Exam 2: NUR209 / NUR 209 (Latest
2024 / 2025 Update) Medical- Surgical Nursing II | Questions and Verified Answers | 100% Correct - Fortis
Question:
Those patients with renal cancer can have what procedure done?
Answer:
Renal Artery Embolization- this cuts off the flow of blood to the tumor.
Question:
When you have a list of lab values, and are asked which one would you call the provider about- if the K is abnormal this is nearly Always the right answer. It is more important than any other value (3.5 to 5). Too high or too low will affect the heart function.
Answer:
in reanl failure patients :They will also be given Kaylexate (Sodium
Polystyrene) for mildly high K levels (less than 7). This liquid, sweet medication will pull K out of the GI tract and excrete through the stool. The nurse should tell the patient to expect diarrhea
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Question:
A patient with CHRONIC renal failure will most likely have difficulty with Hyperkalemia. What treatment will be expected for these patients?
Answer:
They will have a low K diet (No bananas, oranges, salt substitute, tomatoes, melons, potatoes, ect)
Question:
With Severe Hyperkalemia the nurse would expect to see the following orders and will do what?
Answer:
The nurse knows that a High K can cause cardiac arrest, and will call the provider promptly and document a critical lab was received. If the patient is on Dialysis- also call them to report. Dialysis can remove elevated K and nothing else may be needed. If not, the MD may order IV insulin, D50, and Bicarb to be given IVP one after the other. The nurse will also place the patient on a cardiac monitor. The changes expected are elevated T waves.Also, assess to see if the patient is taking any K suppliments OTC or prescribed.
Question:
A patient with a newly placed pacemaker will be encouraged to do what post- op?
Answer:
Limit movement of the arm and shoulder on the side where the pacemaker was placed. 'Report any s/s of infection.
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