Chapter 28 Post test

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Which of the following patients is most likely in acute renal​ failure?

52-year-old male who ingested a toxic dose of aspirin

In the United​ States, sickle cell anemia primarily​ affects:

African Americans

You arrive at the home of a​ 65-year-old male patient with chest pain. His wife gives you a list of medications that he is taking because of previous heart attacks. One of the daily medications is aspirin. Why does the patient take daily doses of​ aspirin?

Aspirin helps to inhibit clot formation by inhibiting platelet aggregation.

Sickle cell anemia differs physically from general anemia in what​ way?

In sickle cell​ anemia, the red blood cells have a sickle shape.

You are gathering a medical history on a​ 74-year-old female with chest pain. She states she has a history of atrial fibrillation and is on a​ "blood thinner." Based on this​ information, which medication would you expect her to be​ on?

Lovenox

Which of the following statements about administering oxygen to patients with sickle cell anemia​ (SCA) is​ true?

Patients with SCA experiencing shortness of​ breath, chest​ pain, or oxygen saturation below​ 95% should receive supplemental oxygen.

Which of the following statements about sickle cell anemia is​ false?

Patients with sickle cell anemia live as long as anyone else.

Why do some patients prefer peritoneal dialysis​ (PD) over hemodialysis​ (HD)?

Peritoneal dialysis allows patients to be treated at home.

In a patient who has recently undergone peritoneal dialysis​ (PD), which of the following findings is the most suggestive of​ peritonitis?

The patient develops abdominal pain and fever.

In addition to the delivery of oxygen to the tissues of the​ body, what role does the blood play in tissue​ regulation?

The removal of carbon dioxide and other waste products from the tissue

If an inadequate level of oxygen is being delivered to the tissues of the​ patient's body, which of the following is a possible​ explanation?

There is an inadequate number of red blood cells.

You are assessing a patient who has abdominal pain. During your​ history, you have determined that the patient receives dialysis three times a​ week, and you note a dialysis fistula in his left arm. How would this knowledge change your assessment of vitals on the​ patient?

You would not use the arm with the dialysis fistula to obtain a blood pressure.

A surgically created fistula in one of the extremities of a patient undergoing hemodialysis​ connects:

arterial and venous blood flow.

Kidneys​ remove:

excessive salts.

Sickled red blood cells are believed to block blood that is trying to exit the corpus​ spongiosum, which for men​ causes:

priapism.

Recipients of kidney transplants​ have:

their donor kidney in their lower abdomen instead of the retroperitoneal space.

The renal system is made up​ of:

two​ kidneys, two​ ureters, and one urethra.

A drainage tube placed into the urinary system to allow the flow of urine out of the body is​ a:

urinary catheter.

Patients who have had a successful kidney​ transplant:

will be on medicines to suppress immune function.

You are on scene with a​ 64-year-old female who appears to have a dialysis shunt on her arm. Based on this​ finding, you know that the patient​ has:

​end-stage renal disease


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