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Common cause of pre-renal failure?
Cardiogenic shock and decrease cardiac output
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Accumulation of urea and other nitrogenous substances; causes potential neurologic changes
Azotemia
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What diuretic would the nurse question on acute renal failure?
Aldactone (spiralactone)
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(SATA) the s/s of the end-stage renal disease?
- Uremic frost
- Osteodystrophy
- Metabolic acidosis
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(Fill-in) Ion exchange resin to remove excessive potassium
Sodium polystyrene sulfonate (Kayexalate)
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Who is a prefer person for kidney donation?
Living related or sibling
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A nursing intervention for a pt. w/Chronic renal failure?
Daily weights, I&O, vital signs, lung and heart sounds, jagular vein distention
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What lab test to evaluate effectiveness for treatment?
BUN
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Potential complication of peritoneal dialysis pg. 935?
Peritonitis
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(Fill-in) Most common STD's?
- Chlamydia
- Gonorrhea
- Syphilis
- Genital herpes
- Genital warts
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(SATA) Who should you report STDs or STIs to?
CDC, and Local health
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Which are the symptoms of Chlamydia?
Sparse, clear urethral discharge, redness and irritation of the infected tissues, burning on urination, lower abdominal pain in women, and testicular pain in men
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Many women are asymptomatic with Gonorrhea pt. teaching is?
Come back w/in 1 wk
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What might be a sign that pt. has Gonorrhea pg.892?
Painful urination
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What comfort measure would you advise to a pt. w/Herpes?
Wear loose underwear
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What shows that a person understands the potential complication of Chlamydia?
If untreated it may become pelvic inflammatory disease PID and cause sterility
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Which person would you want to understand the importance of a yearly/annual PAP smear?
Pt's w/ HPV
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What drug routes of administration are best for secondary Syphilis?
Intramuscular into the gluteus maximus (Penicillin G)
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(SATA) Tetracycline (antibiotic) nursing consideration w/ Pt.s pg. 896?( 3 answers)
Take w/empty stomach, Avoid antacids, Take dairy products and Iron supplements, Use a sunscreen
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Pt. who is crying and has to have hemo-dialysis what intervention is best for her?
Sit quietly
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Pt. who has Syphilis, when would be the best time to start their discharged plan?
When they are admitted
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What is best infection control?
Hand washing
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Pt has two prescription Lasix 40mg and Fuerosomide 40 mg what would you say?
They are the same thing
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Pt w/ Salycilate (aspirin) poisoning what is the best type of dialysis?
Hemo dialysis
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Pt w/ anterial insufficiency what would the Nx tell tem to avoid?
Avoid crossing their legs
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Safe medication administration what should the Nx do first?
Check name band
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Secrete is going to the blood, Excrete is going to the duct or an exit. These are the functions of the kidney except?
.....
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What particular lab test has to do w/ fluid overload?
specific gravity
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Infection control. Nx emptied the bed pan of a pt. who just had a urinary output what should the Nx do next
Wash hands
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Nx is collecting specimen from indwelling catheter what should Nx do?
Use a sterile syringe and needle to aspirate
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Pre-renal, intra-renal, and end-renal The Classification of acute renal failure (ARF) are the following except?
find the wrong answer
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