Exam 2 Possible Questions Flashcards
How do you treat AKI, the patient is SOB and Hypotensive.
Give fluids, monitor the rate
What might a patient complain of in the post renal phase?
Urgency to void
What do you do if assessing the scrotum and a patient complains of pain, tenderness, and has no cremasteric reflex
Get a doppler
What do you teach the patient about nitrofurantoin?
It will turn your urine orange
The Patient has an increased potassium, slightly increased creatine, and increased urine output. What do you do?
Place on heart monitor
Which test do you get to check for protein in the urine?
24 hour urine
How do you treat hyperkalemia?
Insulin, Sodium, dialysis, calcium gluconate
For a TURP/CBI, if it stops, what do you do first?
Check the tubing for kinks, then irrigate.
What is the first-line therapy of mild chronic hyperkalemia in patients with chronic
kidney disease?
Sodium polystyrene sulfonate
What lab so you expect to see with End stage renal disease
GFR of 15 or lower may mean kidney failure.
What color should dialysis be
Clear
What lab goes with Epoetin Alpha?
Hematocrit
. You would contact the provider if you notice…
Excess urine output
Initial signs of Chronic Renal Failure
HTN, Restless Leg Syndrome, Headache, Red cheeks, Puritis
TURP. Post op, CBI running. Symptoms to watch for:
Hypotension and confusion
What are the advantages of peritoneal dialysis?
No Iv access needed, No strict schedule, Less strict diet and fluid restriction
How to check hemodialysis av fistula
Listen for bruit
How do you determine angina vs an acute MI?
Pain lasts more then 30 minutes
How to you know if IV nitro is effective for pain?
Ask the patient
What are long acting Nitrates used for?
Chronic Angina
. What do you teach about Nitro?
Place underneath your tongue. Take one wait 5 minutes, then take another if still having chest pains. Keep in original container. Replace every 6 months. Keep in cool dry place, CAN ONLY TAKE 3 DOSES
. What drugs are used for decompensated heart failure with severe orthopnea?
Lasix and Morphine
How do you evaluate if the orthopnea is getting better?
Ask how many pillows do you sleep on.
What is a significant amount of weight gain that the patient should notify the HCP about?
gain of 3 pounds or more
Diet and food items for someone in heart failure?
Can not have yogurt. YES canned fruit
Your patient is taking an ACE Inhibitor, what should you remind your patient of?
This medication may cause severe dizziness so please call for help to get oob
When a patient is severely SOB and coughing, what do you do first?
Listen to lung sounds.
Patient with Decompensated heart failure on the monitor, what is the first sign of their condition?
Oxygen saturation
What medications may cause a problem with potassium?
Digoxin, Lasix
When teaching an obese patient how to increase their exercise and decrease their BMI, what do you ask them?
What activities do you enjoy?
PR interval of 0.24 what do you do?
Document and monitor
What is IV atropine used for?
Bradycardia, 1st degree heart block
How do we know atropine it is working?
heart rate increases
Discharge instructions for a patient after a pacemaker?
Do not raise arm until follow up
A patient had a Implantable Cardioverter Defibrillator (ICD) put in and you hear the
student tell the patient to do active range of motion. Should the patient do this? True or False?
False
What causes increased PVC’s?
Low Potassium
Endocarditis, what symptoms will we see?
25/ml hr output
With acute pericarditis, how do we check for pulsus paradoxus?
We listen for core cough sounds with inspiration and expiration.
. How do we decrease rhematic fever in the community?
Decrease strep throat and seek treatment
What will we see with a patient that has mitral stenosis?
What will we see with a patient that has mitral stenosis?
. A patient with MVP, they should avoid what?
Stimulants
A patient with a mechanical valve is being discharged. What kind of teaching do they
need?
Teach about the need for follow up blood work
A patient has stabbing chest pain following an MI. What do you do first?
Listen to the heart sounds
What will you see with a patient with aortic stenosis
SOB with exertion/ambulation
