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Exam (elaborations)

Med Surg Exam 3 questions and correct answers (elaborations) with 100% accurate , verified , latest fully updated , 2024/2025 ,already passed , graded a+, complete solutions guarantee distinctions rationales| 5-star rating

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Med Surg Exam 3 questions and correct answers (elaborations) with 100% accurate , verified , latest fully updated , 2024/2025 ,already passed , graded a+, complete solutions guarantee distinctions rationales| 5-star rating

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  • August 13, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Med surge
  • Med surge
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AnswersCOM
STUVIA 2024/2025
Med Surg Exam 3
- Acute weight loss (greater than 5%)
- Decreased skin turgor
- Dry mucous membranes
- Oliguria - low urine
- Anuria - no urine
- Increased hematocrit
BUN increase
- Hypothermia - can also be a sign of sepsis - ✔✔FVD Manifestations

fluid challenge either oral or IV - ✔✔What do you do for FVD?

Fluid and sodium restriction
Diuretics
Dialysis - ✔✔What to do for FVE?

headache, confusion, drowsiness, nausea, vomiting, warm flushed skin, more risk for death

we do bicarb replacement, - ✔✔Signs of metabolic acidosis
%


depressed respirations, muscle hyper rigidity, dizziness, tingling of fingers and toes.

We do fluid replacement, adequate flouride - ✔✔Signs of metabolic alkalosis

hypertension - ✔✔Treatment of what slow progression for kidney disease?

glomerular filtration rate - measurement of kidney function - amount of plasma filtered through
glomerular - ✔✔What is GFR?

diabetes
hypertension
obesity

diabetes and hypertension = 70% - ✔✔Risks for chronic kidney disease

increased creatinine which will also make symptoms stronger

anemia - due to decreased erythropoietin



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, STUVIA 2024/2025
metabolic acidosis

abnormalities in phosphorus and calcium balance

Fluid retention (edema CHF)

Advanced: heart failure worsen, abnormalities in electrolytes, hard to control hypertension (due to
FVE) - ✔✔Clinical manifestations of chronic kidney disease

Creatine Clearance - ✔✔measure of amount of creatine the kidneys are able to clear in a 24 hr
period....men and women vary genetically differently

polycystic kidney disease

causes enlarged swollen kidneys - ✔✔growth of numerous fluid-filled cysts in the kidneys which
destroy the nephrons

hematuria, polyuria, hypertension, development of renal calculi (kidney stone), UTIs and proteinuria -
✔✔S&S of polycystic kidney disease
%

maintains catheters and drains, administers analgesia, position changes, coughing, IS (incentive
spirometry), and deep breathing - ✔✔Nursing care for nephrectomy

serum creatinine levels - ✔✔How is acute kidney injury diagnosed

- Hypovolemia - low fluids
- Hypotension - low bp
- Reduced cardiac output and heart failure
- Obstruction of the kidney by tumor, blood clot or kidney stone
- Bilateral obstruction of the renal arteries or veins
- S&S can be reversed if conditions are treated before permanent damage - ✔✔Causes of acute
kidney injury

- Assessment of renal function
- Prevent and treat infections
- Prevent and treat shock
- Provide adequate hydration
- Avoid transfusion reactions
- Meticulous care to patients with indwelling catheters; remove them as soon as possible
- Monitor closely all medications metabolized or excreted by the kidneys


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