Med Surg III -Renal-Pre-op, Post op Flashcards
Name the types of anesthesia
General, Local
Those at greatest risk with anesthesia?
elderly and those with longer surgeries
What does general anesthesia affect?
loss of sensation, loss of consciousness, elimination of somatic, autonomic and endocrine responses
what does local anesthesia affect?
loss of sensation, no loss of consciousness
What is conscious sedation?
Versed-drug of choice. minimally depressed LOC, patient retains airway
What is regional sedation?
loss of sensation to a region of the body
Which general anesthestic will result in early post op pain?
volatile liquids
This anesthestic provides rapid onset, rapid elimination
Driprivan-propofol
This is the opioid reversal agent
Narcan
This is the benzodiazepine reversal agent
Romazicon
This is the interruption of nerve impulses
neuromuscular blocking agent
This class of drugs prevents/treats nausea/vomiting
antiemetic
this blocks the transmission of electrical impulses
local anesthesia
EMLA
eutectic mixture of local anesthetics
Most common topical anesthestic
lidocaine
this is a local anesthetic inserted into CSF just below level of L2
spinal
side effects of epidural/spinal
vasodilation , hypotension
Signs/symptoms of anaphylactic reaction
hypotension, tachycardia, bronchospasm, pulmonary edema
A nurse is providing teaching to a client who is to have an xray of the kidneys, ureters and bladder. Which of the following statements should the nurse include?
a. Contrast dye is given during the procedure.
b. An enema is necessary before the procedure
c. You will need to lie in a prone position during the procedure
d. The procedure determines whether a kidney stone is present.
Answer D
A nurse is monitoring for postoperative complications in a client who had a kidney biopsy. Which of the following complications causes the most immediate risk to the client?
a. infection b. hemorrhage c. hematuria d. kidney failure
Answer: B
A nurse is reviewing a clients laboratory findings in urinanalysis. The findings indicate the urine is positive for leukoesterase and nitrites. Which of the following is an appropriate nursing action?
a. repeat the test early the next morning
b. start a 24 hour urine collection for creatinine clearance
c. obtain a clean-catch urine specimen for culture and sensitivity.
d. insert a urinary catheter to collect a urine specimen.
Answer: C
A nurse is caring for a client with type 2 diabetes and is to undergo excretory urography. Which of the following are appropriate nursing actions prior to the procedure? (Select all that apply)
a. identify client allergy to seafood
b. hold metformin (Glucophage) for 24 hr.
c. administer an enema
d. obtain clients serum coagulation profile
e. assess client for history of asthma.
Answer: ABCE
A nurse administered captopril (Capoten) to a client during renography. Which of the following is an appropriate action by the nurse?
a. assess the client for hypertension
b. limit the clients fluid intake
c. monitor for orthostatic hypotension
d. encourage early ambulation
Answer: C
a nurse is providing teaching to a client who has chronic kidney disease and is to start hemodialysis. Which of the following information should the nurse include in the teaching
a. hemodialysis restores renal function
b. hemodialysis replaces hormonal function of the renal system
c. hemodialysis allows an unrestricted diet
d. hemodialysis returns a balance to serum electrolytes.
Answer: D
a nurse is preparing to initiate hemodialysis for a client who has acute kidney injury and has been hospitalized. Which of the following are appropriate nursing actions? (Select all that apply)
a. review the client’s current medication history
b. assess the client’s arteriovenuous fistula for a bruit
c. calculate the clients total urine output during the shift
d. obtain the clients weight
e. check the clients serum electrolytes
f. use the clients access site area for venipuncture
Answer: ABDE
A nurse is planning postprocedure care for a client who received hemodialysis. Which of the following should the nurse include in the plan of care? (select all that apply)
a. check BUN and serum creatinine
b. administer medications held prior to dialysis
c. observe for signs of hypovolemia
d. assess the access site for bleeding
e. evaluate blood pressure on side of AV access
Answer: ABCD
A nurse is caring for a client who is receiving hemodialysis and develops disequilibrium syndrome. Which of the following is an appropriate action by the nurse?
a. administer an opioid medication
b. monitor for hypertension
c. assess level of consciousness
d. increase the dialysis exchange rate
Answer: C
A nurse is planning care for a client who is having peritoneal dialysis. Which of the following are appropriate nursing actions? (Select all that apply)
a. monitor serum glucose levels
b. report cloudy dialysate return.
c. warm the dialysate in the microwave
d. assess for shortness of breath
e. check the access site dressing for wetness
f. maintain medical asepsis when accessing the catheter insertion site
Answer: ABDE
