Exam (elaborations)
Nurs 3210 Exam 1 Questions & answers
- Course
- Institution
Nurs 3210 Exam 1 Questions & answers
[Show more]
Seller
Follow
EXAMQA
Reviews received
Content preview
Nurs 3210: Exam 1When does discharge planning start? - ANS-Admission
Who is involved with discharge planning? - ANS-Patient, family, nurse, case manager,
physician, PT/OT
What is the goal of discharge planning? - ANS-Educate, keep patient out of hospital
What do you assess in regards to discharge? - ANS-Stability, ability to understand
instructions, equipment needed at home, transport
What factors affect the discharge plan? - ANS-Dx, patient, environment
Who is responsible for patient and family education? - ANS-Nurse
What is the purpose of patient education? - ANS-informed decisions, medical regimen
adherence, cost
True or False: Health education is an independent function of nursing and is a primary
nursing responsibility - ANS-True
What factors impact patient education? - ANS-Demographic, support system, medical
dx, timing of education, environment
Nursing process of teaching plan: Assess - ANS-Readiness for learning, disabilities,
cultural assessment
Nursing process of teaching plan: Planning - ANS-Priorities, goals, strategies
What is the best strategy for patient learning? - ANS-Having the patient say what they
are doing while performing a task
Nursing process of teaching plan: Implementation - ANS-Nurse implements when
patient is ready to learn
Make sure patient verbalizes understanding and modify if necessary
,Nursing process of teaching plan: Evaluation - ANS-Don't assume that teaching was
always successful, evaluate goals/outcomes (modify if not met)
A nurse identifies that a patient is unable to identify the correct number of oral
medication to take each morning. Which step of the nursing process does this problem
involve? - ANS-Assessment
Acute Kidney Injury - ANS-Pre-renal
Intra-renal
Post-renal
Pre-renal assessment - ANS-Fluid volume deficit, decreased CO, hypotension,
decreased CVP
Increased: Specific gravity, BUN, creatinine, K+
Decreased: UO
Low urinary Na+
Urinary sediment normal
Intra-renal assessment - ANS-Fluid volume excess, oliguria/anuria
Increased: BUN, creatinine, CPK, K+, urine osmolarity
Decreased: H&H, UO, specific gravity
High urinary Na+
Post-renal assessment - ANS-Signs of obstruction (prostate/stones)
Decreased: UO (sometimes none)
BUN/creatinine= normal (elevated in later stages)
AKI stages - ANS-Oliguric/anuric phase
Diuretic phase
Recovery phase
Oliguric/Anuric phase - ANS-24H to 1 week
Urine output less than 400 mL/24H
Duration: 1 day to 8 weeks (usually 8-15 days)
Major problem: hyperkalemia, build up of waste products
, Diuretic phase - ANS-2-6 weeks after oliguric stage
BUN/creatinine improve, but renal function is impaired
Increase in UO (up to 10L/day)
Major problem: dehydration (FVD), hypo Na+/K+
Recovery phase - ANS-Begins when lab values stabilize
Renal function has improved
Ends when patient can return to normal activity
Can take up to 1 year
AKI treatment: Pre-renal azotemia - ANS-Optimize renal perfusion
fluid bolus, lasix, fluid volume expanders (lactated ringers/albumin--pulls fluid from
tissues), dopamine (renal dilation)
AKI treatment: Intra-renal - ANS-Supportive therapy
IV fluids, stop damaging medications
AKI treatment: Post-renal azotemia - ANS-Alleviate the obstruction
remove obstruction, flomax, break stones
AKI treatment: Oliguric phase - ANS-Fluid restriction
Hyperkalemia
Dialysis
Nutrition
Nursing Care
How do you treat hyperkalemia that results from the oliguric phase? - ANS-Regular IV
insulin (puts K+ back into the cells)
Kayexalate
Dialysis
K+ restricted diet
When do you use dialysis to treat the oliguric phase? - ANS-FVE, hyperkalemia,
metabolic acidosis, increased BUN, mental status changes, cardiac toxicity
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller EXAMQA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73314 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now