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NUR 265 HESI Med Surg; Questions with Complete Solutions 100% Solved
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NUR 265 HESI Med Surg; Questions with Complete Solutions 100% Solved
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NUR 265 HESI Med Surg; Questions with CompleteSolutions 100% Solved
ARF Post Renal Correct Ans-Renal Calculus: Lithiasis, BPH
Risk for Hyperparathyroidism ^ Calcium
Pathological Fractures
Prevent Volume Depletion
Manif: low urine output, decreased BP / Pulse
Orthostatic Hypotension, thirst
^ Blood Osmolarity
Hemodialysis Correct Ans-Pharmokenetic excretion adversely affected
Monitor for digtoxicity / hyperkalemia / dillusional hyponatremia
3 requirements: access to blood, semipermeable membrane, dialysate
More Effective/ Shorter time
#1 Complication - Disequilibrium Syndrome causing ICP
Admin Anticonvulsants (Dilantin)
Peritoneal Dialysis Correct Ans-Monitor Albumin
, NUR 265 HESI Med Surg; Questions with Complete
Solutions 100% Solved
#1 Complication - Peritonitis leads to septic shock
Ridge Board Like Abdomen
Cloudy Excretion - Infection
Interventions: heparinization required
weigh before / after, acquire baselines
^ protein intake - excreted at dialysis
Teaching: know signs for peritonitis, cloudy excretion, monitor
glucose for hyperglycemia
Dialysis Air Embolism Correct Ans-clamp catheter
Patient Left Lateral Trendelenburg
Notify Physician
Admin Oxygen
DKA Correct Ans-Lacks insulin, DMI (insulin dependent), Ketones
Sudden Onset - infection, injury, stress
, NUR 265 HESI Med Surg; Questions with Complete
Solutions 100% Solved
Uncontrolled hyperglycemia
Met. Acidosis - Kussmaul Respirations
Polyuria / dipsia / phagia
Dehydration, Osmotic Diuresis 6 - 10 L
Glucose >250
Interventions: #1 assess airway, #2 LOC, #3 Hydration (Dextrose)
Admin Insulin
Before Admin IV K+ assure output 30ml +
HHNKS Correct Ans-DMII, Insulin Resistant, Gradual Onset
Glucose >600
Major factor is obesity
Worse Diuresis / Dehydration
Neurological - coma, seizures, stroke
Met. Alkalosis
Interventions: #1 Hydration, #2 LOC
, NUR 265 HESI Med Surg; Questions with Complete
Solutions 100% Solved
Admin Insulin restoring glucose w/I 72hrs
Evaluate Fluid Volume / Daily Weights
Teaching: store unopened insulin vials in refrigerator or room temp
for 28 days
Draw regular insulin into syringe first when mixing insulins
Exercise decreases blood sugar levels
Sick Days: keep taking insulin
monitor glucose more frequently
watch for signs of hyperglycemia
**If in doubt if hyper / hypo glycemic, treat for hypoglycemia
Hypoglycemia Correct Ans-Glucose <70, rapid decline
Excess Insulin, wrong time / type
Manif: #1 early -Neurogenic (Cholinergic / Adrenergic)
#2 Central Neuroglycopenic: confusion, seizure, coma
Interv: Mild - admin carbs / protein
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