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Flashcards in EXAM 2 Deck (37)
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1
Q

A patient is diagnosed with acute Hep C. What action by nurse is most appropriate?

A

-Get the viral load and genotype

2
Q

A nurse administers interferon to a patient with chronic Hep C, what to monitor?

A

-leukopenia: people who take this med become anemic

3
Q

What is the main difference in contracting Hep C and Hep B?

A
  • IV drug use (Hep C) Hx, shared needle w/someone (even if drug use from a logn time ago, very pertinent from hx)
  • B: sexual contact
4
Q

Which goal has a high priority in the plan of care for homeless pt admitted w/ viral hep w/severe anorexia and fatigue

A

-anorexia= nutrition, then fluid

5
Q

Unimmunized, exposed to Hep B through needle stick, what actions to do right away?

A

-give immunization Hep B, test for antibodies and give HB immunoglobin

6
Q

Pt admit w/abrupt onset jaundice, nausea, abnormal liver fxn test, neg for viral cause of hep. Which question by nurse most appropriate?

A

-do you take any OTC medication?

7
Q

Pt. w/4+pittind edema w/cirrohisis, wha tlevel to see in chart? (what lab test AST, ALT, Protein)

A

-Albumin

8
Q

Pt w. Cirrhosis K 3.2 schedule dose aldacton (potassium sparing) and lasix (potassium wasting), what should nurse do K w/3.2

A

-don’t give lasix

9
Q

Pt w/severe cirrhosis, bleeding esophageal varices, important lab?

A

-ammonia

10
Q

Pt cirrhosis, 4+ edema feet, legs, what mattress use?

A

-pressure mattress

11
Q

Pt needs paracentesis, what to do before procedure?

A

-empty bladder

12
Q

Kayexalate order pt hyperkalemia, before giving, what to do?

A

-listen to bowel sounds (make sure not blocked)

13
Q

Pt w testicular cancer admit after 1 chemo tx, in reviewing tx plan, you know he is receiving ____ what is appropriate nursing dx for him?

A

-potential alteration in sexuality

14
Q

Most important nurse to communicatio to CP about pt w/liver transplant 1 week ago?

A

-Temp 100.8

15
Q

Which assessment finding indicate pt experience adverse effects of corticosteroid prescribed after kidney transplantation?

A

after kidney transplantation?

-knee or hip joint paint

16
Q

Nurse assessing pt 4 hours after kidney transplant, which info most important to communicate to health care provider?

A

-Central line pressure increased

17
Q

@ which point in time do you discuss sexuality w/patient diagnosed with cancer?

A

-@ diagnosis, treatment, recover, every visit

18
Q

Hypocalcemia: what happens when low?

A

Muscle twitch and tense up, notifiy someone righ taway along with finger numb

19
Q

Med to give for hypocalcemia

A

calcium glucanae

20
Q

Which action nurse in ER take first for new pt vomit blood?

A

-take vital signs

21
Q

Any pt w/pancreatis?

A

Must ask if they drink alcohol?

22
Q

2 types of dyalis: peritoneal and hemodialyss wha tis difference?

A

One on abd leave fluid; hemo through a vein (insert fistula)

23
Q

After insertion atriovenious graft r forearm pt complain cold right fingers. Is it importatnt or normal?

A

-always important, notify PCP

24
Q

Which menu choice by pt reciveing hemo indicate nurse teach successful?

A

-poached eggs, whole weat toes, and apple juice (high protein)

25
Q

Pt need vascular access for hemodialysis, which statement describes advantage of fistula over graft?

A

-fistula less likely to clot

26
Q

Peritoneal dialsysi, pt take shower or bath?

A

Shower

27
Q

When doing hx for pt for kidney transplant, what is not appropriate candidate fo rkidney transplant?

A

-cancer any form metastatic

28
Q

If pt has AKI, and temporary vascular accesss in L femoral vein, what one thing you don’t want pt to do?

A

-restrict activity

29
Q

What drugs are nephrotoxic?

A

-adenomyosis

30
Q

Nurse will monitor adverse effects by:

A

-creatinine

31
Q

Pt w/end stage kidney disease, getting dose procrit, what to report to provider?

A

-high hemoglobin levels (associated w/higher rate of thrombolytic events from serious cardiovascular events. If HGB above 12)

32
Q

Dehydrated, anemia, hyperkalemia

A

put pt on EKG

33
Q

Which info included when nurse teach self management to pt recieveing peritoneal dialysis?

A

-eat low potassium, high protein, white salt, take phosphate binders with each meal

34
Q

3 phases of PD

A

inflow (fill), dwell (equilibration), drain

35
Q

inflow phase

A

amt of solution infused through catheter over 10 min, after infused, inflow clamp close to prevent air from entering tube

36
Q

dwell

A

diffusion and osmossis occur between pt’s blood and peritoneal cavity, duration time varies depending on method

37
Q

drain

A

15-30 min may facilitate by gently massaging abd or changing position