The nurse assessing a renal failure patient for encephalopathy ...

[mia]

The nurse assessing a renal failure patient for encephalopathy caused by high uremic levels may observe which of the following clinical manifestations?
 
  A)
  Severe chest pain with pericardial friction rub on auscultation
  B)
  Stiff immobile joints and contractures
  C)
  Loss of recent memory and inattention
  D)
  Pruritus with yellow hue to skin tone

Question 2

A nurse is providing care for a client who has been diagnosed with metabolic alkalosis after several days of antacid use. Which of the following treatments should the nurse prepare to give?
 
  A)
  Intravenous or oral administration of free hydrogen ions
  B)
  Intravenous administration of KCl solution
  C)
  Administration of oxygen and NaHCO3 solution
  D)
  Supplementary oxygen and possible mechanical ventilation

[hollysheppard095]

Answer to Question 1

Ans:
C

Feedback:

Reductions in alertness and awareness are the earliest and most significant indications of uremic encephalopathy. These often are followed by an inability to fix attention, loss of recent memory, and perceptual errors in identifying people and objects. Answer choice A refers to pericarditis; answer choice B refers to arthritis; answer choice D refers to liver involvement.

Answer to Question 2

Ans:
B

Feedback:

KCl administration facilitates the renal retention of hydrogen ions, resulting in lowering of pH. It is not possible to administer free H+ ions, and sodium bicarbonate would exacerbate her condition. Mechanical ventilation is indicated in cases of respiratory acidosis.

[mia]

TYSM

[dyrone]

Thanks for the timely response, appreciate it