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ECCO Caring for Patients with Renal Disorders: Part 1 Questions and Answers

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ECCO Caring for Patients with Renal Disorders: Part 1 Questions and Answers A patient is receiving IV calcium gluconate, IV insulin, IV D50, and oral polystyrene sulfonate (Kayexalate). What evidence of the treatment's effectiveness should the nurse assess for? - ANSWER-Decreased K levels Narr...

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  • November 10, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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ECCO Caring for Patients with Renal

Disorders: Part 1 Questions and Answers


A patient is receiving IV calcium gluconate, IV insulin, IV D50, and oral polystyrene sulfonate (Kayexalate).

What evidence of the treatment's effectiveness should the nurse assess for? - ANSWER✔✔-Decreased K

levels


Narrowed QRS


Normalizing T waves




Resolution of life-threatening hyperkalemia is assessed by monitoring the ECG rhythm for stability with

resolution of widened QRS (we want to see narrowed QRS) , IVC delay, and peaked T waves; and

assessing for decreasing K levels.


A patient with sepsis received vancomycin (Vancocin), had a CT scan with contrast, and is diagnosed with

AKI. Current vitals on norepinephrine at 0.1 mcg/kg/min: HR 88 sinus rhythm, BP 70/40 (50), UO 0.3

mL/kg/hr; lab values: BUN: creatinine 15:1, serum Osmo 292 (N) and hematocrit 30%. Which is

indicated? - ANSWER✔✔-Titrate vasopressors to maintain MAP greater than 65 mm Hg.


A patient with SIADH has the following lab results: serum sodium 128 mEq/L (L), serum osmolality 275

mOsm/kg H2O (L), and hematocrit 32% (L). Which of the following interventions should the nurse

anticipate? - ANSWER✔✔-Decrease of IV fluids to 10 mL/hr




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, Copyright © OLIVIAWEST 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED


A patient who sustained a prolonged hypotensive episode in the operating room is admitted on a

norepinephrine infusion; MAP is being maintained >65 mm Hg. Which intervention is indicated to

prevent further kidney injury? - ANSWER✔✔-Identify nephrotoxic agents and discuss with the

pharmacist


A patient with CKD is to have a permanent arteriovenous shunt placed. Which nursing intervention is

indicated after the procedure? - ANSWER✔✔-Check for presence of thrill/bruit.


Assessment of a trauma patient with a spleen injury reveals BP at 85/54 (64) and varying; HR 135 sinus

tachycardia; and UO 0.2 mL/kg/hour for the past three hours. What do these signs indicate? -

ANSWER✔✔-Fluid deficit


Assessment of a patient with CKD who is scheduled for dialysis reveals pitting edema and crackles

throughout both lungs. What other signs should the nurse expect to see in this patient? - ANSWER✔✔-

Decreased urine output, and increased BUN, Cr levels


A patient with kidney dysfunction has increasing confusion, BP 102/70 (81) lying, 86/68 (74) sitting, HR

118 sinus tachycardia, and UO 0.1 mL/kg/hr. What intervention should the nurse expect first? -

ANSWER✔✔-Administer IV NS in boluses of 250-500 mL.


What signs and symptoms should alert the nurse to fluid volume deficit in a patient who has undergone

dialysis? - ANSWER✔✔-Poor skin turgor;




Decreased pulses in extremities;




Cracked lips, dry skin

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