Nsg 4100 Exam 1 - Questions With Correct Solutions What type of antacid to avoid with ESRD Right Ans - AVOID magnesium based antacids to prevent mag toxicity Recommended foods for ESRD Right Ans - -apples, berries, grapes, peaches, & cabbage -Must be lean protein (dairy products, eggs, meats) What meds not to give on day of dialysis Right Ans - Digoxin, Dobutamine What meds to take for Metabolic Acidosis Right Ans - If symptoms are present, give Pt Sodium Bicarbonate or Dialysis Examples of when to use CRRT Right Ans - Pt's who are too hemodynamically UNSTABLE -Septic Pt's, hemorrhaging Blood flow rate of hemodialysis Right Ans - > 200 ml/hr Blood flow rate for CRRT Right Ans - < 200 ml/hr Which type of antibiotic do we not give ESRD Pt's? Right Ans - We do NOT give gentamicin (hard on kidneys) RF for bladder cancer Right Ans - older white men > 55 smoking exposure
CM of bladder cancer Right Ans - early: painless hematuria
late: flank pain (metastasis)
complications: UTI
bladder cancer diagnostic test Right Ans - Cystoscopy and biopsy 1 / 2
urinary diversion Pathology of pancreatitis Right Ans - The pancreatic duct becomes temporarily obstructed Enzymes enter the bile duct -> activated & together with bile -> Reflux into pancreatic duct etiology of pancreatitis Right Ans - alcoholism, cholelithiasis, peptic ulcers, trauma, hyperlipidemia diagnostic tests for pancreatitis Right Ans - WBC > 16,000 mm3 Serum glucose Serum amylase Lipase Within 48 hours of hospital admission, FALL in HCT >10% Diagnostic tests for acute pancreatitis Right Ans - Serum lipase (rises within 24 hours of the onset of symptoms) Remains elevated for several days Amylase (rises within 24 hours of onset of symptoms)
CT = GOLD STANDARD
Risk factors for pancreatic cancer Right Ans - Cigarette smoking Obesity Exposure to chemicals High fat diet & red, processed meats Diabetes
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