Med Surg III -Renal-Pre-op, Post op

Question 1

Name the types of anesthesia

Answer 1

General, Local

Question 2

Those at greatest risk with anesthesia?

Answer 2

elderly and those with longer surgeries

Question 3

What does general anesthesia affect?

Answer 3

loss of sensation, loss of consciousness, elimination of somatic, autonomic and endocrine responses

Question 4

what does local anesthesia affect?

Answer 4

loss of sensation, no loss of consciousness

Question 5

What is conscious sedation?

Answer 5

Versed-drug of choice. minimally depressed LOC, patient retains airway

Question 6

What is regional sedation?

Answer 6

loss of sensation to a region of the body

Question 7

Which general anesthestic will result in early post op pain?

Answer 7

volatile liquids

Question 8

This anesthestic provides rapid onset, rapid elimination

Answer 8

Driprivan-propofol

Question 9

This is the opioid reversal agent

Answer 9

Narcan

Question 10

This is the benzodiazepine reversal agent

Answer 10

Romazicon

Question 11

This is the interruption of nerve impulses

Answer 11

neuromuscular blocking agent

Question 12

This class of drugs prevents/treats nausea/vomiting

Answer 12

antiemetic

Question 13

this blocks the transmission of electrical impulses

Answer 13

local anesthesia

Question 14

EMLA

Answer 14

eutectic mixture of local anesthetics

Question 15

Most common topical anesthestic

Answer 15

lidocaine

Question 16

this is a local anesthetic inserted into CSF just below level of L2

Answer 16

spinal

Question 17

side effects of epidural/spinal

Answer 17

vasodilation , hypotension

Question 18

Signs/symptoms of anaphylactic reaction

Answer 18

hypotension, tachycardia, bronchospasm, pulmonary edema

Question 19

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?

Answer 19

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

Question 20

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?

Answer 20

a. infection b. hemorrhage c. hematuria d. kidney failure

Answer: B

Question 21

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?

Answer 21

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

Question 22

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)

Answer 22

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

Question 23

A nurse administered captopril (Capoten) to a client during renography. Which of the following is an appropriate action by the nurse?

Answer 23

a. assess the client for hypertension
b. limit the clients fluid intake
c. monitor for orthostatic hypotension
d. encourage early ambulation
Answer: C

Question 24

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

Answer 24

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

Question 25

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)

Answer 25

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

Question 26

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)

Answer 26

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

Question 27

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?

Answer 27

a. administer an opioid medication
b. monitor for hypertension
c. assess level of consciousness
d. increase the dialysis exchange rate
Answer: C

Question 28

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)

Answer 28

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