Examen
Nur 176 Exam 2 (MEHSCHOOL) with 100- correct answers.
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Nur 176 Exam 2 (MEHSCHOOL) with 100- correct answers.
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Nur 176 Exam 2 (MEHSCHOOL)with 100% correct answers
Symptomatic diverticular disease - answer includes hemorrhage,
inflammation (diverticulitis), or complications of diverticulitis such
as abscess, fistula, obstruction, or free perforation.
Clinical Presentation of Diverticulitis - answer Acute onset of left
lower quadrant pain, intermittent, varying in intensity
Constipation, diarrhea and/or nausea and vomiting
Other symptoms may include: fever, anorexia, hematochezia
what would you find assessing a patient for diverticulitis - answer
exam reveals pain LLQ, possible rebound or guarding
Labs/imaging for diverticulitis - answer Labs to consider:
CBC
CMP, UA, stool studies if suspicious of other etiology
Imaging to consider:
CT ( scanning of the abdomen with IV and oral contrast is the
diagnostic test of choice in patients suspected of having acute
diverticulitis)
A BARIUM ENEMA IS CONTRAINDICATED IN PATIENTS WITH - answer
ACUTE DIVERTICULITIS DUE TO THE POSSIBILITY OF PERFORATION
OF THE DIVERTICULUM.
barium enema can - answer diagnosis but if acute beware
,MORPHINE IS NOT GIVE TO THESE PATIENTS DUE TO - answer
INTRALUMENAL PRESSURE.
What is hemodialysis? - answer most common renal replacement
therapy used in ESKD and kidney failure
Where may hemodialysis be preformed? - answer -in-patient
procedure on critically ill patients
-out-patient for more stable patients
What happens during hemodialysis? - answer -blood and dialysate
run in different directions
-toxins are diffused into the dialysate, leaving the patient's blood
free from toxins/at least reduced toxins
What is a subclavian dialysis catheter? - answer -a radiopaque tube
that can be used for hemodialysis
-Y-shaped tubing allows arterial outflow and venous return through
a single catheter
-used for several weeks
What are possible complications of hemodialysis? - answer -
disequilibrium syndrome
-muscle cramps
-hemorrhage
-air embolus
-hemodynamic changes (hypotension, anemia)
-cardiac dysrhythmias
-infection
, What do you have to do to access the AV fistula? - answer -two
needles are used
-one toward venous blood flow (clean blood is returned to the body)
-other toward arterial blood flow (blood comes out to be cleaned)
What vessels are used to form an AV fistula? - answer
-radial/brachial artery and a cephalic vein of nondominant arm
What complications can occur with vascular access? - answer -
thrombosis (most frequent)
-stenosis
-infections
-aneurysms
-ischemia
-heart failure
What are common problems postdialysis and should be closely
monitored for? - answer -hypotension/hpertension
-headache
-nausea/vomiting
-malaise/dizziness
-muscle cramps/bleeding
What neurological symptoms can result from dialysis equilibrium
syndrome? - answer -headache
-nausea/vomiting
-restlessness
-decreased LOC
-seizures
-coma
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