Exam (elaborations)
NUR 242 Med/Surg Exam 2 Questions and Correct Answers.
- Course
- Institution
NUR 242 Med/Surg Exam 2 Questions and Correct Answers, With Complete Solution. 2024/2025.
[Show more]
Seller
Follow
LectDan
Reviews received
Content preview
NUR 242 Med/Surg Exam 2 Questions and CorrectAnswers, With Complete Solution. 2024/2025.
Hypocalcemia s/s
- serum level below 9
- painful muscle spasms in calf/foot during rest or sleep
- positive Chvostek's and Trousseau's signs
- parethesias, tingling, numbness
- WEAK THREADY HEART RATE that may be slower or faster than normal
Hypocalcemia causes
- inadequate oral intake of calcium and Vitamin D
- kidney failure
- malabsorption syndrome (Chrohn's disease)
- lactose intolerance
- ESKD
Hypocalcemia treatment
- oral or IV calcium supplements
- seizure precautions
- Vitamin D to help with the absorption of calcium from the GI tract
Hypercalcemia s/s
- serum level higher than 10.5
- severe muscle weakness and decreased deep tendon reflexes
- confusion
- lethargy
- INCREASED HR & BP
- severe prolonged - electrical conduction depression
- cyanosis, pallor
- blood clots
Hypercalcemia causes
- excessive oral intake of calcium and Vitamin D
- kidney failure
- use of thiazide diuretics
Hypercalcemia treatment
- D/C thiazide diuretics and replace with diuretics that enhance excretion of calcium
(lasix/furosemide)
- administer IV fluids (0.9% NS)
- sodium increases kidney excretion of calcium
Hypokalemia s/s
- serum level less than 3.5
- THREADY, WEAK, IRREGULAR PULSE
- orthostatic hypotension
- lethargy
- skeletal muscle weakness
- CARDIAC DYSRHYTHMIAS
Hypokalemia causes
, - Excessive use of diuretics, digitalis, corticosteroids
- diarrhea & vomiting
- kidney disease
- wound drainage
- prolonged gastric suctioning
Hypokalemia treatment
- increase serum potassium levels - oral of IV potassium
- NEVER GIVE VIA IV PUSH
- hold diuretics
- fall prevention
- use potassium-sparing diuretics if NEEDED
Hyperkalemia s/s
- serum level greater than 5.0
- SLOW, WEAK, IRREGULAR HEART RATE
- decreased BP
- profound skeletal muscle weakness
- CARDIAC DYSRHYTHMIA - TALL PEAKED T WAVES AND WIDE QRS
COMPLEXES
Hyperkalemia causes
- potassium-sparing diuretics
- salt substitutes
ACE inhibitors
- kidney failure
-rapid infusion of potassium containing IV solutions
Hyperkaelmia treatment
- assess cardiac complications
- fall prevention
- Kayexalate
- hold oral potassium supplements
- potassium restricted diet
- tele montior
Hypovolemia (dehydration) s/s
- INCREASED AND THREADY PULSE RATE
- dyspnea
- orthostatic hypotension
- flat neck veins and hand veins
- tenting of the skin
- diminished peripheral pulses
- decreased urine output
Hypovolemia causes
- occurs when fluid intake is not sufficient to meet the fluid needs of the body
- hemorrhage
- vomiting/diarrhea
- severe wounds
- diuretic therapy
- GI suctioning
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LectDan. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73918 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now