20-40, more common in women Can myelin sheath regenerate? what is this called? - ANSWER yes it can, it is called remission Clinical manifestations for MS - ANSWER blurred or double vision muscle weakness blowel/bladder dysfunction paralysis numbness and tingling speech impediment extreme fatigue Medications for treatment of MS - ANSWER - B-interferon - self injection (may cause flu-like symtoms, take acetametaphin) helps regulate body - dimethyl furmarate - immunosuppresant - ACTH - corticosteroid Someone comes in with IBD exacerbation, what kind of diet is patient put on? - ANSWER NPo, advances to clear liquid - Bethanechol - cholergenic, used for symptom management s/s cholergenic crisis (increased with cholergenic meds, decreased with anticholergenic meds) - ANSWER S - salivation L - Lacrimation U - urination D - Defecation G - GI motility E - Emesis Cholergenic meds needs tapered Patient teaching for newly diagnosed MS patient, patient is concerned and asks "am I going to be like this forever" what is the nurses response? - ANSWER not necessarily, MS can get better overtime with adherence tomedication What kind of vision changes is a MS patient at risk for? - ANSWER Blurred vision double vision red-green color distortion blindness in one eye Newly diagnosed patient with MS what should we assess for at home? - ANSWER asses for fall risk at home When should a patient with MS contact their doctor? - ANSWER If symptoms worsen or any respiratory distress myasthenia gravis - ANSWER a chronic autoimmune disease that causes serious weakness of voluntary muscles, caused by antibodies attacking ACH receptors. s/s of myasthenia gravis - ANSWER -diplopia (double vision) - ptosis (eyelid drooping) -sleepy appearance - dysphagia, choking, dysphasia - weakness improved by rest & worse by exercise -resp failure -bladder & bowel incontinence What is a positive peek sign? - ANSWER A person is unable to keep their eyes closed after 30 secs Myasthenic Crisis - ANSWER an acute exacerbation of myasthenia gravis triggered by infection, surgery, emotional distress, or overdose or inadequate medication.