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Final Exam: NR 341/ NR341 (Latest 2025/ 2026 Update) Complex Adult Health Review | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain $11.49
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Final Exam: NR 341/ NR341 (Latest 2025/ 2026 Update) Complex Adult Health Review | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain
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Final Exam: NR 341/ NR341 (Latest 2025/ 2026 Update) Complex Adult Health Review | Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Chamberlain Q: Nursing care after kidney biopsy Answer: Apply pressure dressing and keep patient on the affected side for 30-60 min. Bed ...

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Document information

  • January 16, 2025
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • chamberlain complex adult health exam
  • chamberlain complex adult health exam 1
  • chamberlain complex adult health exam 2
  • chamberlain complex adult health exam 3
  • chamberlain complex adult health final exa

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Finall Exam:l NRl 341/l NR341l (Latestl
2025/l 2026l Update)l Complexl Adultl
Healthl Reviewl |l Questionsl &l Answers|l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Chamberlain

Q:l Nursingl carel afterl kidneyl biopsy

Answer:
Applyl pressurel dressingl andl keepl patientl onl thel affectedl sidel forl 30-60l min.

Bedl restl forl 24l hr.l

Vitall signsl everyl 5-10l min,l firstl hour.

Assessl forl bleeding.



Q:l Whatl mustl bel donel priorl tol kidneyl transplantl surgery?

Answer:
-l HD

thisl willl balancel K+l andl bringl downl BUN/Crl &l decreasel fluidl overload



Q:l Post-opl kidneyl transplantl complications

Answer:
Decreasedl UO
-l Duel tol osmoticl diuresisl &l thel newl kidneyl filteringl thel BUN
-l ATN,l commonl w/l cadaverl kidneysl →l hypoperfusion

,Rejection

Infection

Hyperglycemial (postl transplantl DM)



Q:l Hyperacutel transplantl rejection

Answer:
Immediatel andl rarel (w/inl 24hrsl post-transplant),l hasl antibodies,l organl mustl bel removed



Q:l Acutel transplantl rejection

Answer:
occursl ~2yrsl postl op,l needsl medsl tol managel &l suppressl immunel response



Q:l Chronicl transplantl rejection

Answer:
occursl afterl 2yrs,l progressivel decreasel inl renall functionl -l graduall returnl ofl kidneyl
failure



Q:l Mostl commonl immunosuppressantsl forl transplants

Answer:
Tacrolimus,l corticosteroidsl (predisone),l andl mycophenolatel mofetil



Q:l Kidneyl Transplantl dischargel teaching

,Answer:
Monitorl forl rejection

Postl Transplantl Highl BG
DMl management

Increasedl riskl forl cardiovascularl disease
Medsl willl incl cholesteroll →l givenl statinsl &l newl diet

Increasedl riskl forl malignancy
Yearlyl cancerl screenings,l usel sunscreenl &l avoidl directl sun

Recurrencel ofl Kidneyl Disease:
Decreasel renall thresholdl ofl BGl =l 100



Q:l S&Sl ofl compensatedl shock

Answer:
pale,l cooll skinl

Resp.l Alk.l (hyperventilation)

RASSl turnedl onl -->l Na+l &l H2Ol arel retained

Epinephrinel isl releasedl -->l vasoconstriction,l incl BPl &l HR



Q:l S&Sl ofl progressivel shock

Answer:
cold,l clammyl skinl

Lungl failurel (Resp.l Acid.)
-l needl ventilatorl now

Decreasel CO
-l needl fluidl bolus,l thenl vasopressors

Kidneysl fail
-l elevatedl labs,l meta.l acid.

, -l needl CRRT

Dec.l GIl perfusion
-l needsl trophicl feedingsl tol keepl patent

Increasedl ammonial &l lactatel creatingl meta.l acid.



Q:l S&Sl ofl refractoryl shock

Answer:
MODsl -->l unresponsive

Profoundl hypotension

Nol UO,l ischemicl GI,l mottledl skin

Extremel meta.l acid.



Q:l hypovolemicl shockl causesl &l S/S

Answer:
Volumel lossl byl dehydrationl orl bleeding

s/s:l lowl BP,l lowl SV,l incl HR



Q:l Hypovolemicl shockl treatment

Answer:
2l largel borel IVs

Restorel volumel usingl IVl fluidsl suchl LRl orl NSl (crystalloids,l isotonics),l Bloodl productsl
(albumin,l PRBCs,l FFP-colloids).l Thenl vasopressors:
Norepinephrinel -l vasoconstrictor

Stopl thel bleedingl (findl itl withl Endoscopyl -l GI,l Surgeryl ifl trauma)

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