Class notes
Exam 1 review
- Course
- NUR265
- Institution
- Galen College Of Nursing
Lecture notes of 10 pages for the course NUR265 at Galen College Of Nursing (Exam 1)
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By: snoorozco • 7 months ago
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1. the nurse has provided discharge instructions to a client who is newly diagnosed with nephrotic syndrome which of the following client statement indicates a correct understanding of the teaching - I should take all prescribed antibiotics until they're gon e - I should avoid using any type of salt substitute on my food - I must decrease my intake of foods high in potassium - I must protect myself from developing an infection 2. the nurse is reviewing the laboratory results of assigned client it is a pri ority for the nurse to follow up with Primary Health care provider if a client who - is receiving prescribed digoxin and has a blood urea nitrogen level that has increased from 15 to 19 mg/dl over the past three days - had a mitral mechanical valve repla cement an taking prescribed warfarin has an INR that is 3.2 -Is receiving prescribed enoxaparin post operatively from cardiac surgery and has a platelet count that has decreased from 2 00,000 to 175,000 Over the past two days - had an abdominal aortic ane urysm AAA repair 2 days ago has a creatinine level that has increased from 0.9 to 2.5 mg/dl 3. the nurse is caring for a client who has been hospitalized for eight days with acute kidney injury caused by dehydration which of the following should the nurse r eport immediately to the Primary Health care provider -A blood urea nitrogen BUN level of 67 mg/dl - a rhythm strip reading that has tall peaked T waves - a decrease glomerular filtration rate - a creatinine level of 3 mg/dl 4. the nurse is caring for a c lient who is receiving gentamicin intravenously for an infection and has developed oliguria and an increased blood pressure which of the following actions should the nurse take first - collect a urine sample to check the specific gravity - obtain a prescript ion for gentamicin peak and trough levels (pg 1393) - insert described urethral urinary catheter - raise the head of bed to a 45 degree angle 5. the nurse is caring for a client who has chronic kidney disease the client is reporting muscle weakness diarrhea and tingling in the hands which action should the nurse take first - notify the Primary Health care provider - check the client's most recent serum electrolyte levels - evaluate the client's urine output for the past four hours - determine if the client is scheduled to receive hemodialysis 6. The nurse is talking with a client who has chronic kidney disease and is receiving hemodialysis three times per week which of the following client statements is a priority for follow up by the nurse - I try and li mit my intake of dietary sodium to 5 grams per day - I have noticed that my skin looks like it has a layer of Frost on it - I have notice in my breath has developed a very unpleasant order - I will make sure that I consume at least 50 grams of protein every day 7. the nurse is teaching a clien t who is in the late stage of chronic kidney disease which of the following client statements indicates a correct understanding of the teaching - I should obtain much of my protein from dairy products and eggs - I can expect to have an increase in my energy level after dialysis treatment - hemodialysis will be performed two times per week in an outpatient center - if I develop any fatigue or weakness I should report to my doctor 8. The nurse is caring for a client who has returned from receiving a hemodialysis treatment it requires immediate follow up by the nurse if the client has - developed a blood pressure of mm hg (pg.1416) - develop a temperature of 99.4 Fahrenheit - potassium level that decrease from 6.1 to 5.1 - reports of feeling tired and no desir e to eat 9. the nurses came for assigned client which of the following action should the nurse take - place mask on the client when changing the client peritoneal dialysis catheter dressing (pg.1420) - walk a client to the bathroom during the peritoneal dialysis infusion cycle - apply a pressure dressing on a client arterial venous fistula between hemodialysis treatments - obtain a blood specimen from a client's arteriovenous fistula 10. The nurse preceptor is observing a newly hired nurse care for a client who is receiving peritoneal dialysis it indicates correct technique if the newly hired nurse is observedThe benefits of buying summaries with Stuvia:
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