100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 265 HESI Med Surg Questions and Correct Answers | Latest Update $13.49   Add to cart

Exam (elaborations)

NUR 265 HESI Med Surg Questions and Correct Answers | Latest Update

 8 views  0 purchase
  • Course
  • NUR 265
  • Institution
  • NUR 265

ARF Post Renal -:- 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 -:- Pharmokenetic excretion adversely aff...

[Show more]

Preview 4 out of 52  pages

  • September 19, 2024
  • 52
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 265
  • NUR 265
avatar-seller
TestTrackers
2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




NUR 265 HESI Med Surg Questions and
Correct Answers | Latest Update
ARF Post Renal


✓ -:- 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


✓ -:- 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)
1|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




Peritoneal Dialysis


✓ -:- Monitor Albumin

#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


✓ -:- clamp catheter

Patient Left Lateral Trendelenburg


Notify Physician


Admin Oxygen



2|P a g e | G r a d e A + | 2 0 2 0 2 5

,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!




DKA


✓ -:- Lacks insulin, DMI (insulin dependent), Ketones

Sudden Onset - infection, injury, stress


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


✓ -:- DMII, Insulin Resistant, Gradual Onset

Glucose >600


Major factor is obesity



3|P a g e | G r a d e A + | 2 0 2 0 2 5

, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!



Worse Diuresis / Dehydration


Neurological - coma, seizures, stroke


Met. Alkalosis


Interventions: #1 Hydration, #2 LOC


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


✓ -:- Glucose <70, rapid decline



4|P a g e | G r a d e A + | 2 0 2 0 2 5

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 TestTrackers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67096 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart