FINAL PROPRAC|QUESTIONS WITH 100% CORRECT ANSWERS|VERIFIED

FINAL PROPRAC Seizure precautions should be implemented for which electrolyte abnormality? ANSWER- Hypo and hypernatremia Which electrolytes have an inverse relationship? ANSWER- Ca and Phos This means that as levels of phosphorus in the blood rise, levels of calcium in the blood fall because phosphorus binds to calcium reducing the available free calcium in the blood. Your patient is fluid volume deficient. This type of fluid is most appropriate for fluid resuscitation ANSWER- Isotonic fluid (0.9 NS, LR) A patient is admitted for a small bowel obstruction (SBO) and has a NG tube to suction. The patient is NPO and has continuous fluids of LR running at 75ml/hr. Over the course of 4 hours the NG outputs 800ml. What type of fluid imbalance is this patient at risk for? ANSWER- Fluid volume deficit Why does chronic heart failure cause fluid overload and why can the diuretic treatment cause a fluid deficit? ANSWER- Perfusion issue THINK: heart isn't beating effectively then fluid can back up Over diuresis can lead to dehydration, electrolyte imbalances, hypotension, and sudden cardiac arrhythmias in more severe cases Can a patient have an acute kidney injury and chronic kidney disease? ANSWER- Yes, acute on chronic Define GFR ANSWER- Rate of blood flow through kidneys Identify two nursing considerations for a patient in diuresis phase of AKI ANSWER- • Strict I&Os Daily Weights Monitor for the need of IV fluids to avoid dehydration Which medication is commonly given SQ orIV to treat hyperkalemia in the setting of CKD? ANSWER- • Regular Insulin SQ OR IV dextrose given concurrently (IV) when IV insulin is used Why can dehydration cause an AKI? ANSWER- Reduced blood flow to the kidneys