« previous next »

Author Question: A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which ... (Read 62 times)

Destiiny22

  • Hero Member
  • *****
  • Posts: 557
on: Jun 25, 2018
A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which finding is the cause of immediate action by the nurse?
 
  a. Blood pressure of 76/58 mm Hg
  b. Sodium level of 138 mEq/L
  c. Potassium level of 5.5 mEq/L
  d. Pulse rate of 90 beats/min

Question 2

The charge nurse of the medical-surgical unit is making staff assignments. Which staff member should be assigned to a client with chronic kidney disease who is exhibiting a low-grade fever and a pericardial friction rub?
 
  a. Registered nurse who just floated from the surgical unit
  b. Registered nurse who just floated from the dialysis unit
  c. Registered nurse who was assigned the same client yesterday
  d. Licensed practical nurse with 5 years' experience on this floor


adf223

  • Sr. Member
  • ****
  • Posts: 304
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Hypotension can be a problem with CVVH if replacement fluid does not provide enough volume to maintain blood pressure. The specially trained nurse needs to monitor for ongoing fluid and electrolyte replacement. The sodium level is normal and the potassium level is slightly elevated, which could be normal findings for someone with acute kidney injury. A pulse rate of 90 beats/min is normal.

Answer to Question 2

ANS: C
The client is exhibiting symptoms of pericarditis, which can occur with chronic kidney disease. Continuity of care is important to assess subtle differences in clients. Therefore, the registered nurse (RN) who was assigned to this client previously should again give care to this client. The float nurses would not be as knowledgeable about the unit and its clients. The licensed practical nurse may not have the education level of the RN to assess for pericarditis.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

Destiiny22

  • Hero Member
  • *****
  • Posts: 557
Reply #2 on: Jun 25, 2018
Thank you :)


adf223

  • Sr. Member
  • ****
  • Posts: 304
Reply #3 on: Jun 25, 2018
Happy to help you


« previous next »
 

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Teaching postoperative care Teaching postoperative care
Nursing care plan - risk for infection Nursing care plan - risk for infection
Patients of all socioeconomic backgrounds should be given equal care. Patients of all socioeconomic backgrounds should be given equal care.
Positioning the client Positioning the client
Paramedic Care: Principles & Practice, Volume 1, 5th Edition Paramedic Care: Principles & Practice, Volume 1, 5th Edition
Find the length of x to the nearest tenth of a unit. Find the length of x to the nearest tenth of a unit.
Video: Cellular Defects - Osteoblasts, Osteoclasts and Osteocytes

For a complete list of videos, visit our video library