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Author Question: An end-stage renal disease patient has been on peritoneal dialysis at home. Based on his lab work, ... (Read 41 times)

silviawilliams41

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An end-stage renal disease patient has been on peritoneal dialysis at home. Based on his lab work, he regulates the type of solution to infuse into his abdomen.
 
  When there is a high concentration of potassium inside the cell (hyperkalemia), the solution infused has a lower concentration so that the potassium ions will diffuse outward. At this point, the cellular membrane is said to be
  A)
  at equilibrium potential in which no net movement of ions occurs.
  B)
  charged with high voltage.
  C)
  filled with positive current.
  D)
  polarized because of the presence of a negative membrane potential.

Question 2

The exasperated parents of a 4-month-old infant with colic have asked their health care provider what they can do to alleviate their child's persistent crying.
 
  Based on their concerns, the nurse should educate/discuss with the parents which of the following?
  A)
  Encouraging them to walk away from the infant when they can no longer tolerate it
  B)
  Recommending them to reduce the amount of commercial formula and increase breast-feeding
  C)
  Discussing the use of prescribed antiflatulent medication that will help more than changing the formula
  D)
  Demonstrating how to use a soothing voice and slow rocking back and forth as a way to calm the infant



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Mholman93

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Answer to Question 1

Ans:
D

Feedback:

Because of the large concentration gradient existing across the cell membrane, potassium ions tend to diffuse outward. As they do so, they carry their positive charges with them, causing the inside to become negative in relation to the outside. This new potential difference repels further outward movement of the positively charged potassium ion. The membrane is said to be polarized.

Answer to Question 2

Ans:
D

Feedback:

The lack of a single etiologic factor makes treatment of colic difficult. The incidence is similar with both breast-feeding and formula, and while antiflatulents are sometimes used, the problem is not always attributable to intestinal gas. Even though it is a common problem that does resolve with time, parents need support. Nonpharmacologic interventions include soothing voices, singing, swaddling, and slow rhythmic rocking.





 

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