Exam 2 Questions with Correct Answers (100% Verified Answers)2024 Exam 2 Questions with C, Exams of Nursing

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Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ Normal creatinine levels? - correct answer ✅Male: 0.6-1.2 Female: 0.5-1.1 Normal GFR? - correct answer ✅90-120ml/min At which GFR level does dialysis begin? - correct answer ✅15 S/S of acute glomerulonephritis? - correct answer ✅Headache, increased BP, facial edema, malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria S/S of chronic glomerulonephritis? - correct answer ✅Proteinuria and hematuria Lab findings for glomerulonephritis? - correct answer ✅Increased BUN, CR Decreased albuminin Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ Common s\e of hemodialysis? - correct answer ✅Hypotension due to all of the blood and fluids leaving the body Nephrotic syndrome s\s - correct answer ✅SEVERE proteinuria MASSIVE edema Hypertension, foamy urine, anasarca, ascites Why might medication doses be decreased for a patient with kidney issues? - correct answer ✅Due to medications not being excreted through kidneys Prerenal causes - correct answer ✅Due to decreased blood flow to kidneys Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular obstructions, severe vasoconstriction Intrarenal causes - correct answer ✅Due to damage to the gumeruli, interstitial tissue or tubules (parynchymal damage) Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ What is an important thing to remember for the process of peritoneal dialysis? - correct answer ✅It must be completely STERILE What is a major complication from peritoneal dialysis? - correct answer ✅Peritonitis If patient begins to have pain or cramping during peritoneal dialysis what should the nurse do? - correct answer ✅Slow down the infusion rate At what temperature is peritoneal dialysis given? - correct answer ✅Must be warmed to body temperature What medication can cause an IBS flare up? - correct answer ✅Sulfasalazine (anti-inflammatory medication) Treatment goals for CKD? - correct answer ✅Treat hyperkalemia, HTN, and mineral/bone disease Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ Potassium enriched foods? - correct answer ✅Bananas, tomatoes Why would a patient with CKD have pruritus? - correct answer ✅Due to uremic frost (urea crystallizes on skin) cure for ulcerative colitis - correct answer ✅illiostomy, removal of colon, J- pouch issues for Crohns can happen from where? - correct answer ✅From mouth to anus Common signs/symptoms of Crohn's disease and ulcerative Colitis - correct answer ✅diarrhea, weight loss abdominal pain, fever and fatigue drug classes used to treat IBD - correct answer ✅corticosteroids - decreases inflammation immunosuppressants - suppresses immune response Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ antimicrobials - prevent or treat secondary infection aminosalicylates - decreases inflammation indications a illeostomy or other surgical therapy may be needed are - correct answer ✅- fistulas - intestinal obstruction - inability to decrease corticosteroids what may increase your risk for an exacerbation with IBD's? - correct answer ✅-stress -illness - infection Fluid/ electrolyte complications with IBD? - correct answer ✅-hypokalemia -hypovalemia Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ Where does edema start for glomerularnephritis? - correct answer ✅edema starts at the eye nephrotoxic meds? - correct answer ✅-mycins -lasix -contrast dye -aminoglycosides Pt is having crohns exacerbation and dehydration and diarrhea for 4-5 days, what are we worried about? - correct answer ✅hypokalemia What is hemodialysis biggest infection risk? (from the nurse) - correct answer ✅hepatitis Hemodialysis Complications - correct answer ✅Hypotension Muscle cramps Loss of blood Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ Hepatitis Sepsis Disequilibrium syndrome (headache, twitching, cerebreal edema, nausea, vomiting) Someone comes in with IBD exacerbation, what kind of diet is patient put on? - correct answer ✅NPo, advances to clear liquid Someone with guillaine barre syndrome with tube feed, how do you start it? - correct answer ✅trickle it in and then slowly advance, due to GI mobility complications. Goodpasture syndrome clinical manifestations? - correct answer ✅flu-like symptoms with pulmonary symptoms: cough, mild shortness of breath, hemoptysis, crackles, rhonchi, pulmonary insufficience, hematuria, weakness, pallor, anemia, renal failure Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ goodpasture syndrome causes? - correct answer ✅causes lung cancer and kidney diease, causes bleeding into the lungs and glomerulonephritis What kind of temperatures may cause an exacerbation for MS? - correct answer ✅hot or extreme temperatures What is the pathohysiology of MS? - correct answer ✅damage to the myelin sheath Age of onset of MS - correct answer ✅20-40, more common in women Can myelin sheath regenerate? what is this called? - correct answer ✅yes it can, it is called remission Clinical manifestations for MS - correct answer ✅blurred or double vision muscle weakness blowel/bladder dysfunction Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ When should a patient with MS contact their doctor? - correct answer ✅If symptoms worsen or any respiratory distress myasthenia gravis - correct answer ✅a chronic autoimmune disease that causes serious weakness of voluntary muscles, caused by antibodies attacking ACH receptors. s/s of myasthenia gravis - correct answer ✅-diplopia (double vision) - ptosis (eyelid drooping) -sleepy appearance - dysphagia, choking, dysphasia - weakness improved by rest & worse by exercise -resp failure -bladder & bowel incontinence Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ What is a positive peek sign? - correct answer ✅A person is unable to keep their eyes closed after 30 secs Myasthenic Crisis - correct answer ✅an acute exacerbation of myasthenia gravis triggered by infection, surgery, emotional distress, or overdose or inadequate medication. Tensilon test - correct answer ✅Used to diagnose MG and to differentiate between myasthenic crisis and cholinergic crisis. How does the tensilon test work? - correct answer ✅IV injection evaluated 3- 4 minutes for ptosis improvement because of inhibited acetylcholinesterase, if improved then patient was experiencing myasthenic crisis, if cholinergic crisis symptoms will worsen antidote if tensilon test is given and results in a cholingic crisis? - correct answer ✅atropine - cholinergic antagonist (should be readily available when tensilon test is performed) Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ Nursing care for MG? - correct answer ✅- maintain patent airway (o2, suction, intubation equipment readily available bedside) - encourage periods of rest - small frequent high caloric meals - thickened liquids Medications for MG? - correct answer ✅pyridostigmine immunocuppressants corticosteroids Parkinson's disease - correct answer ✅A disorder of the central nervous system that affects movement, often including tremors. 15% of patients with PD have a positive family history. Changes found in the brains of people with Parkinsons Disease? - correct answer ✅Lack of Dopamine Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ guillain barre - correct answer ✅characterized by an autoimmune process that occurs a few days or weeks following a viral or bacterial infection When does Guillain Barre present? - correct answer ✅ascending , rapidly progressive, symmetric weakness of the limbs. maximal weakness is reached in 4 weeks, can fully recover from this. First symptoms of Guillain Barre? - correct answer ✅pain, parasthesia (numbness and tingling), and hypotonia (reduced muscle tone) of the limbs. Areflexia (lack of reflexes), and paralysis. Most serious complication of GBS? - correct answer ✅Respiratory Failure, patient may need intubated Possible complications from patient being intubated and immobilized? - correct answer ✅- respiratory infection (intubation) - UTI (foley) Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ - Pressure ulcers/DVT (immobilzation) - peg tube/ feeding tube (due to paralysis) When is immunoglobulin most effective, when treating Guilain Barre? - correct answer ✅if administered within the first 2 weeks of symptom onset Pt comes in with crohns exacerbation, what do we anticipate being part of the care plan? - correct answer ✅- skin care - NPO - small sips of clear liquids (bowel rest) Rhabdomyolysis - correct answer ✅in which damaged skeletal muscle breaks down rapidly, releasing myoglobin into the kidneys, in which the kidneys are unable to filter due to size of the protein leading to AKI. Are you always on dialysis with an AKI and a CKD? - correct answer ✅AKI - no, can get better CKD - yes Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ Does hospice accept dialysis patients? - correct answer ✅no, if continuing dialysis need to do palliative care, must stop dialysis to do hospice Main population at risk for CKD? - correct answer ✅African Americans Leading causes of CKD? - correct answer ✅diabetes, hypertension Uremia - correct answer ✅decline in kidney function, causing blood to be more acidic Urinary changes in patient with CKD - correct answer ✅- early on patient will not have changes in output - polyuria may be present - difficulty with fluid retention - after dialysis pt may develop anuria (no pee) Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ What kind of drug do we give for dislipidemia? - correct answer ✅statins What kind of diet for CKD doing hemodialsys? - correct answer ✅fluids urine output plus 600-1000ml low protein low potassium What kind of diet for CKD doing peritoneal dialysis? - correct answer ✅fluid/potassium - unrestricted protein - up protein If a patient is on dialysis when should we be concerned about weight gain? - correct answer ✅no more then 1-3kg between treatments peritoneal dialysis process - correct answer ✅1. inflow-2L fluid in catheter in 10 min Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ 2. dwell-the fluid is going in, and can last 20-30 min up to 8hrs 3. drain- takes 15-30 min...massage abdomen or change position 4. ultra filtration- fluid removal complication for peritoneal dialysis - correct answer ✅1. peritonitis 2. resp distress - fluid going in wrong spot..stop it immediately 3. low back pain 4. bleeding 5. hernia hemodialysis diff between AVF and GRAFT - correct answer ✅*AVF* is between artery and vein *Graft* is fake of synthetic- forms a bridge between vein and artery dialysis catheters - correct answer ✅1. tunneled 2. untunneled Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023 Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2024 GRADED A+ What is something that someone with an illiostomy is at risk for? - correct answer ✅fluid deficit What is nephrosclerosis? - correct answer ✅-Hardening of the small blood vessels in the kidney -the decreased blood flow results in ischemia and necrosis of parts of the kidney What causes nephrosclerosis? - correct answer ✅hypertension renal artery stenosis - correct answer ✅-partial or occlusion of one or both renal arteries, -narrowing of renal artery -when hypertension develops abruptly could be renal artery stenosis - tx is treat hypertension Hondros Nur 212 Exam 2 Questions with Correct Answers (100% Verified Answers)2023