This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 48-year-old patient with stage 2 chronic kidney disease (CKD) is scheduled for an intravenous ... (Read 114 times)

Haya94

  • Hero Member
  • *****
  • Posts: 558
on: Jun 25, 2018
A 48-year-old patient with stage 2 chronic kidney disease (CKD) is scheduled for an intravenous pyelogram (IVP). Which order for the patient will the nurse question?
 
  a. NPO for 6 hours before procedure
  b. Ibuprofen (Advil) 400 mg PO PRN for pain
  c. Dulcolax suppository 4 hours before procedure
  d. Normal saline 500 mL IV infused before procedure

Question 2

A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?
 
  a. Urine volume
  b. Calcium level
  c. Cardiac rhythm
  d. Neurologic status


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

shaikhs

  • Sr. Member
  • ****
  • Posts: 312
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
The contrast dye used in IVPs is potentially nephrotoxic, and concurrent use of other nephrotoxic medications such as the nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided. The suppository and NPO status are necessary to ensure adequate visualization during the IVP. IV fluids are used to ensure adequate hydration, which helps reduce the risk for contrast-induced renal failure.

Answer to Question 2

ANS: C
The calcium gluconate helps prevent dysrhythmias that might be caused by the hyperkalemia. The nurse will monitor the other data as well, but these will not be helpful in determining the effectiveness of the calcium gluconate.


Haya94

  • Member
  • Posts: 558
Reply 2 on: Jun 25, 2018
Gracias!

aliotak

  • Member
  • Posts: 326
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

In 1835 it was discovered that a disease of silkworms known as muscardine could be transferred from one silkworm to another, and was caused by a fungus.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

The effects of organophosphate poisoning are referred to by using the abbreviations “SLUD” or “SLUDGE,” It stands for: salivation, lacrimation, urination, defecation, GI upset, and emesis.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Direct Fist Percussion of Left Kidney Direct Fist Percussion of Left Kidney
Kidney with an expanded view of a nephron Kidney with an expanded view of a nephron
Fundus of white pateint and black patient Fundus of white pateint and black patient
Summary of Parkinson’s disease effects. Summary of Parkinson’s disease effects.
After multiple injections of a local anesthetic, the patient developed herpetic lesions. After multiple injections of a local anesthetic, the patient developed herpetic lesions.
Video: Dietary Cholesterol & LDL

For a complete list of videos, visit our video library