Test 2
Liver dict- waffles
SATA- TPN= Verify order, insulin sliding scale, filtered tubing
Dialysis- feel the thrill (palpate)
Math-TPN per hour
GFR- will decrease in elderly
Tylenol overdose- elevated creatinine
...
Test 2
Liver dict- waffles
SATA- TPN= Verify order, insulin sliding scale, filtered tubing
Dialysis- feel the thrill (palpate)
Math-TPN per hour
GFR- will decrease in elderly
Tylenol overdose- elevated creatinine
Lactulose monitoring- monitor stools, loc, ammonia lvl, + one more
Neomycin- eliminates bacteria in colon
Insulin + beta blocker will mask s/s of- hypoglycemia
NGT for pancreatitis- bloating and nausea
ERCP- clipping hair would be questioned
Hypocalcemia carpopedal spasms- hand tremors
Central line inf. w/ tpn- assess site (I couldn’t read her writing)
Priority for ascites- risk for injury
Pancreatitis SATA-???
Elevated AT, AST, decreased albumin???
SATA esoph varices- freg oral care, NGT, 2 IV sites
Pre-renal=
Intrarenal- lisinopril use
Elevated urea lvls in blood- N/V, loss of appetite
Kussamaul resp.- to correct metabolic acidosis
SATA- hepatic enceph- asterixis, flector hepaticus, LOC, ammonia
SATA- Kidneys- regular Bp, Reg RBC prod, regular acid-base balance
AKI most important- resp. shallow and rapid
Low Bp need dialysis- CRRT????? What does this stand for??
Pancreatitis present- mild to moderate abdominal pain w/ guarding behavior and something else
Renal failure high creatinie- give pre-op fluids
Who do you see first?
Who to give to LPN- dressing change 2days post-op
Math-mg/kg/min
X2 math mL
High potassium- keep NPO and notify MD
Lab call with high potassium priority- Call MD
ER priority- get IV access
Hepatic enceph-ensure fall risk in place
ABG- normal
Cipro given over 60 mins
Pancreatitis position- side lying with knees flexed
Vasopressin- CP as adverse effect
Viral infection- take acuclovlr
Transplant- bleeding pt hemorrhaging
Hand flapping- asterixis
Don’t eat with pancreatitis- pizza, bacon, fried potatoes
AKI teaching prevention- admin of packed RBC is priority
Pre-renal failure- overdose on enalapril
TPN patient complication- pneumothorax, hyperglycemia, cath sepsis, clotted central line catheter
Priority labs for MVC client- Creatinine kinase
GFR- decreased in elderly
Test 2 most missed questions
A client is diagnosed with hepatic encephalopathy. Which meal choice by the client’s spouse indicates
the family teaching has been effective?
Whole wheat waffles
Which statement by the novice nurse confirms that the precepting nurses teaching on preventing AKI
has been successful
- Administration of packed red blood cells is a priority for my client when it is ordered by the
physician
The nurse assesses the following client. Which client is at greatest risk to develop pre-renal failure?
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