NSG 123 Exam 5 Review | updated with complete solution

NSG 123 Exam 5 Review | updated with complete solution Fluid Volume Deficit Lab & Vitals - Increased BUN & Creatinine Increased Hematocrit & Hemoglobin Increased Urine Specific Gravity Decreased BP Increased Pulse Increased Temp Fluid Volume Excess Lab & Vitals - Decreased Hematocrit, Hemoglobin Decreased Urine Specific Gravity Increased BP Increased Respirations Bounding Pulse DMARD Methotrexate Monitor - Prior to and during therapy, monitoring the CBC, renal function, and liver function is essential. Liver function tests help guide methotrexate dosage. What disease is Methotrexate given for? - RA Diagnostic Test for RA - Antibodies to cyclic citrullinated peptide (anti-CCP) have a specificity of approximately 95% at detecting RA The ESR and CRP tend to be significantly elevated in the acute phases of RA and are therefore useful in monitoring active disease and disease progression. In SLU Where is the butterfly rash located? - Cheeks The most familiar skin manifestation (occurring in less than 50% of patients with SLE) is an acute cutaneous lesion consisting of a butterfly-shaped erythematous rash across the bridge of the nose and cheeks Complication and Teaching of Corticosteriods for Long Term - Osteoporosis, increase calcium and vitamin D Gout Dietary Restrictions - The nurse encourages the patient to restrict consumption of foods high in purines, especially organ meats, and to limit alcohol intake Fluid Movement in Hypotonic Solutions - WATER INTO CELLS. When the extracellular fluid has fewer solutes (osmolarity) than the fluid in the cells. Water will move from extracellular space into the cells. Fluid Movement in Hypertonic Solutions - WATER OUT OF CELLS When the extracellular fluid has more solutes (osmolarity) than within the cells, water flows out of the cells Fluid Movement in Isotonic Solutions - Both the extracellular and intracellular fluids have the same osmolarity, so there is no movement of water between them Hypotonic Solutions - 0.45% Sodium Chloride 0.225% Saline 0.33% Saline Hypertonic Solutions - 3% Saline & 5% Saline Isotonic Solutions - Normal Saline (0.9% Saline)