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NUR 265 HESI Med Surg Questions and Correct Answers | Latest Update $13.49   Add to cart

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

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  • Course
  • NUR 265
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  • 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...

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  • September 19, 2024
  • 52
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 265
  • NUR 265
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Latestupdate
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)
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,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



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,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



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, 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



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