Adult 2 Test 4!!!!!

A physician has decided to use renal replacement therapy to remove large bodies of fluid from someone who is hemodynamically unstable in the ICU. The nurse would expect which treatment?

CVVH

Which outcome is a priority for the client with addison's disease?

continue therapy

A PT with hyperparathyroidism has a serum phosphorous level of 1.7 and calcium of 14. Which nursing action should be included in the plan of care?

encourage 3000-4000 mL of oral fluids daily

Which signs and symptoms would make the nurse suspect that the client is experiencing a thyroid storm?

hyperpyrexia and extreme tachycardia

The nurse is reviewing past medical history of a PT diagnosed with chronic renal failure. Which part of PT's medical history most likely contributed to the PT getting chronic renal failure?

hypertension

To provide oral hygiene for a client with recovering transsphenoidal hypophysectomy the nurse should instruct the client to

rinse the mouth with NS

After receiving a change of shift report, which should the nurse assess first?

A 7--year-old who recently started levothyroxine (Synthroid) to treat hypothyroidism and has an irregular pulse of 134

The nurse is providing care to a PT that had bilateral adrenalectomy. Which assessment information requires the most rapid action by the nurse?

BP is 88/50

A nurse caring for a client admitted with a diagnosis of hyperthyroidism, the client report a weight loss of 12 pounds in the past 2 months despite increased appetite. The additional symptoms include increased perceptions, menstrual irregularities, and restlessness. Which of the following measures should the nurse include in the plan of care to prevent a thyroid crisis?

Provide a quiet low stimulus environment

Which information should the nurse include in the teaching plan of female with bilateral adrenalectomy?

The client will need to take steroid replacement the rest of her life

A PT who has cardiac surgery has a urine output of 20 mL/hr for 2 hours. They receive a single bolus of 500 mL IV. The urine output over the next hour was 25 mL. Daily lab results indicate that the BUN is 45 and serum creatinine is 2.2. Based on these findings, the nurse will anticipate that the client is at risk for developing which?

acute kidney injury

During hemodialysis the PT becomes lightheaded and nauseous. What should the nurse do first?

decrease the rate of fluid removal and infuse NS

The nurse is caring for a client immediately after renal transplant, IV fluids are administered as prescribed. The nurse recognizes that the hourly calculi glomerulus of what?

The number of mL in the previous hour's urine output

The client with chronic renal failure tells the nurse that he takes magnesium hydroxide for constipation. The nurse suggests the client switch to Psyllium Metamucil because?

it can cause magnesium toxicity

The nurse is teaching a client to perform peritoneal dialysis, the nurse reviews which essential action that will help prevent further complications?

maintain strict aseptic technique

A PT is scheduled to undergo hemodialysis. What is the highest priority action the nurse should plan prior to the start of dialysis?

obtain their weight

ABG's of someone that has renal failure, the nurse should expect what result?

pH 7.30, PaCO2 35, HCO3 18

The nurse is admitting a client with chronic kidney disease to the unit that has a potassium level of 6. The nurse should plan for which action as a priority?

put them on a cardiac monitor

"Following a transsphenoidal hypophysectomy, the nurse should assess the client carefully for:

CSF leakage

A 33 year-old female is diagnosed with hypothyroidism. What should the nurse assess the client for? SATA

Decreased energy and fatigue fine thin hair and hair loss constipation weight gain of 10 pounds

The nurse asks the client to state her name as soon as she regains consciousness post- operatively after a subtotal thyroidectomy at each assessment. The nurse does this to assess for what?

Laryngeal nerve damage

The nurse is assessing the patency of a client's left arm AV fistula prior to administering hemodialysis. Which finding indicates that the fistula is patent?

Palpation of thrill

PT arrives in the ED and is unable to give a health history die to altered mental status. The family reports the PT has gained over 10 pounds in a week and says its mainly water weight. In addition, they report the PT has not been able to urinate or eat within the past week, as well as recently diagnosed with small cell lung cancer. On assessment you know that their HR is 115, BP 180/92, and sodium level is 90. Which of the following conditions do you suspect the PT is most likely experiencing?

SIADH

During a check-up with a diabetic client who has proteinuria on urine analysis. The nurse assesses the client and knows that further teasing will need to assess the health of the kidney. Which test is considered the most accurate indicator of kidney function?

Serum creatinine

The client is diagnosed with Addison's disease is admitted to the ED after a day at the lake. The client is lethargic, forgetful, and weak. Which intervention should be the emergency room nurse's firs action?

Start an IV with an 18 gauge needle to infuse NS rapidly

A nurse is caring for a client after a craniotomy for a pituitary tumor and has developed DI. The client is receiving vasopressors (Pitressin). The desired response of the the medication is what?

Urine output to decrease

A client is hospitalized for possible SIADH, the client is confused and reports having muscle cramps and twitching. The nurse would expect which lab results to report what?

a decreased sodium

A client newly diagnosed with chronic kidney disease has recently begun hemodialysis knowing that the client is at risk for disequilibrium syndrome. The nurse should assess the client for which associated manifestations?

decreased LOC

The nurse should monitor the patient for Cushing's disease for which finding?

decreased calcium levels

What is an acute renal failure diet?

gelatin dessert

A PT has undergone a sub thyroidectomy is subject to complications in the first 48 hours. The nurse should obtain and keep at the bedside equipment to do what?

perform a tracheostomy

Which of the following should raise suspicion to the nurse that a had injury is experiencing DI?

urine specific gravity is low