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Galen Advanced Medsurg Nur265 EXAM Questions and Answers 100% Correct
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Galen Advanced Medsurg Nur265 EXAM Questions and Answers 100% Correct
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Galen Advanced Medsurg Nur265 EXAMQuestions and Answers 100% Correct
Caring for peritoneal dialysis patient - ANSWER patient and nurse must be masked
sterile gloves
remove old dressing
remove contaminated gloves
use Aseptic technique (sterile field 2 4x4 gauze, 3 cotton swab w/ iodine
sterile gloves
circular motion use swabs clean (insertion site to abd) repeat 3x
precut gauze over site
tape only EDGES
Cirhosis causes - ANSWER drugs, toxins,too much tylenol, Hep c
Cirrhosis description - ANSWER scarred tissue, irreversible
high ammonia (changes in LOC, confusion)
S/S of Cirrhosis - ANSWER asterixis, fetor hepaticus (fruity breath), splenomegaly, weight
loss, anorexia, jaundice fatigue
Cirrhosis labs - ANSWER high ammonia, low albumin, low platelet,high ALT, highAST
, complication of cirrhosis - ANSWER hepatic encephalopathy, thrombocytopenia,
spenomegaly, DIC
Ascites, esophageal varices
Prepare for paracentesis - ANSWER 1. explain procedure
2. weigh before and after
3. Patient MUST void BEFORE
4.HOB elevated
5. VS during
6, measure, document characteristics of drainage
7.Send specimen to lab
8. remove cath & apply dressing
9. bedrest
10. weigh again (expected weight loss due to removal of fluid)
Hepatic encephalopathy causes - ANSWER cirrhosis,
liver failure
s/s of hepatic encephalopathy - ANSWER high ammonia, LOC
changes confusion, personality changes, mood changes late sign
jaundice, bad breath or fruity breath,
sleep and mood disturbance
treatment of cirrhosis (least invasive) - ANSWER Lactulose
PO (have bedside commode nearby..expect alot of poop)
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