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Author Question: A 48-year-old patient with stage 2 chronic kidney disease (CKD) is scheduled for an intravenous ... (Read 116 times)

Haya94

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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


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shaikhs

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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

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Reply 2 on: Jun 25, 2018
Excellent

mochi09

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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